Pituitary & hypothalamus

Cholecalciferol Use Is Associated With a Decreased Risk of Incident Morphometric Vertebral Fractures in Acromegaly

J Clin Endocrinol MetabPublished Retrospective cohort study

Main finding · i-VFsResult — go to the resultOdds ratio 0.16 95% CI 0.03–0.79

Authors' conclusion

It is likely that D3 supplementation could lead to a reduction in i-VFs in acromegaly.

Study context

Population
Patients with acromegaly
Participants
61 patients
Exposure
D3 supplementation vs no D3 supplementation
  • D3n = 26
Outcome
Incident morphometric vertebral fractures (i-VFs)
Follow-up
Last
Methodological detailslongitudinal, multicenter
  • Longitudinal
  • Multicenter

Main finding

i-VFs

Odds ratio

0.16

95% CI 0.03–0.79

P = 0.01

By group

D3vs No D3
OR 0.16 (95% CI 0.03–0.79); P = 0.01

As reported in the abstract

Incident VFs (i-VFs) diagnosed, all patients
14 (23%)

Observational data: associations, not effects.

Further findings

Final serum 25(OH)D by i-VF status

Patients who developed i-VFs, median (IQR)
28.6 ng/mL (IQR: 4.1)
Patients without i-VFs, median (IQR)
34.2 ng/mL (IQR: 9.6)
Significantly lower with i-VFs
P = 0.05

D3 dosage and duration

Median weekly D3 dosage
8500 IU (IQR: 3900)
Median duration of D3 supplementation
94 months (IQR: 38)

Original publication

Cholecalciferol Use Is Associated With a Decreased Risk of Incident Morphometric Vertebral Fractures in Acromegaly. J Clin Endocrinol Metab. Published 22 August 2023. doi:10.1210/clinem/dgad493

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