Trial to Assess Vitamin D Requirements in Lactating Women

NCT ID: NCT01349127

Last Updated: 2017-05-04

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

136 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-08-31

Study Completion Date

2009-12-31

Brief Summary

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This is a randomized, placebo-controlled trial of vitamin D supplementation with 20mcg cholecalciferol (to achieve a total intake of 25mcg/day), with or without 500mg calcium to assess vitamin D requirements in lactating women and to ascertain whether vitamin D supplementation at levels sufficient to achieve defined thresholds of maternal serum 25-hydroxyvitamin D will increase the vitamin D content of maternal milk. The study will also report serum 25-hydroxyvitamin D in maternal-cord dyads over a 12-month period and describe the relationship between them. Information on maternal iPTH levels, anthropometry, diet and sun exposure will also be reported.

Detailed Description

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Conditions

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Vitamin D Deficiency Vitamin D Insufficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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20µg Vitamin D3

Arm will receive per day one gelatin capsule containing 20µg (800IU) of vitamin D3 (Cholecalciferol).

Group Type ACTIVE_COMPARATOR

20µg Vitamin D3

Intervention Type DIETARY_SUPPLEMENT

20µg (800IU) of vitamin D3/day for 12-weeks while lactating, commencing 10-14 days post-partum.

20µg Vitamin D3 + 500 mg Calcium

Arm will receive per day one gelatin capsule containing 20µg (800IU) of vitamin D3 (Cholecalciferol) and one tablet of calcium carbonate containing 500mg of calcium.

Group Type ACTIVE_COMPARATOR

20µg Vitamin D3 + 500 mg Calcium

Intervention Type DIETARY_SUPPLEMENT

20µg (800IU) of vitamin D3 + 500mg calcium carbonate/day for 12-weeks while lactating, commencing 10-14 days post-partum.

Placebo

Arm will receive one gelatin capsule containing 0µg (0IU) of vitamin D3 (Cholecalciferol).

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

One gelatin placebo capsule containing zero vitamin D3 taken for 12-weeks while lactating, commencing 10-14 days post-partum.

Interventions

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20µg Vitamin D3

20µg (800IU) of vitamin D3/day for 12-weeks while lactating, commencing 10-14 days post-partum.

Intervention Type DIETARY_SUPPLEMENT

20µg Vitamin D3 + 500 mg Calcium

20µg (800IU) of vitamin D3 + 500mg calcium carbonate/day for 12-weeks while lactating, commencing 10-14 days post-partum.

Intervention Type DIETARY_SUPPLEMENT

Placebo

One gelatin placebo capsule containing zero vitamin D3 taken for 12-weeks while lactating, commencing 10-14 days post-partum.

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Cholecalciferol Cholecalciferol and Calcium

Eligibility Criteria

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Inclusion Criteria

* Pregnant women intending to breast feed their infant for at least 12-weeks
* Pregnant women \>20 weeks gestation
* Pregnant women \>18 years of age
* Pregnant women in good general health

Exclusion Criteria

* Consumption of a vitamin D-containing supplement(\>10µg/day) in the 3 months prior to commencing the trial
* Consumption of a vitamin D or calcium containing supplement during the 12- week trial
* Mothers taking a vacation to a sunny climate or using a solarium during the 12-week trial
* Mothers with pre-existing type 1 or type 2 diabetes
* Mothers with pre-existing hypertension
* Mothers with diagnosed hypercalcemia
* Mothers with diagnosed intestinal malabsorption conditions
* Mothers with multiple fetuses (e.g. twins)
* Consumption of medications known to interfere with vitamin D metabolism.
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Irish Government Department of Agriculture, Food and Fisheries, Ireland

UNKNOWN

Sponsor Role collaborator

University College Cork

OTHER

Sponsor Role lead

Responsible Party

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Mairead Kiely PhD

Professor of HUman Nutrition

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mairead E Kiely, PhD

Role: PRINCIPAL_INVESTIGATOR

University College Cork

Locations

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School of Food & Nutritional Sciences, University College Cork,

Cork, , Ireland

Site Status

Countries

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Ireland

References

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Seamans KM, Hill TR, Wallace JM, Horigan G, Lucey AJ, Barnes MS, Taylor N, Bonham MP, Muldowney S, Duffy EM, Strain JJ, Kiely M, Cashman KD. Cholecalciferol supplementation throughout winter does not affect markers of bone turnover in healthy young and elderly adults. J Nutr. 2010 Mar;140(3):454-60. doi: 10.3945/jn.109.113480. Epub 2010 Jan 20.

