The Effect of Vitamin D Supplementation on the Androgenic Profile in Patients with Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis of Clinical Trials

Maryam Azadi-Yazdi; Azadeh Nadjarzadeh; Hossein Khosravi-Boroujeni; Amin Salehi-Abargouei

doi:10.1055/s-0043-103573

Hormone and Metabolic Research, Table of Contents

Horm Metab Res 2017; 49(03): 174-179
DOI: 10.1055/s-0043-103573

Review

The Effect of Vitamin D Supplementation on the Androgenic Profile in Patients with Polycystic Ovary Syndrome: A Systematic Review and Meta-Analysis of Clinical Trials

Maryam Azadi-Yazdi

¹Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

²Department of Nutrition, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

,

Azadeh Nadjarzadeh

¹Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

²Department of Nutrition, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

,

Hossein Khosravi-Boroujeni

³Menzies Health Institute Queensland & School of Medicine, Griffith University, Queensland, Australia

,

Amin Salehi-Abargouei

¹Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

²Department of Nutrition, Faculty of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

› Author Affiliations

Abstract

It is suggested that vitamin D status is associated with androgenic profile in women with polycystic ovarian syndrome (PCOS). Although several clinical trials are known in this regard, the results were inconsistent. Therefore, this study was aimed to conduct a systematic review and meta-analysis of published clinical trials to elucidate the possible effect of vitamin D supplementation on the androgen levels in adult females with PCOS. PubMed, SCOPUS, and Google Scholar were searched to identify related articles published up to January 2017. Mean ± standard deviation (SD) of changes in serum total testosterone, sex hormone binding globulin (SHBG), and free testosterone were extracted to calculate Hedges’ g to be used as effect size for meta-analysis. DerSimonian and Liard random effects model was incorporated to summarize the effects. Six clinical trials with 183 participants aged 18–41 years with follow-up period between 3–24 weeks were included. Our analysis revealed that vitamin D supplementation significantly reduces total testosterone (Hedges’ g=−0.32, 95% CI: −0.55 to −0.10; p=0.005); this effect remained significant in single group trials after subgroup analysis. Vitamin D supplementation did not affect serum free testosterone (Hedges’ g=−0.21, 95% CI: −0.44 to 0.079; p=0.08) or SHBG levels (Hedges’ g=0, 95% CI, 0.22–0.22; p=0.98). The present systematic review and meta-analysis revealed that vitamin D supplementation might significantly affect serum total testosterone while it is not effective in improving other markers of androgenic profile. Future double-blind, placebo-controlled clinical trials are highly recommended.

Key words

vitamin D - androgens - polycystic ovary syndrome - systematic review - meta-analysis

Full Text

References

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