Optimizing Vitamin D Status During Initial Military Training
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Purpose
The primary objective of this randomized, double-blind, placebo-controlled trial is to determine the effect of vitamin D and calcium supplementation (800IU and 2000mg, respectively) on biochemical indicators of nutritional status and bone health in military personnel during basic combat training (BCT).
The investigators hypothesize that daily supplementation with vitamin D and calcium during BCT will improve vitamin D status, stabilize PTH levels, and result in improvements in markers of bone health. As a result of the investigators study design, the findings will provide critically important data regarding the concentration of vitamin D in blood necessary to stabilize PTH levels and to optimize bone formation during BCT and other military training programs.
| Condition | Intervention |
|---|---|
|
Bone Health Nutrition Status |
Dietary Supplement: Ca/Vit D Other: Placebo |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Optimizing Vitamin D Status During Initial Military Training: A Randomized, Double-blind, Placebo-controlled Trial |
- Serum PTH pg/ml [ Time Frame: Participants will be followed for the duration of basic combat training, which is 9 weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 700 |
| Study Start Date: | June 2012 |
| Estimated Study Completion Date: | May 2013 |
| Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Placebo Comparator: Placebo |
Other: Placebo
administered as 5 pills daily
|
| Experimental: Ca/Vit D |
Dietary Supplement: Ca/Vit D
800IU vitamin D3 and 2000mg elemental calcium (as calcium carbonate); administered as 5 pills daily
|
Detailed Description:
Vitamin D is an essential nutrient for maintaining bone health. Previous work from our laboratory indicates that vitamin D status may decline in Soldiers during BCT, even during the summer months in the Southeastern United States. Stress fractures may affect up to 5% of male and 21% of female Soldiers during training, resulting in attrition in up to 60% of affected personnel, but a recent report indicates that vitamin D and calcium supplementation may attenuate stress fracture risk by up to 20% in female Navy recruits. However, biochemical measures of nutritional status and associated markers of bone health were not collected in that study, leaving questions regarding the vitamin D and calcium requirements for military personnel during periods of elevated bone turnover.
Eligibility| Ages Eligible for Study: | 18 Years to 42 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Female or male US Army Recruit
- Participating in Basic Combat Training
Exclusion Criteria:
- Pregnant or breastfeeding
- History of kidney stones or kidney disease
Contacts and Locations| Contact: James P McClung, Ph.D. | james.mcclung3@us.army.mil |
| United States, Oklahoma | |
| Fort Sill | Not yet recruiting |
| Fort Sill, Oklahoma, United States, 73503 | |
| Contact: James P McClung, Ph.D. 508-233-4979 james.mcclung3@us.army.mil | |
| Contact: Erin Gaffney-Stomberg, Ph.D., R.D. 508-233-59630 erin.g.stomberg.ctr@us.army.mil | |
| Principal Investigator: | James P McClung, Ph.D. | US Army Research Institute of Environmental Medicine |
More Information
Publications:
| Responsible Party: | United States Army Research Institute of Environmental Medicine |
| ClinicalTrials.gov Identifier: | NCT01617109 History of Changes |
| Other Study ID Numbers: | H12-09 |
| Study First Received: | June 1, 2012 |
| Last Updated: | June 8, 2012 |
| Health Authority: | United States: Federal Government United States: Institutional Review Board |
Keywords provided by United States Army Research Institute of Environmental Medicine:
|
Vitamin D Calcium Parathyroid hormone Bone |
Bone formation Bone resorption Micronutrients Trace Elements |
Additional relevant MeSH terms:
|
Vitamin D Ergocalciferols Vitamins Bone Density Conservation Agents |
Physiological Effects of Drugs Pharmacologic Actions Micronutrients Growth Substances |
ClinicalTrials.gov processed this record on May 16, 2013