Reference Type BACKGROUND
PMID: 20089776 (View on PubMed)

Hill TR, Cotter AA, Mitchell S, Boreham CA, Dubitzky W, Murray L, Strain JJ, Flynn A, Robson PJ, Wallace JM, Kiely M, Cashman KD. Vitamin D status and parathyroid hormone relationship in adolescents and its association with bone health parameters: analysis of the Northern Ireland Young Heart's Project. Osteoporos Int. 2010 Apr;21(4):695-700. doi: 10.1007/s00198-009-0959-1. Epub 2009 May 13.

Reference Type BACKGROUND
PMID: 19436930 (View on PubMed)

Cashman KD, Wallace JM, Horigan G, Hill TR, Barnes MS, Lucey AJ, Bonham MP, Taylor N, Duffy EM, Seamans K, Muldowney S, Fitzgerald AP, Flynn A, Strain JJ, Kiely M. Estimation of the dietary requirement for vitamin D in free-living adults >=64 y of age. Am J Clin Nutr. 2009 May;89(5):1366-74. doi: 10.3945/ajcn.2008.27334. Epub 2009 Mar 18.

Reference Type BACKGROUND
PMID: 19297462 (View on PubMed)

Cashman KD, Hill TR, Lucey AJ, Taylor N, Seamans KM, Muldowney S, Fitzgerald AP, Flynn A, Barnes MS, Horigan G, Bonham MP, Duffy EM, Strain JJ, Wallace JM, Kiely M. Estimation of the dietary requirement for vitamin D in healthy adults. Am J Clin Nutr. 2008 Dec;88(6):1535-42. doi: 10.3945/ajcn.2008.26594.

Reference Type BACKGROUND
PMID: 19064513 (View on PubMed)

O'Riordan MN, Kiely M, Higgins JR, Cashman KD. Prevalence of suboptimal vitamin D status during pregnancy. Ir Med J. 2008 Sep;101(8):240, 242-3.

Reference Type BACKGROUND
PMID: 18990953 (View on PubMed)

Hill TR, McCarthy D, Jakobsen J, Lamberg-Allardt C, Kiely M, Cashman KD. Seasonal changes in vitamin D status and bone turnover in healthy Irish postmenopausal women. Int J Vitam Nutr Res. 2007 Sep;77(5):320-5. doi: 10.1024/0300-9831.77.5.320.

Reference Type BACKGROUND
PMID: 18453316 (View on PubMed)

Cashman KD, Hill TR, Cotter AA, Boreham CA, Dubitzky W, Murray L, Strain J, Flynn A, Robson PJ, Wallace JM, Kiely M. Low vitamin D status adversely affects bone health parameters in adolescents. Am J Clin Nutr. 2008 Apr;87(4):1039-44. doi: 10.1093/ajcn/87.4.1039.

Reference Type BACKGROUND
PMID: 18400729 (View on PubMed)

Hill TR, Cotter AA, Mitchell S, Boreham CA, Dubitzky W, Murray L, Strain JJ, Flynn A, Robson PJ, Wallace JM, Kiely M, Cashman KD. Vitamin D status and its determinants in adolescents from the Northern Ireland Young Hearts 2000 cohort. Br J Nutr. 2008 May;99(5):1061-7. doi: 10.1017/S0007114507842826. Epub 2008 Jan 15.

Reference Type BACKGROUND
PMID: 18197989 (View on PubMed)

Andersen R, Molgaard C, Skovgaard LT, Brot C, Cashman KD, Jakobsen J, Lamberg-Allardt C, Ovesen L. Pakistani immigrant children and adults in Denmark have severely low vitamin D status. Eur J Clin Nutr. 2008 May;62(5):625-34. doi: 10.1038/sj.ejcn.1602753. Epub 2007 Apr 18.

