Table 4.
General characteristics of non-overlapping meta-analyses of randomised controlled trials of vitamin D supplementation for skeletal outcomes
Skeletal outcome | Population | Type of metric (summary effect) | Units | MA model | No of studies in each MA | Reported summary effect (95% CI) | P value |
---|---|---|---|---|---|---|---|
Bone mineral density | Healthy children | SMD | % change | Fixed | 5 | 0.1 (−0.06 to 0.26) | 0.22 |
Bone mineral density | Community dwelling adults | WMD | % change | Random | 3 | −0.9 (−2.10 to 0.40) | 0.16 |
Bone mineral density in femoral neck | Community dwelling adults | WMD | % change | Random | 8 | 1.10 (0.40 to 1.90) | 0.004 |
Bone mineral density in forearm | Community dwelling adults | WMD | % change | Random | 2 | −0.70 (1.70 to 0.40) | 0.19 |
Bone mineral density in forearm | Healthy children | SMD | % change | Random | 3 | 0.04 (−0.36 to 0.45) | 0.86 |
Bone mineral density in hip | Healthy children | SMD | % change | Random | 4 | 0.06 (−0.18 to 0.29) | 0.63 |
Bone mineral density in hip | Community dwelling adults | WMD | % change | Random | 6 | 0.70 (−0.10 to 1.60) | 0.11 |
Bone mineral density in lumbar spine | Healthy children | SMD | % change | Fixed | 5 | 0.15 (−0.01 to 0.31) | 0.07 |
Bone mineral density in lumbar spine | Community dwelling adults | WMD | % change | Random | 7 | 0.10 (−0.60 to 0.70) | 0.78 |
Bone pain | CKD RD | RR | NA | Fixed | 4 | 0.29 (0.03 to 2.63) | 0.28 |
Falls | Older adults | OR | NA | Random | 10 | 0.97 (0.84 to 1.11) | 0.68 |
Falls: rate of falls | Older people in care facilities or hospitals | RaR | NA | Random | 2 | 0.55 (0.19 to 1.64) | 0.28 |
Falls: rate of falls | Older people in community | RaR | NA | Random | 2 | 1.14 (1.03 to 1.27) | 0.01 |
Fractures | Men aged >65 years and postmenopausal women | RR | NA | Fixed | 10 | 1.01 (0.93 to 1.09) | 0.82 |
Fractures | CKD RD | RR | NA | Fixed | 4 | 1.00 (0.06 to 15.41) | 1.00 |
Fractures: hip | Men aged >65 years and postmenopausal women | RR | NA | Fixed | 9 | 1.15 (0.99 to 1.33) | 0.06 |
Fractures: non-vertebral | People aged >65 years | RR | NA | No info | 5 | 0.79 (0.63 to 0.99) | 0.04 |
Fractures: non-vertebral, non-hip | Older women | OR | NA | Random | 2 | 0.69 (0.21 to 1.66) | 0.49 |
Fractures: vertebral or deformity | Men aged >65 years and postmenopausal women | RR | NA | Random | 5 | 0.90 (0.42 to 1.92) | 0.80 |
Performance measures: balance sway | Older adults | SMD | NA | Fixed | 3 | −0.20 (−0.39 to −0.01) | 0.04 |
Performance measures: lower extremity strength | Older adults | SMD | NA | Fixed | 3 | 0.05 (−0.11 to 0.20) | 0.54 |
Performance measures: muscle strength | Older adults | SMD | NA | Fixed | 3 | −0.19 (−0.35 to −0.02) | 0.02 |
CKD RD=chronic kidney disease requiring dialysis; OR=odds ratio; RaR=rate ratio; RR=relative risk; SMD=standardised mean difference; WMD=weighted mean difference.
P values were estimated using formulas presented in Altman and Bland 2011.140