Table 2.
Randomized clinical trials of vitamin D supplementation on the progression of knee osteoarthritis (OA) and related symptoms 1.
Serum 25(OH)D (nmol/L) | Vitamin D Intervention | Results | ||||||
---|---|---|---|---|---|---|---|---|
Duration (years) | Baseline | Post-Intervention | ||||||
n | Control | Treatment | ||||||
Joint pain and function | ||||||||
Sanghi et al. [61] | India | 103 | 1 | 37 | 39 | 83 | 60,000 IU/d for 10 d followed by 60,000 IU/mo | Vitamin D reduces pain (but unlikely to be clinically relevant) |
Arden et al. [55] | UK | 468 | 3 | 63 | 61 2 | 84 2 | 800 IU/d | No effect of vitamin D |
Chelbowski et al. [56] | USA | 1911 | 2 | Not reported | Not reported | Not reported | 400 IU/d (+1000 mg Ca) | No effect of vitamin D (joint not specified) |
McAlindon et al. [57] | USA | 146 | 2 | 56 | 62 | 96 | 2000 IU/d plus dose escalation to reach over 90 nmol/L | No effect of vitamin D |
Jin et al. [58] | Australia | 413 | 2 | 44 | 51 | 84 | 50,000 IU/mo | No effect of vitamin D |
Wang et al. [60] | Australia | 340 | 2 | 44 | 51 | 84 | 50,000 IU/mo | Vitamin D retards effusion synovitis |
Radiologic OA | ||||||||
Arden et al. [55] | UK | 427–441 3 | 3 | 63 | 61 2 | 84 2 | 800 IU/d | No effect of vitamin D |
McAlindon et al. [57] | USA | 146 | 2 | 56 | 62 | 96 | 2000 IU/d plus dose escalation to reach over 90 nmol/L | No effect of vitamin D |
Cartilage volume loss | ||||||||
McAlindon et al. [57] | USA | 146 | 2 | 56 | 62 | 96 | 2000 IU/d plus dose escalation to reach over 90 nmol/L | No effect of vitamin D |
Jin et al. [58] | Australia | 413 | 2 | 44 | 51 | 84 | 50,000 IU/mo | No effect of vitamin D |
1 25(OH)D: 25-hydroxyvitamin D. 2 Serum 25(OH)D measures at year 1 of intervention. Mean serum vitamin D status at the end of the intervention (year 3) was not reported. 3 Depending on site.