Normal Curves: Sexy Science, Serious Statistics

Ultramarathons: Can vitamin D protect your bones?

Normal Curves: Sexy Science, Serious Statistics

Show Notes

Ultramarathoners push their bodies to the limit, but can a giant pre-race dose of vitamin D really keep their bones from breaking down? In this episode, we dig into a trial that tested this claim – and found a statistical endurance event of its own: six highly interchangeable papers sliced from one small study. Expect missing runners, recycled figures, and a peer-review that reads like stand-up comedy, plus a quick lesson in using degrees of freedom as your statistical breadcrumbs.

Statistical topics Data cleaning and validation Degrees of freedom Exploratory vs confirmatory analysis False positives and Type I error Intention-to-treat principle Multiple testing Open data and transparency P-hacking Salami slicing Parametric vs non-parametric tests Peer review quality Randomized controlled trials Research reproducibility Statistical sleuthing

Methodological morals “Degrees of freedom are the breadcrumbs in statistical sleuthing. They reveal the sample size even when the authors do not.” “Publishing the same study again and again with only the outcomes swapped is Mad Libs Science, better known as salami slicing.”

References

Boswell, Rachel. Pre-race vitamin D could do wonders for ultrarunners’ bone health, according to science. Runner’s World. September 25, 2025. Mieszkowski J, Stankiewicz B, Kochanowicz A, et al. Ultra-Marathon-Induced Increase in Serum Levels of Vitamin D Metabolites: A Double-Blind Randomized Controlled Trial. Nutrients. 2020;12(12):3629. Published 2020 Nov 25. doi:10.3390/nu12123629 Mieszkowski J, Borkowska A, Stankiewicz B, et al. Single High-Dose Vitamin D Supplementation as an Approach for Reducing Ultramarathon-Induced Inflammation: A Double-Blind Randomized Controlled Trial. Nutrients. 2021;13(4):1280. Published 2021 Apr 13. doi:10.3390/nu13041280 Mieszkowski J, Brzezińska P, Stankiewicz B, et al. Direct Effects of Vitamin D Supplementation on Ultramarathon-Induced Changes in Kynurenine Metabolism. Nutrients. 2022;14(21):4485. Published 2022 Oct 25. doi:10.3390/nu14214485 Mieszkowski J, Brzezińska P, Stankiewicz B, et al. Vitamin D Supplementation Influences Ultramarathon-Induced Changes in Serum Amino Acid Levels, Tryptophan/Branched-Chain Amino Acid Ratio, and Arginine/Asymmetric Dimethylarginine Ratio. Nutrients. 2023;15(16):3536. Published 2023 Aug 11. doi:10.3390/nu15163536 Stankiewicz B, Mieszkowski J, Kochanowicz A, et al. Effect of Single High-Dose Vitamin D3 Supplementation on Post-Ultra Mountain Running Heart Damage and Iron Metabolism Changes: A Double-Blind Randomized Controlled Trial. Nutrients. 2024;16(15):2479. Published 2024 Jul 31. doi:10.3390/nu16152479 Stankiewicz B, Kochanowicz A, et al. Single high-dose vitamin D supplementation impacts ultramarathon-induced changes in serum levels of bone turnover markers: a double-blind randomized controlled trial. J Int Soc Sports Nutr. 2025 Dec;22(1):2561661. doi: 10.1080/15502783.2025.2561661. Kristin and Regina’s online courses:

Demystifying Data: A Modern Approach to Statistical Understanding Clinical Trials: Design, Strategy, and Analysis Medical Statistics Certificate Program Writing in the Sciences Epidemiology and Clinical Research Graduate Certificate Program Programs that we teach in: Epidemiology and Clinical Research Graduate Certificate Program

Find us on: Kristin - LinkedIn & Twitter/X Regina - LinkedIn & ReginaNuzzo.com

00:00 Intro & claim of the episode 00:44 Runner’s World headline: Vitamin D for ultramarathoners 02:03 Kristin’s connection to running and vitamin D skepticism 03:32 Ultramarathon world—Regina’s stories and Death Valley race 06:29 What ultramarathons do to your bones 08:02 Boy story: four stress fractures in one race 10:00 Study design—40 male runners in Poland 11:33 Missing flow diagram and violated intention-to-treat 13:02 The intervention: 150,000 IU megadose 15:09 Blinding details and missing randomization info 17:13 Measuring bone biomarkers—no primary outcome specified 19:12 The wrong

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