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. 2021 Aug 25;2021(8):CD011564. doi: 10.1002/14651858.CD011564.pub3

Comparison 1. Vitamin D versus placebo or no intervention.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1.1 1.1 All‐cause mortality 27 1979 Risk Ratio (M‐H, Random, 95% CI) 0.86 [0.51, 1.45]
1.1.1 Non‐alcoholic fatty liver disease 11 803 Risk Ratio (M‐H, Random, 95% CI) Not estimable
1.1.2 Chronic hepatitis C 10 836 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.04, 3.13]
1.1.3 Liver cirrhosis 5 265 Risk Ratio (M‐H, Random, 95% CI) 0.91 [0.53, 1.55]
1.1.4 Liver transplant recipients 1 75 Risk Ratio (M‐H, Random, 95% CI) Not estimable
1.2 1.1 All‐cause mortality according to vested interest 27 1979 Risk Ratio (M‐H, Random, 95% CI) 0.86 [0.51, 1.45]
1.2.1 Trials with vested interest 2 38 Risk Ratio (M‐H, Random, 95% CI) 2.69 [0.15, 48.64]
1.2.2 Trials without vested interest 25 1941 Risk Ratio (M‐H, Random, 95% CI) 0.83 [0.48, 1.41]
1.3 All‐cause mortality according to vitamin D status at entry 27 1979 Risk Ratio (M‐H, Random, 95% CI) 0.86 [0.51, 1.45]
1.3.1 Normal vitamin D status 8 549 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.04, 3.13]
1.3.2 Low vitamin D status 19 1430 Risk Ratio (M‐H, Random, 95% CI) 0.91 [0.53, 1.55]
1.4 All‐cause mortality according to form of vitamin D 26   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.4.1 Vitamin D 3 20 1578 Risk Ratio (M‐H, Random, 95% CI) 0.83 [0.48, 1.41]
1.4.2 Vitamin D 2 3 150 Risk Ratio (M‐H, Random, 95% CI) 3.00 [0.15, 61.74]
1.4.3 1,25‐dihydroxyvitamin D 4 291 Risk Ratio (M‐H, Random, 95% CI) Not estimable
1.4.4 25‐hydroxyvitamin D 1 12 Risk Ratio (M‐H, Random, 95% CI) 3.00 [0.15, 61.74]
1.5 All‐cause mortality (best‐worst‐case and worst‐best‐case scenarios) 24   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.5.1 Best‐worst‐case scenario 24 1737 Risk Ratio (M‐H, Random, 95% CI) 0.14 [0.06, 0.30]
1.5.2 Worst‐best‐case scenario 24 1737 Risk Ratio (M‐H, Random, 95% CI) 7.95 [3.55, 17.77]
1.6 Liver‐related mortality 1 18 Risk Ratio (M‐H, Random, 95% CI) 1.62 [0.08, 34.66]
1.7 Serious adverse events 4   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.7.1 Hypercalcaemia 1 76 Risk Ratio (M‐H, Random, 95% CI) 5.00 [0.25, 100.80]
1.7.2 Myocardial infarction 2 86 Risk Ratio (M‐H, Random, 95% CI) 0.75 [0.08, 6.81]
1.7.3 Thyroiditis 1 68 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.01, 7.91]
1.7.4 Circular haemorrhoidal prolapse 1 20 Risk Ratio (M‐H, Random, 95% CI) 3.00 [0.14, 65.90]
1.7.5 Bronchopneumonia 1 20 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.02, 7.32]
1.8 Liver‐related morbidity 0 0 Risk Ratio (M‐H, Random, 95% CI) Not estimable
1.9 Health‐related quality of life 0 0 Risk Ratio (M‐H, Random, 95% CI) Not estimable
1.10 Non‐serious adverse events 3   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.10.1 Glossitis 1 65 Risk Ratio (M‐H, Random, 95% CI) 3.70 [0.16, 87.58]
1.10.2 Depression 1 20 Risk Ratio (M‐H, Random, 95% CI) 3.00 [0.14, 65.90]
1.10.3 Lower back pain 1 20 Risk Ratio (M‐H, Random, 95% CI) 3.00 [0.14, 65.90]
1.10.4 Abdominal bloating 1 20 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.02, 7.32]
1.10.5 Cold 1 20 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.02, 7.32]
