Effect of vitamin D on biochemical parameters in polycystic ovary syndrome women: a meta-analysis

Aim To investigate the therapeutical effect of vitamin D supplementation on the metabolism and endocrine parameters of PCOS patients. Materials and methods Clinical studies investigating the therapeutic effect of vitamin D supplementation on PCOS patients were selected by searching PubMed, Embase, T...

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Veröffentlicht in:Archives of gynecology and obstetrics 2017-02, Vol.295 (2), p.487-496
Hauptverfasser: Xue, Yunping, Xu, Pengfei, Xue, Kai, Duan, Xiaoyi, Cao, Jian, Luan, Ting, Li, Qian, Gu, Lin
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container_issue 2
container_start_page 487
container_title Archives of gynecology and obstetrics
container_volume 295
creator Xue, Yunping
Xu, Pengfei
Xue, Kai
Duan, Xiaoyi
Cao, Jian
Luan, Ting
Li, Qian
Gu, Lin
description Aim To investigate the therapeutical effect of vitamin D supplementation on the metabolism and endocrine parameters of PCOS patients. Materials and methods Clinical studies investigating the therapeutic effect of vitamin D supplementation on PCOS patients were selected by searching PubMed, Embase, The Cochrane library and Web of Science until April 2016. The included articles were selected according to the inclusion criteria. Serum HOMA-IR, QUICKI, LDL, DHEAS, free testosterone (FT), total testosterone (TT), PTH, 25-hydroxy-vitamin D, and triglyceride of PCOS patients were enrolled for evaluating the therapeutic effects of vitamin D. Results 16 studies were included in this study. There was no significant difference between the placebo group and vitamin D group in the concentration of serum 25-hydroxy-vitamin D in patients with PCOS ( P  = 0.06). After treated with vitamin D, the serum 25-hydroxy-vitamin D in PCOS patients was increased ( P  
doi_str_mv 10.1007/s00404-016-4247-y
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Materials and methods Clinical studies investigating the therapeutic effect of vitamin D supplementation on PCOS patients were selected by searching PubMed, Embase, The Cochrane library and Web of Science until April 2016. The included articles were selected according to the inclusion criteria. Serum HOMA-IR, QUICKI, LDL, DHEAS, free testosterone (FT), total testosterone (TT), PTH, 25-hydroxy-vitamin D, and triglyceride of PCOS patients were enrolled for evaluating the therapeutic effects of vitamin D. Results 16 studies were included in this study. There was no significant difference between the placebo group and vitamin D group in the concentration of serum 25-hydroxy-vitamin D in patients with PCOS ( P  = 0.06). After treated with vitamin D, the serum 25-hydroxy-vitamin D in PCOS patients was increased ( P  &lt; 0.00001), while the serum PTH ( P  = 0.003) and triglyceride ( P  = 0.006) were decreased. In addition, the serum HOMA-IR, QUICKI, LDL, DHEAS, FT, and TT in PCOS patients did not change. Subgroup analysis showed that the serum triglyceride of PCOS patients was decreased by low dose of vitamin D supplementation (&lt;50,000 IU) ( P  = 0.03), but no significantly changed by high-dose vitamin D supplementation (≥50,000 IU) ( P  = 0.17). Conclusion Vitamin D supplementation significantly attenuates serum PTH and triglyceride in PCOS patients except for serum HOMA-IR, QUICKI, LDL, DHEAS, FT, and TT. Furthermore, less than 50,000 IU vitamin D supplementation is sufficient for decreasing serum triglyceride.</description><identifier>ISSN: 0932-0067</identifier><identifier>EISSN: 1432-0711</identifier><identifier>DOI: 10.1007/s00404-016-4247-y</identifier><identifier>PMID: 27933387</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Dietary Supplements ; Endocrinology ; Female ; Gynecologic Endocrinology and Reproductive Medicine ; Gynecology ; Human Genetics ; Humans ; Medicine ; Medicine &amp; Public Health ; Meta-analysis ; Obstetrics/Perinatology/Midwifery ; Parathyroid Hormone - blood ; Polycystic ovary syndrome ; Polycystic Ovary Syndrome - blood ; Testosterone - blood ; Triglycerides - blood ; Vitamin D ; Vitamin D - administration &amp; dosage ; Vitamin D - analogs &amp; derivatives ; Vitamin D - blood</subject><ispartof>Archives of gynecology and obstetrics, 2017-02, Vol.295 (2), p.487-496</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><rights>Archives of Gynecology and Obstetrics is a copyright of Springer, (2016). