Vitamin D and Exercise in Falls Prevention

NCT ID: NCT00986466

Last Updated: 2013-05-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

409 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2013-04-30

Brief Summary

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The aim of the study is to investigate the effects of exercise and vitamin D supplementation on reducing falls and injuries in community-dwelling, independent-living women aged 70-79 years of age. The investigators will test the following hypothesis:

1. Exercise including strength, balance and mobility training will improve muscle functioning and body balance, and thus reduce falls by 30% compared with non-exercisers.
2. Vitamin D intake will improve muscle functioning and thus prevent falls by 30% compared with placebo.
3. Together vitamin D and exercise have a stronger influence on fall prevention than either used alone.
4. Training improves mobility functions and bone health.
5. Supervised training twice a week with daily home training will improve physical functioning thus resulting in reduced fear of falling.
6. Reduced fear of falling and improved physical functioning help older people to stay physically active, which further improve their quality of life.

Detailed Description

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Falls account for over 80% of all injury-related admissions to hospital among older people. Although there is evidence that both exercise and vitamin D improve neuromuscular and cognitive function, and may thus reduce the risk of falls and fractures, these two factors have never been evaluated together in a clinical trial. This study is a randomized 24-month intervention in elderly women. The investigators hypothesize that exercise and vitamin D supplementation reduce falls and injuries including fractures in community-dwelling, independent-living women 70-79 years of age. The eligible participants will be randomly assigned into one of four groups:

1. exercise with vitamin D
2. exercise with placebo
3. no exercise with vitamin D
4. no exercise with placebo. The rational of this study is to provide important information on how to maintain and improve physical functioning and thus prevent falls and fractures of elderly people. In addition, if fear of falling can be declined with this program, it will further help elderly people to keep physically active and maintain their functional capacity and quality of life.

Conditions

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Falls Prevention Prevention of Fall-related Injuries

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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exercise with vitamin D 800 IU/d

Group Type EXPERIMENTAL

exercise and vitamin D supplementation

Intervention Type DIETARY_SUPPLEMENT

20 µg (800 IU) of vitamin D per day for two years supervised training two times a week for 12 months, and once a week during the next 12 months

exercise with placebo

Group Type ACTIVE_COMPARATOR

exercise and vitamin D supplementation

Intervention Type DIETARY_SUPPLEMENT

placebo per day for two years supervised training two times a week for 12 months, and once a week during the next 12 months

no exercise with vitamin D 800 IU/d

Group Type ACTIVE_COMPARATOR

exercise and vitamin D supplementation

Intervention Type DIETARY_SUPPLEMENT

20 µg (800 IU) of vitamin D per day for two years no supervised training (maintenance of their current level of physical activity)

no exercise with placebo

Group Type PLACEBO_COMPARATOR

exercise and vitamin D supplementation

Intervention Type DIETARY_SUPPLEMENT

placebo per day for two years no supervised training (maintenance of their current level of physical activity)

Interventions

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exercise and vitamin D supplementation

20 µg (800 IU) of vitamin D per day for two years supervised training two times a week for 12 months, and once a week during the next 12 months

Intervention Type DIETARY_SUPPLEMENT

exercise and vitamin D supplementation

placebo per day for two years supervised training two times a week for 12 months, and once a week during the next 12 months

Intervention Type DIETARY_SUPPLEMENT

exercise and vitamin D supplementation

20 µg (800 IU) of vitamin D per day for two years no supervised training (maintenance of their current level of physical activity)

Intervention Type DIETARY_SUPPLEMENT

exercise and vitamin D supplementation

placebo per day for two years no supervised training (maintenance of their current level of physical activity)

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Mini-Sun strength training balance training mobility training Mini-Sun strength training balance training mobility training Mini-Sun strength training balance training mobility training Mini-Sun strength training balance training mobility training

Eligibility Criteria

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Inclusion Criteria

* female
* age 70-80 years old
* lives at home independently
* has fallen at least once during the previous year
* no contraindication to exercise
* understands the procedures of the study
* has been informed of X-ray radiation doses of the DXA and pQCT investigations

Exclusion Criteria

* moderate-to-vigorous exercise more than 2 hours per week
* regular use of vitamin D, or calcium + vitamin D supplements
* a recent fracture (during preceding 12 months)
* contraindication or inability to participate in the exercise program
* marked decline in the basic activities of daily living (ADL-test)
* cognitive impairments (Mini Mental State Examination, MMSE-test \< 18)
* persons with chronic disease conditions, such as Parkinson's disease
Minimum Eligible Age