1.10.6 Constipation 1 20 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.02, 7.32]
1.10.7 Sore throat 1 20 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.02, 7.32]
1.10.8 Sour taste in mouth 1 20 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.02, 7.32]
1.10.9 Contused lacerated wound 1 20 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.02, 7.32]
1.10.10 Multiple white matter lesions 1 20 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.02, 7.32]
1.10.11 Gastro‐oesophageal reflux 1 20 Risk Ratio (M‐H, Random, 95% CI) 3.00 [0.14, 65.90]
1.10.12 Abdominal menstrual cramps 1 20 Risk Ratio (M‐H, Random, 95% CI) 3.00 [0.14, 65.90]
1.10.13 Tubular colon adenoma 1 20 Risk Ratio (M‐H, Random, 95% CI) 3.00 [0.14, 65.90]
1.10.14 Gastric motility disturbance 1 20 Risk Ratio (M‐H, Random, 95% CI) 3.00 [0.14, 65.90]
1.10.15 Irritable bowel syndrome 1 20 Risk Ratio (M‐H, Random, 95% CI) 5.00 [0.27, 92.62]
1.10.16 Knee pain 1 20 Risk Ratio (M‐H, Random, 95% CI) 3.00 [0.14, 65.90]
1.10.17 Severe allergy 1 109 Risk Ratio (M‐H, Random, 95% CI) 5.09 [0.25, 103.64]
1.11 Failure of rapid virological response 3 247 Risk Ratio (M‐H, Random, 95% CI) 0.75 [0.60, 0.95]
1.12 Failure of early virological response 4 315 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.11, 1.00]
1.13 Failure of sustained virological response 7 630 Risk Ratio (M‐H, Random, 95% CI) 0.65 [0.42, 1.01]
1.14 Acute cellular rejection in liver transplant recipients 1 75 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.04, 2.62]
1.15 Vitamin D status (ng/mL) 15 1078 Mean Difference (IV, Random, 95% CI) 18.49 [14.52, 22.47]
1.16 Bone mineral density (g/cm) 1 18 Mean Difference (IV, Random, 95% CI) 0.15 [0.04, 0.26]
1.17 Aspartate aminotransferase (IU/L) 12 774 Mean Difference (IV, Random, 95% CI) ‐1.75 [‐5.41, 1.91]
1.18 Alanine aminotransferase (IU/L 13 855 Mean Difference (IV, Random, 95% CI) ‐2.30 [‐7.60, 3.00]
1.19 Alkaline phosphatases (IU/L) 6 344 Mean Difference (IV, Random, 95% CI) ‐0.95 [‐15.10, 13.20]
1.20 Gamma‐glutamyl transpeptidase (IU/L) 4 227 Mean Difference (IV, Random, 95% CI) ‐2.69 [‐5.26, ‐0.11]
1.21 Bilirubin (mg/dL) 3 74 Mean Difference (IV, Random, 95% CI) 0.32 [0.00, 0.63]
1.22 Triglyceride (mg/dL) 5 460 Mean Difference (IV, Random, 95% CI) 11.27 [‐10.99, 33.53]
1.23 Cholesterol (mg/dL) 4 400 Mean Difference (IV, Random, 95% CI) 3.51 [‐2.83, 9.85]
1.24 LDL cholesterol (mg/dL) 4 400 Mean Difference (IV, Random, 95% CI) ‐0.97 [‐8.70, 6.76]
1.25 Albumin (g/L) 3 74 Mean Difference (IV, Random, 95% CI) ‐1.18 [‐2.96, 0.59]
1.26 HDL cholesterol (mg/dL) 4 400 Mean Difference (IV, Random, 95% CI) 1.14 [‐0.64, 2.92]
1.27 Calcium (mg/dL) 7 423 Mean Difference (IV, Random, 95% CI) 0.04 [‐0.12, 0.19]
1.28 Glucose (mg/dL) 6 469 Mean Difference (IV, Random, 95% CI) 1.44 [‐5.05, 7.94]
1.29 Phosphorus (mg/dL) 4 307 Mean Difference (IV, Random, 95% CI) 0.17 [‐0.16, 0.50]
1.30 Adiponectin (µg/mL) 4 276 Mean Difference (IV, Random, 95% CI) 1.02 [‐0.27, 2.30]
1.31 Insulin (mIU/mL) 6 428 Mean Difference (IV, Random, 95% CI) 0.03 [‐1.15, 1.21]
1.32 Parathyroid hormone (pg/mL) 2 118 Mean Difference (IV, Random, 95% CI) ‐15.18 [‐38.54, 8.18]
1.33 C‐reactive protein (mg/L) 4 254 Mean Difference (IV, Random, 95% CI) ‐0.50 [‐0.93, ‐0.07]