The effect of vitamin D supplementation on clinical symptoms and metabolic profiles in patients with endometriosis

Gynecol Endocrinol. 2021 Jul;37(7):640-645. doi: 10.1080/09513590.2021.1878138. Epub 2021 Jan 29.

Abstract

Background: To our knowledge, data on the effects of vitamin D supplementation on clinical symptoms and metabolic profiles in patients with endometriosis are limited. This study was conducted to determine the effects of vitamin D supplementation on clinical symptoms and metabolic profiles in patients with endometriosis.

Methods: The current randomized, double-blind, placebo-controlled trial was conducted among 60 patients (aged 18-40 years old) with endometriosis. Participants were randomly allocated into two groups (30 participants each group) to receive either 50,000 IU vitamin D or placebo each 2 weeks for 12 weeks.

Results: Vitamin D supplementation significantly decreased pelvic pain (β - 1.12; 95% CI, -2.1, -0.09; p=.03) and total-/HDL-cholesterol ratio (β - 0.29; 95% CI, -0.57, -0.008; p=.04) compared with the placebo. Moreover, vitamin D intake led to a significant reduction in high-sensitivity C-reactive protein (hs-CRP) (β - 0.64 mg/L; 95% CI, -0.97, -0.30; p<.001) and a significant increase in total antioxidant capacity (TAC) (β 47.54 mmol/L; 95% CI, 19.98, 75.11; p=.001) compared with the placebo.

Conclusions: Overall, our study demonstrated that vitamin D intake in patients with endometriosis resulted in a significant improvement of pelvic pain, total-/HDL-cholesterol ratio, hs-CRP and TAC levels, but did not affect other clinical symptoms and metabolic profiles.

Keywords: Vitamin D; endometriosis; metabolic status.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Antioxidants / metabolism
  • Blood Glucose / metabolism
  • C-Reactive Protein / metabolism
  • Cholesterol / blood
  • Cholesterol, HDL / blood
  • Cholesterol, LDL / blood
  • Cholesterol, VLDL / blood
  • Constipation / physiopathology
  • Double-Blind Method
  • Dysmenorrhea / physiopathology
  • Dyspareunia / physiopathology
  • Endometriosis / drug therapy*
  • Endometriosis / metabolism
  • Endometriosis / physiopathology
  • Female
  • Glutathione / blood
  • Humans
  • Insulin / blood
  • Malondialdehyde / blood
  • Pelvic Pain / physiopathology*
  • Treatment Outcome
  • Triglycerides / blood
  • Vitamin D / therapeutic use*
  • Vitamins / therapeutic use*

Substances

  • Antioxidants
  • Blood Glucose
  • Cholesterol, HDL
  • Cholesterol, LDL
  • Cholesterol, VLDL
  • Insulin
  • Triglycerides
  • Vitamins
  • Vitamin D
  • Malondialdehyde
  • C-Reactive Protein
  • Cholesterol
  • Glutathione