Vitamin D status in endometriosis: a systematic review and meta-analysis
This meta-analysis found that women with endometriosis have lower serum vitamin D levels, which correlate negatively with disease severity.
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This paper conducted a systematic review and meta-analysis to evaluate the association between circulating serum vitamin D levels and endometriosis by searching MEDLINE, EMBASE, and CNKI and pooling standardized mean differences or odds ratios across nine included studies. Across studies, women with endometriosis had lower vitamin D status than controls (SMD −0.97 ng/mL, p=0.02), and vitamin D levels were negatively correlated with disease severity (stage III–IV vs I–II; SMD −1.33 ng/mL, p=0.03). The authors also report a non-significant tendency toward higher odds of endometriosis with hypovitaminosis D (OR 2.77, p=0.10) and subgroup results showing lower vitamin D in women not using hormone therapy and in smaller-sample studies, while noting high heterogeneity as a key limitation. This paper is centrally about endometriosis — it specifically synthesizes evidence linking lower serum vitamin D status with endometriosis risk and severity.
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References (33)
- 1,25‐Dihydroxy Vitamin D3 Modulates Endometriosis‐Related Features of Human Endometriotic Stromal Cells via openalex
- 25-Hydroxyvitamin D Serum Levels and Endometriosis: Results of a Case–Control Study via openalex
- Association between serum 25-hydroxyvitamin D and ovarian reserve in premenopausal women via openalex
- BMI and season are associated with vitamin D deficiency in women with impaired fertility: a two-centre analysis via openalex
- Dairy-Food, Calcium, Magnesium, and Vitamin D Intake and Endometriosis: A Prospective Cohort Study via openalex
- Differences in 25-hydroxy vitamin D and vitamin D-binding protein concentrations according to the severity of endometriosis via openalex
- Differential gene expression by 1,25(OH)2D3 in an endometriosis stromal cell line via openalex
- Effects of 1,25-Dihydroxy Vitamin D3 on Endometriosis via openalex
- High Prevalence of Vitamin D Deficiency in Infertile Women Referring for Assisted Reproduction via openalex
- Low levels of 25-OH vitamin D in women with endometriosis and associated pelvic pain via openalex
- Pathogenesis and pathophysiology of endometriosis via openalex
- Polymorphic variants in vitamin D signaling pathway genes and the risk of endometriosis-associated infertility via openalex
- Polymorphism in Vitamin D-Binding Protein as a Genetic Risk Factor in the Pathogenesis of Endometriosis via openalex
- Relative Expression of 1,25-Dihydroxyvitamin D3 Receptor, Vitamin D 1α-Hydroxylase, Vitamin D 24-Hydroxylase, and Vitamin D 25-Hydroxylase in Endometriosis and Gynecologic Cancers via openalex
- The Role of Vitamin D in Reproductive Health—A Trojan Horse or the Golden Fleece? via openalex
- Vitamin D Binding Protein in Endometriosis via openalex
- Vitamin D in endometriosis: A causative or confounding factor? via openalex
- Vitamin D metabolites – relation to age, menopause and endometriosis via openalex
- W4294215472 via openalex
- W1967484705 via openalex
- W2021610751 via openalex
- W2037789127 via openalex
- W2070849932 via openalex
- W2124070987 via openalex
- W2156098321 via openalex
- W2170892587 via openalex
- W2314123200 via openalex
- W2511017384 via openalex
- W2612891587 via openalex
- W2886348975 via openalex
- W2991792334 via openalex
- W4211081176 via openalex
- W1608070738 via openalex
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- Effects of vitamin supplementation on related symptoms in women with endometriosis: a systematic review and meta-analysis 2025
- Endometriosis, Pain, and Related Psychological Disorders: Unveiling the Interplay among the Microbiome, Inflammation, and Oxidative Stress as a Common Thread 2024
- Serum Vitamin D Levels, Visual Analog Scale Dysmenorrhea Score, and Endometriosis ASRM Classification: a Relationship Study 2024
- Eating for Optimization: Unraveling the Dietary Patterns and Nutritional Strategies in Endometriosis Management 2024
- Vitamin D and Mitosis Evaluation in Endometriosis: A Step toward Discovering the Connection? 2023
- Nutrition in the prevention and management of endometriosis symptoms - a current literature review 2023
- Comparison of Vitamin D plasma level in women with or without endometriosis: a case-control study 2023
- Mikronährstoffe in der Gynäkologie 2023
- Nutrition in the prevention and treatment of endometriosis: A review 2023
- Irritable bowel syndrome and endometriosis: diagnosis, similarities, and nutritional management 2023
- Dietary supplements for treatment of endometriosis: A review. 2022
- Evaluation of the association of endometriosis and mammographic breast density, a cross-sectional study 2022
- Changes in MCP‐1, HGF, and IGF‐1 expression in endometrial stromal cells, PBMCs, and PFMCs of endometriotic women following 1,25(OH)2D3 treatment 2022
- Pharmacological correction of immunometabolic disorders in patients with endometrioma along with chronic inflammatory diseases of the genital tract 2022
- OVARYAN ENDOMETROZİSDE D VİTAMİNİ DÜZEYLERİ 2022
- Vitamin D Effect on the Severity of Chronic Pelvic Pain in Patients with Ovarian Endometriosis Combined with Pelvic Inflammatory Diseases 2022
- Environmental Risk Factors for Endometriosis: An Umbrella Review of a Meta-Analysis of 354 Observational Studies With Over 5 Million Populations 2021
- Medical and social aspects in women of reproductive age with chronic pelvic pain 2021
- The effect of vitamin D supplementation on clinical symptoms and metabolic profiles in patients with endometriosis 2021
- The Effect of Letrozole Combined with Dydrogesterone for Endometriosis in China: A Meta‐Analysis 2021
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