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Effect of Vitamin D Replacement on Musculoskeletal Parameters in School Children: A Randomized Controlled Trial

El-Hajj Fuleihan, Ghada, Nabulsi, Mona, Tamim, Hala, Maalouf, Joyce, Salamoun, Mariana, Khalife, Hassan, Choucair, Mahmoud, Arabi, Asma, Vieth, Reinhold·2006·The Journal of Clinical Endocrinology & Metabolism

Abstract

BACKGROUND: Despite the high prevalence of hypovitaminosis D in children and adolescents worldwide, the impact of vitamin D deficiency on skeletal health is unclear. METHODS: One hundred seventy-nine girls, ages 10-17 yr, were randomly assigned to receive weekly oral vitamin D doses of 1,400 IU (equivalent to 200 IU/d) or 14,000 IU (equivalent to 2,000 IU/d) in a double-blind, placebo-controlled, 1-yr protocol. Areal bone mineral density (BMD) and bone mineral content (BMC) at the lumbar spine, hip, forearm, total body, and body composition were measured at baseline and 1 yr. Serum calcium, phosphorus, alkaline phosphatase, and vitamin D metabolites were measured during the study. RESULTS: In the overall group of girls, lean mass increased significantly in both treatment groups (P < or = 0.05); bone area and total hip BMC increased in the high-dose group (P < 0.02). In premenarcheal girls, lean mass increased significantly in both treatment groups, and there were consistent trends for increments in BMD and/or BMC at several skeletal sites, reaching significance at lumbar spine BMD in the low-dose group and at the trochanter BMC in both treatment groups. There was no significant change in lean mass, BMD, or BMC in postmenarcheal girls. CONCLUSIONS: Vitamin D replacement had a positive impact on musculoskeletal parameters in girls, especially during the premenarcheal period.

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Crossref · 10.1210/jc.2005-1436

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Authors
El-Hajj Fuleihan, G., Nabulsi, M., Tamim, H., Maalouf, J., Salamoun, M., Khalife, H., Choucair, M., Arabi, A., & Vieth, R.
Venue
The Journal of Clinical Endocrinology & Metabolism
Published
2006-02
Volume
91
Issue
2
Pages
405-412
ISSN
  • 0021-972X (ISSN-L)
  • 1945-7197
OpenAlex
W2170606451
Cited by
376
References
0
FWCI
12.71
Type
journal article
Language
en
Open access
closed

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