Reference Type BACKGROUND
PMID: 17440527 (View on PubMed)

McCarthy D, Collins A, O'Brien M, Lamberg-Allardt C, Jakobsen J, Charzewska J, Kiely M, Flynn A, Cashman KD. Vitamin D intake and status in Irish elderly women and adolescent girls. Ir J Med Sci. 2006 Apr-Jun;175(2):14-20. doi: 10.1007/BF03167942.

Reference Type BACKGROUND
PMID: 16872022 (View on PubMed)

Hill TR, O'Brien MM, Lamberg-Allardt C, Jakobsen J, Kiely M, Flynn A, Cashman KD. Vitamin D status of 51-75-year-old Irish women: its determinants and impact on biochemical indices of bone turnover. Public Health Nutr. 2006 Apr;9(2):225-33. doi: 10.1079/phn2005837.

Reference Type BACKGROUND
PMID: 16571177 (View on PubMed)

Hill TR, Flynn A, Kiely M, Cashman KD. Prevalence of suboptimal vitamin D status in young, adult and elderly Irish subjects. Ir Med J. 2006 Feb;99(2):48-9.

Reference Type BACKGROUND
PMID: 16548220 (View on PubMed)

Andersen R, Molgaard C, Skovgaard LT, Brot C, Cashman KD, Chabros E, Charzewska J, Flynn A, Jakobsen J, Karkkainen M, Kiely M, Lamberg-Allardt C, Moreiras O, Natri AM, O'brien M, Rogalska-Niedzwiedz M, Ovesen L. Teenage girls and elderly women living in northern Europe have low winter vitamin D status. Eur J Clin Nutr. 2005 Apr;59(4):533-41. doi: 10.1038/sj.ejcn.1602108.

Reference Type BACKGROUND
PMID: 15714215 (View on PubMed)

Hill T, Collins A, O'Brien M, Kiely M, Flynn A, Cashman KD. Vitamin D intake and status in Irish postmenopausal women. Eur J Clin Nutr. 2005 Mar;59(3):404-10. doi: 10.1038/sj.ejcn.1602088.

Reference Type BACKGROUND
PMID: 15674302 (View on PubMed)

Hill TR, O'brien MM, Cashman KD, Flynn A, Kiely M. Vitamin D intakes in 18-64-y-old Irish adults. Eur J Clin Nutr. 2004 Nov;58(11):1509-17. doi: 10.1038/sj.ejcn.1602001.

Reference Type BACKGROUND
PMID: 15138462 (View on PubMed)

Muldowney S, Lucey AJ, Paschos G, Martinez JA, Bandarra N, Thorsdottir I, Cashman KD, Kiely M. Relationships between vitamin D status and cardio-metabolic risk factors in young European adults. Ann Nutr Metab. 2011;58(2):85-93. doi: 10.1159/000324600. Epub 2011 Apr 8.

Reference Type BACKGROUND
PMID: 21474925 (View on PubMed)

Barnes MS, Horigan G, Cashman KD, Hill TR, Forsythe LK, Lucey AJ, McSorley EM, Kiely M, Bonham MP, Magee PJ, Strain JJ, Wallace JM. Maintenance of wintertime vitamin D status with cholecalciferol supplementation is not associated with alterations in serum cytokine concentrations among apparently healthy younger or older adults. J Nutr. 2011 Mar;141(3):476-81. doi: 10.3945/jn.110.131516. Epub 2011 Jan 26.

Reference Type BACKGROUND
PMID: 21270359 (View on PubMed)

Muldowney S, Kiely M. Vitamin D and cardiometabolic health: a review of the evidence. Nutr Res Rev. 2011 Jun;24(1):1-20. doi: 10.1017/S0954422410000259. Epub 2010 Dec 1.

Reference Type BACKGROUND
PMID: 21118613 (View on PubMed)

Related Links

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http://www.ucc.ie/en/vitamind/

Vitamin D Research group at University College Cork

Other Identifiers

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Cork Vitamin D 06/RD/C/533

Identifier Type: -

Identifier Source: org_study_id

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