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Vitamin D and chronic diseases: the current state of the art
Giovanna Muscogiuri1, Barbara Altieri2, Cedric Annweiler3,4
1Ios and Coleman Medicina Futura Medical Center, University "Federico II", Naples, Italy. giovanna.muscogiuri@gmail.com.
Insights
Vitamin D plays a role in bone health, but current evidence does not support its use for treating other chronic diseases. Treating vitamin D deficiency is recommended to lower the risk of developing these conditions.
Area of Science:
- Endocrinology
- Nutritional Science
- Public Health
Background:
- Vitamin D is essential for calcium absorption and bone health.
- Emerging research suggests potential links between vitamin D and various chronic diseases.
- The role of vitamin D in conditions beyond bone health requires thorough investigation.
Purpose of the Study:
- To review the current scientific evidence on the role of vitamin D in chronic diseases.
- To assess the efficacy of vitamin D supplementation for managing conditions such as osteoporosis, cancer, cardiovascular diseases, dementia, autism, diabetes, and fertility issues.
- To provide expert consensus on vitamin D's role in health and disease prevention.
Main Methods:
- A panel of scientific experts contributed to the document based on their expertise.
- Manuscripts were drafted by individual experts and then subjected to a rigorous voting process.
- Consensus was reached through multiple voting rounds with predefined acceptance thresholds (≥75%, ≥67%, or ≥50%).
Main Results:
- Current evidence strongly supports vitamin D's role in maintaining bone health.
- The evidence does not currently support a role for vitamin D in the treatment of other chronic diseases.
- Individuals with vitamin D deficiency are identified as being at higher risk for developing chronic diseases.
Conclusions:
- While vitamin D is crucial for bone health, its therapeutic application in other chronic diseases lacks sufficient evidence.
- Treatment of vitamin D deficiency is recommended as a preventative measure against the development of chronic diseases.
- Further research is needed to fully elucidate the complex relationship between vitamin D and various non-skeletal health outcomes.
Abstract:
The objective was to provide the current state of the art regarding the role of vitamin D in chronic diseases (osteoporosis, cancer, cardiovascular diseases, dementia, autism, type 1 and type 2 diabetes mellitus, male and female fertility). The document was drawn up by panelists that provided their contribution according to their own scientific expertise. Each scientific expert supplied a first draft manuscript on a specific aspect of the document's topic that was subjected to voting by all experts as "yes" (agreement with the content and/or wording) or "no" (disagreement). The adopted rule was that statements supported by ≥75 % of votes would be immediately accepted, while those with <25 % would be rejected outright. Others would be subjected to further discussion and subsequent voting, where ≥67 % support or, in an eventual third round, a majority of ≥50 % would be needed. This document finds that the current evidence support a role for vitamin D in bone health but not in other health conditions. However, subjects with vitamin D deficiency have been found to be at high risk of developing chronic diseases. Therefore, although at the present time there is not sufficient evidence to recommend vitamin D supplementation as treatment of chronic diseases, the treatment of vitamin D deficiency should be desiderable in order to reduce the risk of developing chronic diseases.
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