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. 2022 Mar 24;6(5):e10619. doi: 10.1002/jbm4.10619

Table 1.

Participants' Characteristics and Response to Vitamin D Supplementation a

n Baseline 12 months (12,000 IU) 12 months (24,000 IU) 12 months (48,000 IU) ANCOVA b analysis
379 122 124 126
Age (years) 74.1 [71.5–77.0] 75.6 [72.5–77.3] 76.0 [72.5–77.9] 76.4 (4.4) n/a
Plasma calcium and renal function markers
Albumin (g/L) 45.7 (2.2) 44.6 (2.1)* 44.5 (2.6)* 44.3 (2.0)* 0.70
Adjusted calcium (mmol/L) 2.2 (0.1) 2.3 (0.1) 2.2 (0.1) 2.2 (0.1) 0.07
Phosphate (mmol/L) 0.88 (0.18) 0.79 (0.19)* 0.81 (0.17)* 0.81 (0.19)* 0.68
Cystatin C (mg/L) 0.87 (0.22) 0.88 (0.27) 0.92 (0.25)* 0.95 (0.29)* 0.41
Creatinine (μmol/L) 82.1 (19.1) 82.5 [67–94]* 84.6 [71–96]* 78.1 (66–88]* 0.25
eGFR (mL/min per 1.73 m2) 72 (15) 73 (14) 74 (16) 70 (15) 0.54
Klotho (pg/mL) 493.7 [392.6–627.7] 502.0 [403.1–639.6] 502.7 [395.5–611.2] 477.6 [399.6–589.2] <0.001
cFGF23 (RU/mL) 66.7 [54.9–84.2] 90.8 [65.3–104.9]* 85.7 [59.7–94.9]* 77.8 [58.4–87.3]* 0.11
iFGF23 (pg/mL) 55.1 [44.5–72.7] 66.9 [42.5–88.4]* 71.7 [54.5–79.4]* 73.2 [52.2–84.7]* 0.80
iFGF23/cFGF23 1.9 [1.5–2.5] 2.1 [1.4–2.2] 2.2 [1.4–2.3] 2.3 [1.4–2.3] 0.75
Vitamin D metabolism markers
Total 25(OH)D (nmol/L) 40.0 (20.1) 55.9 (15.6)* 64.6 (15.3)* 79.0 (15.1)* <0.001
Free 25(OH)D (pmol/L) 8.4 (4.3) 11.7 (3.3)* 13.8 (3.4)* 16.9 (4.3)* <0.001
24,25(OH)2D (nmol/L) 3.2 [2.0–5.5] 6.1 (2.7)* 7.4 (2.8)* 9.4 (3.0)* <0.001
25(OH)D/24,25(OH)2D 14.5 [11.3–18.8] 12.1 [9.4–12.9]* 11.9 [10.0–13.4]* 12.9 (4.7)* <0.001
1,25(OH)2D (pmol/L) 94.5 (29.0) 100.6 (29.8) 101.0 (29.4)* 101.9 (30.8)* 0.099
1,25(OH)2D/24,25(OH)2D 25.7 [16.8–44.4] 17.7 [11.9–21.8] 14.6 [8.9–18.7] 15.3 [9.0–18.2] <0.001
DBP (mg/L) 367.8 (63.4) 362.5 (74.1) 356.9 (46.1) 384.4 (57.8)* <0.01
PTH (pg/mL) 43.4 [33.2–57.4] 39.8 [28.8–53.5]* 40.9 [26.3–55.5]* 37.3 [27.8–47.5]* <0.01
Wnt signaling pathway markers
SOST (pmol/L) 44.3 [32.4–60.0] 46.9 [32.6–63.5] 45.4 [32.1–57.8] 46.5 [33.2–61.2] 0.20
DKK1 (pmol/L) 31.2 (16.5) 40.6 (17.9)* 33.2 (19.0) 38.9 (18.1)* 0.87
OPG (pmol/L) 5.67 (2.08) 5.69 (2.04) 5.12 [4.25–6.47] 5.89 (2.17) 0.20
sRANKL (pmol/L) 0.12 [0.08–0.18] 0.14 [0.08–0.18] 0.13 [0.07–0.18] 0.14 (0.07) 0.75
sRANKL/OPG 0.02 [0.01–0.04] 0.03 [0.01–0.03] 0.04 [0.01–0.04] 0.03 [0.01–0.04] 0.85
Bone mineral density and metabolism
Hip BMD (g/m2) 0.98 (0.17) 0.96 (0.15) 0.98 (0.16) 0.99 (0.18) 0.19
Hip BMC (g) 35.44 (8.30) 34.08 (7.56) 35.42 (7.92) 35.73 (8.63) 0.14
FN BMD (g/m2) 0.902 (0.152) 0.88 (0.13) 0.90 (0.14) 0.92 (0.15) 0.13
FN BMC (g) 4.90 (1.09) 4.78 (0.96) 4.82 (1.04) 4.70 (1.16) 0.72
BAP (μg/L) 9.5 [7.9–12.3] 11.4 [8.4–13.8]* 10.7 [7.7–12.7] 11.4 [8.0–14.1] 0.87
CTX (ng/mL) 0.40 [0.30–0.50] 0.36 (0.16) 0.37 (0.15) 0.35 (0.14) 0.48
PINP (μg/L) 36.2 [28.8–46.2] 40.1 [31.7–52.6] 39.1 [31.0–46.6]* 38.4 [28.9–47.1]* 0.53
PINP/CTX 101.4 [85.9–116.9] 120.5 [103.6–155.2]* 124.0 [107.6–158.5]* 118.8 [100.8–157.1]* 0.99

1,25(OH)2D = 1,25‐dihydroxy vitamin D; 24,25(OH)2D = 24,25‐dihydroxy vitamin D; 25(OH)D = 25‐hydroxy vitamin D; BAP = bone‐specific alkaline phosphatase; BMC = bone mineral content; BMD = bone mineral density; cFGF23 and iFGF23 = c‐terminal and intact fibroblast growth factor‐23, respectively; CTX = C‐terminal telopeptide; DBP = vitamin D binding protein; DKK1 = Dickkopf‐related protein 1; eGFR = estimated glomerular filtration rate; FN = femoral neck; OPG = osteoprotegerin; PINP = procollagen 1 intact N‐terminal; PTH = parathyroid hormone; SOST = sclerostin; sRANKL = soluble receptor activator of NF‐κB ligand.

a

For normally distributed data, results are expressed as mean (SD); skewed results are expressed as median [interquartile range].

b

ANCOVA was used to test between‐group differences after 12 months of supplementation, with the baseline value as a covariate.

*Denotes significantly different from baseline p < 0.05. Paired t tests were used to analyze pre‐ and post‐supplementation values for each supplementation group.