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In the randomized, placebo-controlled DO-HEALTH trial, ≈2100 generally healthy and physically active older Europeans (age, >70) received vitamin D3 supplementation (2000 IU daily), ω-3 fatty acid supplementation (1 g daily), strength-training exercises, or combinations of these interventions. At 3 years, none of the interventions had lowered risk for fractures or improved general physical or cognitive function (NEJM JW Gen Med Dec 15 2020 and JAMA 2020; 324:1855).
Because we have some evidence that these interventions could increase muscle mass in older people, the researchers now report secondary muscle-related outcomes. During 3 years of follow-up, participants had serial assessments for lean muscle mass (measured by dual-energy x-ray abso…