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15-month longitudinal study of dietary and sunlight influences on vitamin D status in a well-characterised population of postmenopausal women at 57ºN
ISRCTN ISRCTN96210443
ClinicalTrials.gov identifier
Public title 15-month longitudinal study of dietary and sunlight influences on vitamin D status in a well-characterised population of postmenopausal women at 57ºN
Scientific title
Acronym ANSaVID (Aberdeen Nutrition Sunlight and VItamin D study)
Serial number at source Food Standards Agency ref no: N05062
Study hypothesis To establish whether diet and previous summer's sunlight exposure maintain vitamin D levels at northerly latitudes of the United Kingdom (UK) and determine how much dietary vitamin D is required (if any).
Ethics approval Approval received from the National Health Service Research Ethics Committee (NHS REC): Grampian Local Research Ethics Committee on the 13th January 2006 (ref: 05/S0802/149).
Study design Observational longitudinal study - single centre
Countries of recruitment United Kingdom
Disease/condition/study domain Low bone mass/risk of osteoporosis
Participants - inclusion criteria Women from a previous sceening study (Aberdeen Prospective Osteoporosis Screening Study - APOSS) aged less than 65 years.
Participants - exclusion criteria Participants will be excluded if they:
1. Have chronic gastro-intestinal disease associated with malabsorption
2. Are taking oral corticosteroids
3. Are receiving bisphosphonate therapy (as there is a possibility of interaction with vitamin D metabolism)
Anticipated start date 01/01/2006
Anticipated end date 31/10/2008
Status of trial Completed
Patient information material
Target number of participants 360
Interventions This is a 15-month observational study starting in March 2006 aiming to assess how diet and sunlight exposure influence vitamin D status for each three-monthly season. There will be five visits in total.

All women will complete food diaries, sunlight exposure and falls diaries, physical activity questionnaires, and have grip strength assessed at three-month intervals (five visits in total) and wear sunlight exposure badges for one week every three months. There will also be a quantitative measure of sunlight exposure using a hand held spectrophotometer/chromometer which measures skin colouration. At each visit the women will be asked if they will provide a blood sample for measurement of 25-hydroxy vitamin D (a marker of vitamin D status) and bone turnover markers. All women will be offered two bone mineral density scans: the first in the autumn and the second the following spring.

A subgroup of women (n = 48) will use accelerometers for one week every three months to estimate physical activity in more detail.
Primary outcome measure(s) Monitor longitudinally the seasonal variation in vitamin D status at a northerly latitude, assessing the individual contributions of sunlight and diet.

All primary and secondary outcomes were measured at each visits, i.e., at Baseline (BL), 3-month, 6-month, 9-month and 12-month visits.
Secondary outcome measure(s) 1. Monitor seasonal variation in physical activity (confounder of vitamin D status)
2. Monitor seasonal variation in:
2.1. Markers of bone turnover (functional marker)
2.2. Falls, muscle strength (functional markers not related to bone health)
3. Determine the relationship between vitamin D status, functional markers (Bone Mineral Density [BMD], bone resorption, muscle strength) with and without adjustment for physical activity level

All primary and secondary outcomes were measured at each visits, i.e., at Baseline (BL), 3-month, 6-month, 9-month and 12-month visits; BMD was measured at 6-month and 9-month visits only.
Sources of funding Food Standards Agency (UK) (ref: N05062)
Trial website
Publications
Contact name Dr  Helen  Macdonald
  Address Osteoporosis Research Unit
Health Sciences Building
Forestehill
  City/town Aberdeen
  Zip/Postcode AB25 2ZD
  Country United Kingdom
  Tel +44 (0)1224 559001
  Fax +44 (0)1224 559348
  Email h.macdonald@abdn.ac.uk
Sponsor Food Standards Agency (UK)
  Address Aviation House
125 Kingsway
  City/town London
  Zip/Postcode WC2B 6NH
  Country United Kingdom
  Email saadia.noorani@foodstandards.gsi.gov.uk
  Sponsor website: http://www.food.gov.uk/
Date applied 04/09/2007
Last edited 16/10/2007
Date ISRCTN assigned 16/10/2007
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