Effects of Supplemental Vitamin D3, Omega-3 Fatty Acids on Physical Performance Measures in the VITamin D and OmegA-3 TriaL

J Clin Endocrinol MetabPublished Ancillary study of the VITAL randomised controlled trial

Authors' conclusion

Neither supplemental vitamin D3 nor marine omega-3 fatty acids for 2 years improved physical performance in this generally healthy adult population.

Study context

Population
New England subcohort of VITAL (25,871 US adults) with in-person evaluations at baseline and 2 years; men ≥50 and women ≥55 years; Center for Clinical Investigations, Boston
Participants
1,054 participants
Comparison
Vitamin D3 vs placebo and omega-3 fatty acids vs placebo
Primary endpoint
Changes in physical performance measures: grip strength, walking speed, standing balance, repeated chair stands and Timed-up and Go (TUG)
Follow-up
2 years
Methodological detailsdouble-blinded, placebo-controlled, 2 × 2 factorial
  • Double-blinded
  • Placebo-controlled
  • 2 × 2 factorial

Primary result

As reported in the abstract

Changes in grip strength, walking speed, Short Physical Performance Battery and TUG
  • All randomized groups showed worsening walking speeds and Timed-up and Go (TUG)
  • No differences in changes in grip strength, walking speeds, SPPB and TUG between vitamin D3 and placebo, or between omega-3 and placebo

Further findings

OutcomeP value
TUG in participants with baseline total 25(OH)D above the median · 2 yearsVitamin D3 vs Placebo · TUG slightly worsened with vitamin D3P = 0.01; P for interaction = .04

Effect modification by sex, age, BMI, baseline total or free 25(OH)D, or plasma omega-3 index · 2 years

Effects overall did not vary by sex, age, BMI, baseline total or free 25(OH)D or plasma omega-3 index

Original publication

Effects of Supplemental Vitamin D3, Omega-3 Fatty Acids on Physical Performance Measures in the VITamin D and OmegA-3 TriaL. J Clin Endocrinol Metab. Published 15 March 2024. doi:10.1210/clinem/dgae150

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