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-e46c0669079fab51ddfc5b74822e65a6db3aa32acfbda5b018d74e1fe25fd21c3</citedby><cites>FETCH-LOGICAL-c372t-e46c0669079fab51ddfc5b74822e65a6db3aa32acfbda5b018d74e1fe25fd21c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00404-016-4247-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00404-016-4247-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27933387$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Xue, Yunping</creatorcontrib><creatorcontrib>Xu, Pengfei</creatorcontrib><creatorcontrib>Xue, Kai</creatorcontrib><creatorcontrib>Duan, Xiaoyi</creatorcontrib><creatorcontrib>Cao, Jian</creatorcontrib><creatorcontrib>Luan, Ting</creatorcontrib><creatorcontrib>Li, Qian</creatorcontrib><creatorcontrib>Gu, Lin</creatorcontrib><title>Effect of vitamin D on biochemical parameters in polycystic ovary syndrome women: a meta-analysis</title><title>Archives of gynecology and obstetrics</title><addtitle>Arch Gynecol Obstet</addtitle><addtitle>Arch Gynecol Obstet</addtitle><description>Aim To investigate the therapeutical effect of vitamin D supplementation on the metabolism and endocrine parameters of PCOS patients. Materials and methods Clinical studies investigating the therapeutic effect of vitamin D supplementation on PCOS patients were selected by searching PubMed, Embase, The Cochrane library and Web of Science until April 2016. The included articles were selected according to the inclusion criteria. Serum HOMA-IR, QUICKI, LDL, DHEAS, free testosterone (FT), total testosterone (TT), PTH, 25-hydroxy-vitamin D, and triglyceride of PCOS patients were enrolled for evaluating the therapeutic effects of vitamin D. Results 16 studies were included in this study. There was no significant difference between the placebo group and vitamin D group in the concentration of serum 25-hydroxy-vitamin D in patients with PCOS ( P  = 0.06). After treated with vitamin D, the serum 25-hydroxy-vitamin D in PCOS patients was increased ( P  &lt; 0.00001), while the serum PTH ( P  = 0.003) and triglyceride ( P  = 0.006) were decreased. In addition, the serum HOMA-IR, QUICKI, LDL, DHEAS, FT, and TT in PCOS patients did not change. Subgroup analysis showed that the serum triglyceride of PCOS patients was decreased by low dose of vitamin D supplementation (&lt;50,000 IU) ( P  = 0.03), but no significantly changed by high-dose vitamin D supplementation (≥50,000 IU) ( P  = 0.17). Conclusion Vitamin D supplementation significantly attenuates serum PTH and triglyceride in PCOS patients except for serum HOMA-IR, QUICKI, LDL, DHEAS, FT, and TT. Furthermore, less than 50,000 IU vitamin D supplementation is sufficient for decreasing serum triglyceride.</description><subject>Dietary Supplements</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Gynecologic Endocrinology and Reproductive Medicine</subject><subject>Gynecology</subject><subject>Human Genetics</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Meta-analysis</subject><subject>Obstetrics/Perinatology/Midwifery</subject><subject>Parathyroid Hormone - blood</subject><subject>Polycystic ovary syndrome</subject><subject>Polycystic Ovary Syndrome - blood</subject><subject>Testosterone - blood</subject><subject>Triglycerides - blood</subject><subject>Vitamin D</subject><subject>Vitamin D - administration &amp; dosage</subject><subject>Vitamin D - analogs &amp; derivatives</subject><subject>Vitamin D - blood</subject><issn>0932-0067</issn><issn>1432-0711</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kMFO3DAQhq2KqmyhD8AFWeLSS1qP7dgJN7TdQiWkXsrZmjh2CUrixU5Aeft6tQtISL14LM03vz0fIWfAvgFj-ntiTDJZMFCF5FIXyweyAil4wTTAEVmxendnSh-Tzyk9MAa8qtQncsx1LYSo9IrgxntnJxo8feomHLqR_qBhpE0X7L0bOos93WLEwU0uJprb29AvdklTZ2l4wrjQtIxtDIOjz_kYLynSDGOBI_ZL6tIp-eixT-7LoZ6Qu5-bP-ub4vb39a_11W1hheZT4aSyTKma6dpjU0Lbels2WlacO1WiahuBKDha37RYNgyqVksH3vHStxysOCFf97nbGB5nlyYzdMm6vsfRhTkZqKSuagkgMnrxDn0Ic8z_TYZzBeXOEmQK9pSNIaXovNnGbsgbG2Bm59_s_Zvs3-z8myXPnB-S52Zw7evEi_AM8D2Qcmv86-Lb0_9P_QcqDZG8</recordid><startdate>20170201</startdate><enddate>20170201</enddate><creator>Xue, Yunping</creator><creator>Xu, Pengfei</creator><creator>Xue, Kai</creator><creator>Duan, Xiaoyi</creator><creator>Cao, Jian</creator><creator>Luan, Ting</creator><creator>Li, Qian</creator><creator>Gu, Lin</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20170201</creationdate><title>Effect