Mitri 2011.
Study characteristics | ||
Methods | 16‐week factorial randomised controlled trial Randomisation by permuted blocks using computer‐generated random‐number sequence, no further details provided States double‐masked design 88 of 92 completed |
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Participants | 92 participants (47 women, 45 men), community‐based study, Boston, USA, mean age 57 years Inclusion criteria: ambulatory, ≥ 40 years of age and with a BMI (kg/m2) ≥ 25 (≥ 23 if Asian) with glucose intolerance or early diabetes, defined as a fasting plasma glucose concentration ≥ 100 mg/dL or 2‐h glucose concentration ≥140 mg/dL after 75 g oral dextrose or glycated haemoglobin (Hb A1c) ≥ 5.8% Exclusion criteria: BMI > 40, Hb A1c > 7%, self‐reported diabetes treated with pharmacotherapy, weight change > 4 kg over the previous 6 months, use of supplements that contained vitamin D or calcium in ≤ 8 weeks of screening and an unwillingness to discontinue supplementation for ≥ 2 weeks before the study initiation and during the study; hyperparathyroidism, hypercalcemia, nephrolithiasis, chronic kidney disease, conditions that may have affected vitamin D or calcium metabolism (eg, sarcoidosis), and regular visits to tanning booths |
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Interventions | 1. 2000 IU vitamin D3 and 800 mg calcium (as 2 doses calcium carbonate) daily 2. 2000 IU vitamin D3 and 2 placebos daily 3. 800 mg calcium (as calcium carbonate) and 1 placebo daily 4. Matching placebos Randomised 23; 23; 22; 24 Completed 23; 22; 21; 22 Duration of treatment 16 weeks |
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Outcomes | Measured over a period of 16 weeks 1. Number of persons sustaining new non‐vertebral fracture 2. Numbers of persons sustaining hypercalcaemia or kidney stone |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | States "computer‐generated random‐number sequence" |
Allocation concealment (selection bias) | Unclear risk | States "randomly assigned", no other information provided |