In D-fence of vitamin D sufficiency- A perspective.

Brennan, Sarah C; Gunton, Jenny E; Conigrave, Arthur D; Mason, Rebecca S; Girgis, Christian M · Bone · 2025

review · Level V

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Abstract

Vitamin D is well-established in its essential role in maintaining bone health. In recent years, however, researchers have explored potential influences of vitamin D on extra-skeletal functions, with vitamin D deficiency being implicated in several acute and chronic illnesses. Thus, large-scale randomised controlled trials (RCTs) have investigated the impact of vitamin D supplements on conditions including cardiovascular disease, diabetes, sarcopenia, frailty, and even some cancers. In this perspective, we weigh the evidence from these recent trials, drawing a cohesive understanding of vitamin D's potentially diverse effects. Limitations of the field and possible future directions of vitamin D research are considered, along with a discussion of the utility of repetitive vitamin D testing and supplementation for many of these conditions.

Medical subject headings