Vitamin D + Omega-3 for Osteoporosis

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial examines how vitamin D and omega-3 fatty acids (fish oil) might support bone health, especially for those concerned about osteoporosis, a condition where bones become weak and brittle. Researchers aim to determine if these supplements aid in calcium deposition in bones. Participants will receive various combinations of vitamin D, fish oil, or placebos to identify the most effective option. This trial suits individuals who participated in the VITAL study, are over a certain age, and have no history of major diseases like cardiovascular disease or cancer. Participants should not take certain bone medications and must limit their intake of calcium, vitamin D, and fish oil. As an unphased trial, this study provides a unique opportunity to contribute to understanding how these supplements might enhance bone health.

Will I have to stop taking my current medications?

The trial requires participants to stop taking fish oil supplements and limits calcium and vitamin D intake. If you are using bisphosphonates or other bone-active medications, you cannot participate.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that both vitamin D3 and omega-3 fatty acids are generally safe and well-tolerated. One study found that vitamin D3 did not significantly reduce fracture risk but also did not cause major side effects. Another study indicated that omega-3 supplements might lower fracture risk without causing serious issues.

Clinical trials have demonstrated that vitamin D3 supports bone health and is safe for regular use at recommended doses. Omega-3 fatty acids, often found in fish oil, are linked to a reduced risk of osteoporosis, a condition where bones become weak.

Overall, research suggests that taking vitamin D3 and omega-3s together is safe. However, following dosing guidelines and consulting with a healthcare provider is important, as with any supplement.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about using Vitamin D and Omega-3 fatty acids for osteoporosis because these natural compounds may offer a different approach compared to traditional medications like bisphosphonates or hormone replacement therapy. Unlike most treatments that primarily focus on slowing bone loss, Vitamin D and Omega-3 have the potential to support bone health by enhancing calcium absorption and reducing inflammation, respectively. This combination could offer a more holistic way to maintain or even improve bone density, making it a promising alternative for those seeking dietary supplements over pharmaceuticals.

What evidence suggests that this trial's treatments could be effective for osteoporosis?

This trial will compare the effects of Vitamin D3 and omega-3 supplements on bone health. Research has shown that these supplements do not significantly improve bone health or reduce fractures. Specifically, studies found that vitamin D3 supplements had little impact on bone strength or fracture risk. Similarly, omega-3 supplements did not enhance bone strength or structure. However, some evidence suggests that consuming more foods rich in omega-3s might be linked to a lower risk of osteoporosis, a condition where bones become weak and brittle. Overall, the benefits of these supplements for bone health remain unclear based on current research.12367

Who Is on the Research Team?

MS

Meryl S LeBoff, M.D.

Principal Investigator

Brigham and Women's Hospital

Are You a Good Fit for This Trial?

This trial is for men over 50 and women over 55 without cardiovascular disease or cancer, except non-melanoma skin cancer. Participants should not consume more than 1200 mg of calcium or take fish oil supplements during the trial. They must also avoid high doses of vitamin D (over 800 IU). People with severe liver disease, kidney failure, certain hormonal disorders, or other serious illnesses cannot join.

Inclusion Criteria

I do not have allergies to soy or fish, severe kidney, liver, or parathyroid issues, sarcoidosis, or other serious illnesses.
Participants in VITAL (NCT 01169259) study who met the following criteria of the parent trial are eligible to participate in this ancillary study:
I have no history of heart disease or cancer, except for non-melanoma skin cancer.
See 4 more

Exclusion Criteria

I haven't taken bisphosphonates or other bone medications in the past year.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive vitamin D supplementation or placebo for 2 years to assess changes in bone density and structure

104 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Fish oil placebo
  • Omega-3 fatty acids (fish oil)
  • Vitamin D3
  • Vitamin D3 placebo
Trial Overview The VITAL study examines how Vitamin D3 and Omega-3 fatty acids (fish oil) affect bone health in older adults. It's testing whether these supplements can help prevent osteoporosis and broken bones by improving calcium deposition in bones.
How Is the Trial Designed?
4Treatment groups
Active Control
Placebo Group
Group I: Vitamin D + fish oil placeboActive Control2 Interventions
Group II: Vitamin D placebo + fish oilActive Control2 Interventions
Group III: Vitamin D + fish oilActive Control2 Interventions
Group IV: Vitamin D placebo + fish oil placeboPlacebo Group2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Brigham and Women's Hospital

Lead Sponsor

Trials
1,694
Recruited
14,790,000+

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)

Collaborator

Trials
508
Recruited
1,090,000+

Citations

A systematic review of omega-3 fatty acids and osteoporosisThe aim of this systematic review was to determine if randomized controlled trials (RCTs) support a positive effect of n-3 FAs on osteoporosis.
The association between dietary omega-3 intake and ...Results: Higher dietary intake of omega-3 fatty acids was inversely associated with the risk of osteoporosis. Participants in the highest ...
Bone Benefits of Fish Oil Supplementation Depend on its ...The preventive effect of high-dose (9%) regular-fish oil (FO) against bone loss during aging has been demonstrated, but the effects of a low-dose (1%–4%) of ...
The association between dietary omega-3 intake and ...This study demonstrates a significant inverse relationship between dietary omega-3 fatty acid intake and osteoporosis risk, suggesting omega-3 s play a crucial ...
Effects of long-term supplementation with omega-3 fatty ...Trabecular bone volume in caudal vertebrae was improved by EPA or DHA at 8 months (+26.6% and +17.2%, respectively, compared to +3.8% in controls, P=.01), but ...
Habitual use of fish oil supplements, genetic predisposition ...Our findings suggest that habitual fish oil supplement use is associated with lower risks of both incident and recurrent fractures.
Protective effect of dietary oils containing omega-3 fatty ...The omega-3 polyunsaturated fatty acids (ω-3 PUFAs) have been reported to have valuable effects in the regulation of bone metabolism and to be ...
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