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25-Hydroxyvitamin D Supplementation and BMI Change: A Meta-Analysis of Randomized Controlled Trials
1Public Health Program, Loyola University Chicago Health Sciences Center, Chicago, Illinois, USA.
Summary
Vitamin D (25-hydroxyvitamin D) supplementation does not significantly alter body mass index (BMI) changes in adults. This meta-analysis of randomized controlled trials found no statistically significant impact on weight change from vitamin D.
Area of Science:
- Endocrinology
- Nutritional Science
- Public Health
Background:
- The relationship between 25-hydroxyvitamin D (25[OH]D) supplementation and weight change is debated.
- Existing research provides conflicting evidence regarding the efficacy of vitamin D in modulating Body Mass Index (BMI).
- A comprehensive summary of randomized controlled trials (RCTs) is needed to clarify the impact of 25[OH]D on BMI.
Purpose of the Study:
- To conduct a meta-analysis of published clinical trials to evaluate the effect of 25-hydroxyvitamin D (25[OH]D) supplementation on BMI change.
- To synthesize findings from RCTs investigating cholecalciferol or ergocalciferol supplementation and their association with BMI.
- To provide a statistically robust conclusion on whether 25[OH]D supplementation influences weight change.
Main Methods:
- Systematic review of English-language articles from January 1, 1998, to January 1, 2013, using MEDLINE (Ovid, Pubmed).
- Inclusion criteria focused on RCTs examining 25[OH]D supplementation and its effect on BMI.
- A random effects model was employed to estimate the association between 25[OH]D and mean BMI change across 9 selected studies involving 1651 adults.
Main Results:
- Nine studies, encompassing 1651 adult participants (82.6% women, mean age 47.9 years), were included in the meta-analysis.
- Mean follow-up ranged from 6 to 196 weeks, with daily 25[OH]D doses varying from 200 to 1,110 IU.
- The meta-analysis revealed no statistically significant difference in BMI change between the 25[OH]D supplementation and control groups.
Conclusions:
- Based on the available published trials, oral 25-hydroxyvitamin D (25[OH]D) supplementation does not appear to significantly impact BMI change.
- The findings suggest that vitamin D supplementation alone is unlikely to be an effective strategy for weight management in adults.
- Further research may be warranted to explore potential interactions or specific subpopulations where vitamin D might influence weight.
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