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Dietary Reference Intakes for Calcium and Vitamin D (2011)
Food and Nutrition Board (FNB)

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. "Appendix D: Methods and Results from the AHRQ-Tufts Evidence-Based Report on Vitamin D and Calcium." Dietary Reference Intakes for Calcium and Vitamin D. Washington, DC: The National Academies Press, 2011.

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DRI Dietary Reference Intakes Calcium Vitamin D

Table 107. Adverse events reported in RCTs

Author Year

N enrolled

Vit D dose (IU/d)

Ca dose (mg/d)

Duration

Adverse Event data (n=case#)

Yamamoto 1995117

471

0

1000

6 mo

Comparing calcium group to the placebo group, excessive gas and bloating were more frequently reported by white women at 3 months and by whites, in general, at 6 months, and white men reported more loose stools at 6 months.

Moschonis 2006215

112

300 D3

600 or 1200

12 mo

Bloating, constipation and intestinal discomfort apparently related to the calcium supplement

Bunout 200680

96

400

800

9 mo

Adverse events that required hospital admission:

 

 

 

 

 

Vit D plus exercise training group (n=3): retrosternal pain, a non-ST elevation myocardial infarction and a transient ischemic attack.

 

 

 

 

 

Calcium, Vit D plus exercise training group (n=1): acute cholecystitis

Wactawski-Wende 200671

36282

400

1000

7 y

The WHI trial found an increase in the risk of renal stones (Hazard Ratio 1.17 95% CI 1.02, 1.34), corresponding to 5.7 events per 10,000 person years of exposure.

Burleigh 200781

205

800 D3

1200

Median 1 mo

Hypercalcemia (n=2)

Lappe 2008208

5201

800

200

8 wks

GI disruption such as constipation, diarrhea, upset stomach (4%), and musculoskeletal soreness (0.9%)

Brooke 198034

126

1000

0

3rd trimester only

Vit D group (craniotabes, n=2), placebo group (hypocalcemia, n=5; craniotabes, n=6)

Lappe 200752

1180

1000 D3

1400-1500

4 y

Renal calculi in placebo (n=1), renal calculi in calcium only (n=3), renal calculi in calcium plus vit D (n=1)

Mastaglia 2006240

65

5000 or 10,000 D2

500

3 mo

Hypercalciuria (n=1) in control group

Zhu 200898

256

1000 D2

1200

12 mo

There were no significant differences between the vitamin D and the control groups in the rate of incident cancer and vascular disease (ischemic heart disease and stroke).

 

 

 

 

 

There were 8 and 5 adverse events in vitamin D and the control groups, respectively. One participant in the vitamin D group had mild asymptomatic hypercalcemia one occasion. No case of renal calculus was reported.

 

 

 

 

 

1 participant was deceased during the study.

Sneve 200850

445

Group 1: 2 capsules of vitamin D3 each 20,000 IU taken twice a week (Monday and Thursday): ~5714 IU/d

Group 2: 1 capsules of vitamin D3 each 20,000 IU taken twice a week (Monday and Thursday): ~2857 IU/d

500

12 mo

Primary hyperparathyroidism (n=2), increase in serum calcium to 2.62 mmol/L (n=1), transient increases in serum calcium > 2.59 mmol/L (n=4).

 

 

 

 

317 other adverse events were recorded, most of them related to GI discomfort. There were no significant differences between the treatment groups regarding adverse events.

Page
1011
Front Matter (R1-R16)
Summary (1-14)
1 Introduction (15-34)
2 Overview of Calcium (35-74)
3 Overview of Vitamin D (75-124)
4 Review of Potential Indicators of Adequacy and Selection of Indicators: Calcium and Vitamin D (125-344)
5 Dietary Reference Intakes for Adequacy: Calcium and Vitamin D (345-402)
6 Tolerable Upper Intake Levels: Calcium and Vitamin D (403-456)
7 Dietary Intake Assessment (457-478)
8 Implications and Special Concerns (479-512)
9 Information Gaps and Research Needs (513-522)
Appendix A: Acronyms, Abbreviations, and Glossary (523-536)
Appendix B: Issues and Interests Identified by Study Sponsors (537-538)
Appendix C: Methods and Results from the AHRQ-Ottawa Evidence-Based Report on Effectiveness and Safety of Vitamin D in Relation to Bone Health (539-724)
Appendix D: Methods and Results from the AHRQ-Tufts Evidence-Based Report on Vitamin D and Calcium (725-1012)
Appendix E: Literature Search Strategy (1013-1018)
Appendix F: Evidence Maps (1019-1024)
Appendix G: Cases Studies of Vitamin D Toxicity (1025-1034)
Appendix H: Estimated Intakes of Calcium and Vitamin D from National Surveys (1035-1044)
Appendix I: Proportion of the Population Above and Below 40 nmol/L Serum 25-Hydroxyvitamin D Concentrations and Cumulative Distribution of Serum 25-Hydroxyvitamin D Concentrations: United States and Canada (1045-1058)
Appendix J: Workshop Agenda and Open Session Agendas (1059-1064)
Appendix K: Biographical Sketches of Committee Members (1065-1074)
Index (1075-1102)
Summary Tables: Dietary Reference Intakes (1103-1116)