Effects Of Vitamin D Supplementation On Metabolic Parameters Of Women With Polycystic Ovary Syndrome: A Meta-Analysis Of Randomized Controlled Trials

GYNECOLOGICAL ENDOCRINOLOGY(2021)

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摘要
Objective The purpose of this meta-analysis was to evaluate the effects of vitamin D supplementation on metabolic parameters of women with polycystic ovary syndrome (PCOS). Methods We performed a literature search of databases and identified randomized controlled trials (RCTs) published prior to December 2019. A meta-analysis was conducted using RevMan 5.3 and Stata 12.0 software. We compared the effects of vitamin D supplementation alone to the administration of placebos on metabolic parameters of PCOS women with vitamin D deficiency. Results Ten articles of RCTs were included and analyzed in this meta-analysis, which included a total of 520 PCOS women. Our meta-analysis results showed no significant effects of vitamin D supplementation on BMI (p = .43), systolic blood pressure (p = .05), diastolic blood pressure (p = .87), fasting insulin concentration (p = .86), HOMA-IR (p = .47), HDL-C (p = .76), LDL-C (p = .23) and triglyceride (p = .77). Both low dose vitamin D supplementation (<4000 IU/day) and high dose vitamin D supplementation (>= 4000 IU/day) were found to significantly decreased the fasting glucose concentration (p = .01,p = .001, respectively). Vitamin D supplementation significantly decreased total cholesterol concentration (p = .03). Conclusions The results of this meta-analysis suggested that vitamin D supplementation decreases fasting glucose concentration and total cholesterol concentration in PCOS women with vitamin D deficiency.
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关键词
Vitamin D supplementation, metabolic parameters, polycystic ovary syndrome, randomized controlled trials, meta-analysis
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