Table 3.
Meta-analyses of studies on vitamin D supplementation and knee osteoarthritis
| Author | RCT number and sample size | Vit D intervention | Outcome |
|---|---|---|---|
| Gao et al. (2017) [107] | 4 RCTs; n = 1136 | 800–2000 IU daily or 50,000–60,000 IU monthly | ↓ WOMAC pain: score − 1.65 (95% CI − 2.16 to − 1.14) with 2000 IU/day |
| ↑ WOMAC function: score -1.87 (95% CI − 2.58 to − 1.17) with 2000 IU/day | |||
| No effect on WOMAC stiffness and tibia cartilage volume | |||
| Diao et al. (2017) [108] | 4 RCTs; n = 1136 | 800–2000 IU daily or 50,000–60,000 IU monthly | ↓ WOMAC pain: SDM -0.32 (95% CI − 0.63 to − 0.02) |
| No effect on tibia cartilage volume or joint space width, regardless of baseline 25(OH)D levels | |||
| Beaudart et al. (2020) [109] | 4 RCTs; n = 1136 | 800–2000 IU daily or 50,000–60,000 IU monthly | ↓ WOMAC pain: SDM -0.31 (95% CI − 0.56 to − 0.06) |
| ↑ WOMAC function: SDM -0.30 (95% CI − 0.49 to − 0.11) | |||
| Zhao et al. (2021) [110] | 6 RCTs; n = 1599 | 800–2000 IU daily or 50,000–60,000 IU monthly | ↓ WOMAC pain: SDM -0.32 (95% CI − 0.63 to − 0.02) |
| ↑ WOMAC function: SDM -0.34 (95% CI − 0.60 to − 0.08) | |||
| ↑ WOMAC stiffness: SDM -0.13 (95% CI − 0.26 to − 0.01) | |||
| No effect on tibia cartilage volume or joint space width | |||
| Mathieu et al. (2022) [111] | 3 RCTs; n = 662 | 2000 IU daily or 50,000–60,000 IU monthly | ↓ WOMAC pain: SDM -0.20 (95% CI − 0.35 to − 0.04) |
| ↑ WOMAC function: SDM − 0.44 (95% CI − 0.80 to − 0.09) |
Bold value indicates statistically significant differences
Vit D vitamin D, RCT randomized controlled trial, SDM standardized mean difference