of vitamin D on biochemical parameters in polycystic ovary syndrome women: a meta-analysis</title><author>Xue, Yunping ; Xu, Pengfei ; Xue, Kai ; Duan, Xiaoyi ; Cao, Jian ; Luan, Ting ; Li, Qian ; Gu, Lin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-e46c0669079fab51ddfc5b74822e65a6db3aa32acfbda5b018d74e1fe25fd21c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Dietary Supplements</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Gynecologic Endocrinology and Reproductive Medicine</topic><topic>Gynecology</topic><topic>Human Genetics</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Meta-analysis</topic><topic>Obstetrics/Perinatology/Midwifery</topic><topic>Parathyroid Hormone - blood</topic><topic>Polycystic ovary syndrome</topic><topic>Polycystic Ovary Syndrome - blood</topic><topic>Testosterone - blood</topic><topic>Triglycerides - blood</topic><topic>Vitamin D</topic><topic>Vitamin D - administration &amp; dosage</topic><topic>Vitamin D - analogs &amp; derivatives</topic><topic>Vitamin D - blood</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Xue, Yunping</creatorcontrib><creatorcontrib>Xu, Pengfei</creatorcontrib><creatorcontrib>Xue, Kai</creatorcontrib><creatorcontrib>Duan, Xiaoyi</creatorcontrib><creatorcontrib>Cao, Jian</creatorcontrib><creatorcontrib>Luan, Ting</creatorcontrib><creatorcontrib>Li, Qian</creatorcontrib><creatorcontrib>Gu, Lin</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; 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Materials and methods Clinical studies investigating the therapeutic effect of vitamin D supplementation on PCOS patients were selected by searching PubMed, Embase, The Cochrane library and Web of Science until April 2016. The included articles were selected according to the inclusion criteria. Serum HOMA-IR, QUICKI, LDL, DHEAS, free testosterone (FT), total testosterone (TT), PTH, 25-hydroxy-vitamin D, and triglyceride of PCOS patients were enrolled for evaluating the therapeutic effects of vitamin D. Results 16 studies were included in this study. There was no significant difference between the placebo group and vitamin D group in the concentration of serum 25-hydroxy-vitamin D in patients with PCOS ( P  = 0.06). After treated with vitamin D, the serum 25-hydroxy-vitamin D in PCOS patients was increased ( P  &lt; 0.00001), while the serum PTH ( P  = 0.003) and triglyceride ( P  = 0.006) were decreased. In addition, the serum HOMA-IR, QUICKI, LDL, DHEAS, FT, and TT in PCOS patients did not change. Subgroup analysis showed that the serum triglyceride of PCOS patients was decreased by low dose of vitamin D supplementation (&lt;50,000 IU) ( P  = 0.03), but no significantly changed by high-dose vitamin D supplementation (≥50,000 IU) ( P  = 0.17). Conclusion Vitamin D supplementation significantly attenuates serum PTH and triglyceride in PCOS patients except for serum HOMA-IR, QUICKI, LDL, DHEAS, FT, and TT. Furthermore, less than 50,000 IU vitamin D supplementation is sufficient for decreasing serum triglyceride.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27933387</pmid><doi>10.1007/s00404-016-4247-y</doi><tpages>10</tpages></addata></record>
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subjects Dietary Supplements
Endocrinology
Female
Gynecologic Endocrinology and Reproductive Medicine
Gynecology
Human Genetics
Humans
Medicine
Medicine & Public Health
Meta-analysis
Obstetrics/Perinatology/Midwifery
Parathyroid Hormone - blood
Polycystic ovary syndrome
Polycystic Ovary Syndrome - blood
Testosterone - blood
Triglycerides - blood
Vitamin D
Vitamin D - administration & dosage
Vitamin D - analogs & derivatives
Vitamin D - blood
title Effect of vitamin D on biochemical parameters in polycystic ovary syndrome women: a meta-analysis
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