Cited by 11Vitamin D Research StudiesHormonal and reproductive studiesSperm and Testicular Function

The Impact of Vitamin D on Androgens and Anabolic Steroids among Adult Males: A Meta-Analytic Review

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Abu-Zaid, Ahmed, Saleh, Saleh A. K., Adly, Heba M., Baradwan, Saeed, Alharran, Abdullah M., Alhatm, Mshal, Alzayed, Mooza M., Alotaibi, Muteb N. +4 more·2024·Diseases

Abstract

Background: Recent studies indicate that vitamin D impacts male reproductive function, with deficiency linked to infertility. This review evaluates the effect of vitamin D supplementation on male fertility, focusing on total testosterone, free testosterone, the free androgen index (FAI), follicle-stimulating hormone (FSH), luteinizing hormone (LH), sex-hormone-binding globulin (SHBG), and estradiol. Methods: We systematically searched Medline, Web of Science, Cochrane Library, and Scopus from their inception until July 2024 for randomized controlled trials (RCTs) involving adult males. The primary focus of these studies was on reproductive hormone parameters, analyzed using a random-effects meta-analysis and weighted mean difference (WMD). Evidence quality was assessed using ROB2 and GRADE. Meta-regression and dose–response analyses were performed. Results: Seventeen studies met the criteria for quantitative analysis. Vitamin D supplementation significantly increased total testosterone levels (WMD 0.38, 95% CI 0.06–0.70, n = 15, I2 = 67.03). However, it had no significant effect on other hormone parameters: free testosterone (WMD 0.00, 95% CI −0.02–0.03, n = 9, I2 = 48.12), FSH (WMD −0.02, 95% CI −0.57–0.53, n = 7, I2 = 48.72), LH (WMD −0.09, 95% CI −0.30–0.12, n = 8, I2 = 0.00), SHBG (WMD 0.73, 95% CI −1.14–2.61, n = 10, I2 = 69.05), FAI (WMD −0.92, 95% CI −2.12–0.27, n = 6, I2 = 0.00), and estradiol (WMD −0.02, 95% CI −2.95–2.92, n = 5, I2 = 20.63). Conclusion: This meta-analysis shows that vitamin D supplementation may increase total testosterone levels in men. However, further well-designed RCTs are needed to determine vitamin D’s effects on other reproductive hormone parameters.

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Authors
Abu-Zaid, A., Saleh, S. A. K., Adly, H. M., Baradwan, S., Alharran, A. M., Alhatm, M., Alzayed, M. M., Alotaibi, M. N., Saad, A. R., Alfayadh, H. M., Abuzaid, M., & Alomar, O.
Affiliations
  • Department of Biochemistry and Molecular Medicine, College of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia
  • Umm al-Qura University (SA)
  • King Faisal Specialist Hospital & Research Centre (SA)
  • Arabian Gulf University (BH)
  • Alfaisal University (SA)
  • Almaarefa University (SA)
  • Department of Obstetrics and Gynecology, Al Birk General Hospital, Al Birk 63525, Saudi Arabia
Venue
Diseases
Publisher
MDPI AG
Published
2024-09-25
Volume
12
Issue
10
Pages
228
ISSN
2079-9721 (ISSN-L)
OpenAlex
W4402826012
Cited by
11
References
6
Citations by year
2026: 6 · 2025: 5
FWCI
0.82
Type
journal article
Language
en
Open access
Locations
  • Diseases (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Funders
Alfaisal University
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Vitamin D Research Studies
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
  • Health Sciences › Medicine › Reproductive Medicine › Sperm and Testicular Function
Keywords
vitamin D supplementation, androgens, anabolic steroids, male fertility, testosterone, free testosterone, free androgen index, follicle-stimulating hormone, luteinizing hormone, sex hormone-binding globulin, estradiol, male reproductive function, vitamin D deficiency, infertility, dose-response relationship

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