70 Years

Maximum Eligible Age

80 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Academy of Finland

OTHER

Sponsor Role collaborator

Tampere University Hospital

OTHER

Sponsor Role collaborator

University of Helsinki

OTHER

Sponsor Role collaborator

UKK Institute

OTHER

Sponsor Role lead

Responsible Party

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Kirsti Uusi-Rasi

Ph.D./ senior researcher

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kirsti Uusi-Rasi, PhD

Role: PRINCIPAL_INVESTIGATOR

UKK Institute for Health Promotion Research

Locations

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University of Helsinki

Helsinki, , Finland

Site Status

UKK Institute for Health Promotion Research

Tampere, , Finland

Site Status

Countries

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Finland

References

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Uusi-Rasi K, Kannus P, Karinkanta S, Pasanen M, Patil R, Lamberg-Allardt C, Sievanen H. Study protocol for prevention of falls: a randomized controlled trial of effects of vitamin D and exercise on falls prevention. BMC Geriatr. 2012 Mar 26;12:12. doi: 10.1186/1471-2318-12-12.

Reference Type BACKGROUND
PMID: 22448872 (View on PubMed)

Patil R, Uusi-Rasi K, Pasanen M, Kannus P, Karinkanta S, Sievanen H. Sarcopenia and osteopenia among 70-80-year-old home-dwelling Finnish women: prevalence and association with functional performance. Osteoporos Int. 2013 Mar;24(3):787-96. doi: 10.1007/s00198-012-2046-2. Epub 2012 Jun 12.

Reference Type RESULT
PMID: 22688541 (View on PubMed)

Uusi-Rasi K, Karinkanta S, Heinonen A, Sievanen H. Improved femoral neck BMD in older Finnish women between 2002 and 2010. Maturitas. 2013 Jul;75(3):241-5. doi: 10.1016/j.maturitas.2013.04.001. Epub 2013 Apr 30.

Reference Type RESULT
PMID: 23642771 (View on PubMed)

Patil R, Uusi-Rasi K, Pasanen M, Kannus P, Karinkanta S, Sievanen H. Cross-sectional studies and methodology: reply to comment by Erkoyun. Osteoporos Int. 2013 Feb;24(2):743. doi: 10.1007/s00198-012-2134-3. Epub 2012 Sep 29. No abstract available.

Reference Type RESULT
PMID: 23052929 (View on PubMed)

Patil R, Uusi-Rasi K, Pasanen M, Kannus P, Karinkanta S, Sievanen H. Sarcopenia prevalence: reply to comment by Perez-Zepeda et al. Osteoporos Int. 2013 Mar;24(3):799. doi: 10.1007/s00198-012-2092-9. Epub 2012 Aug 1. No abstract available.

Reference Type RESULT
PMID: 22850867 (View on PubMed)

Patil R, Kolu P, Raitanen J, Valvanne J, Kannus P, Karinkanta S, Sievanen H, Uusi-Rasi K. Cost-effectiveness of vitamin D supplementation and exercise in preventing injurious falls among older home-dwelling women: findings from an RCT. Osteoporos Int. 2016 Jan;27(1):193-201. doi: 10.1007/s00198-015-3240-9. Epub 2015 Jul 24.

Reference Type DERIVED
PMID: 26205890 (View on PubMed)

Patil R, Uusi-Rasi K, Tokola K, Karinkanta S, Kannus P, Sievanen H. Effects of a Multimodal Exercise Program on Physical Function, Falls, and Injuries in Older Women: A 2-Year Community-Based, Randomized Controlled Trial. J Am Geriatr Soc. 2015 Jul;63(7):1306-13. doi: 10.1111/jgs.13489. Epub 2015 Jun 26.

Reference Type DERIVED
PMID: 26115073 (View on PubMed)

Uusi-Rasi K, Patil R, Karinkanta S, Kannus P, Tokola K, Lamberg-Allardt C, Sievanen H. Exercise and vitamin D in fall prevention among older women: a randomized clinical trial. JAMA Intern Med. 2015 May;175(5):703-11. doi: 10.1001/jamainternmed.2015.0225.

Reference Type DERIVED
PMID: 25799402 (View on PubMed)

Patil R, Uusi-Rasi K, Kannus P, Karinkanta S, Sievanen H. Concern about falling in older women with a history of falls: associations with health, functional ability, physical activity and quality of life. Gerontology. 2014;60(1):22-30. doi: 10.1159/000354335. Epub 2013 Oct 8.

Reference Type DERIVED
PMID: 24107382 (View on PubMed)

Other Identifiers

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SA131524

Identifier Type: -

Identifier Source: secondary_id

R09090

Identifier Type: -

Identifier Source: org_study_id

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