Osteoporosis, bone & mineral

Effects of vitamin D3, omega-3s, and a simple strength training exercise program on bone health: the DO-HEALTH randomized controlled trial

J Bone Miner ResPublished Secondary analysis of the DO-HEALTH randomised trial

Primary result · TH aBMDResult — go to the resultDifference in adjusted means 0.0035 g/cm 95% CI 0.0011–0.0059

Authors' conclusion

Our study suggests a small benefit of 2000 IU vitamin D daily on TH aBMD overall and LS aBMD among men; however, effect sizes were very modest and the clinical impact of these findings is unclear.

Study context

Population
Generally healthy older adults age ≥ 70 years; mean age 75 years, 80.4% physically active, 44% 25(OH)D <20 ng/mLwith DXA scans
Participants
1,493 participants
Comparison
Vitamin D3, omega-3s and SHEP, alone or in combination, vs no such treatment
Primary endpoint
Areal BMD (LS, FN, total hip (TH)) by DXA (a secondary outcome of DO-HEALTH)
Follow-up
3 years
Methodological detailsmulticenter, double-blind, 2 × 2 × 2 factorial, 3-year
  • Multicenter
  • Double-blind
  • 2 × 2 × 2 factorial
  • 3-year

Primary result

TH aBMD · across 3 years

Difference in adjusted means

0.0035 g/cm

95% CI 0.0011–0.0059

Vitamin Dvs No vitamin D
difference in adjusted means 0.0035 g/cm (95% CI 0.0011–0.0059)

As reported in the abstract

Secondary outcomes

Outcome∆AM (g/cm) (95% CI)P value
LS aBMD, male subgroupVitamin D vs No vitamin D0.0070 (0.0007–0.0132)interaction P = .003

Original publication

Effects of vitamin D3, omega-3s, and a simple strength training exercise program on bone health: the DO-HEALTH randomized controlled trial. J Bone Miner Res. Published 13 April 2024. doi:10.1093/jbmr/zjae054

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