Osteoporosis, Osteopenia
Conditions
Keywords
osteoporosis, bone mineral density, vitamin D
Brief summary
Vitamin D and calcium are essential in the treatment and prevention of osteoporosis. What dosage of vitamin D which is the ideal one, is not yet clear. We want to test the hypothesis that high dosage of vitamin D (i.e. 6500 IU/d) is better than standard dosage (800 IU/d) in a randomized double-blind trial. We will include 400 postmenopausal otherwise healthy women with T-score \<= -2.0 in L2-4 or mean total hip. Everybody will receive calcium 1000 mg and vitamin D 800 IU every day. Half of the group will also receive vitamin D 40 000 IU/week, while the other half will have placebo. The study period is one year.
Interventions
20 000 Iu x2/week \+ calcium 500 mg/cholecalciferol 400 IU x2/d
Calcium 500 mg/Cholecalciferol 400 IU x2/d and placebo 2/w
Sponsors
Study design
Eligibility
Inclusion criteria
* bone mineral density in L2-4 or mean total hip with T-score \<= -2.0
Exclusion criteria
* current use of bisphosphonates, PTH-analogs, estrogen, SERM, p.o. steroids or use of any of these agents last year * serum creatinin \>110 umol/L * systolic blood pressure \>175 mmHg or diastolic blod pressure \>105 * serious disease (heart failure, angina pectoris, myocardial infarction, diabetes, mental reduction, granulomatous disease like sarcoidosis, cancer) * kidney stone * serum calcium \> 2.55 mmol/L * suspect primary hyperparathyroidism with serum calcium \>2.50 mmol/L combined with PTH \> 5.0 mmol/L or serum calcium \> 2.45 mmol/L combined with PTH \>= 7.0 pmol/L
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| changes in bone mineral density in columna and total hip. | One year |
Secondary
| Measure | Time frame |
|---|---|
| balance (tandem test) | One year |
| body composition (Dexa) | One year |
| inflammation markers | One year |
| calcium and vitamin D metabolism | One year |
| blood lipids | One year |
| Muscle strength (hand grip strength and knee extension) | One year |
| telomere length | one year |
| perception of own health | one year |
| Urinary tract symptoms | one year |
| effects of polymorphisms in VDR on the other endpoints | one year |
| side effects | one year |
| renal function | One year |
Countries
Norway