Evidence map›Paper›PMID 40616195›Full record

SynthesisBMC nutrition2025

The health outcomes of vitamin D supplementation in Africa: a systematic review and meta-analysis.

Tariku Derese, Yibekal Manaye, Bereket Damtew, Muluken Yigezu, Tewodros Getnet, Abdu Omer

Abstract readSystematic Review
In one paragraph

Synthesis in BMC nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tariku DereseCollege of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia. t.derese@yahoo.co.uk.
Yibekal ManayeCollege of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.
Bereket DamtewCollege of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.
Muluken YigezuCollege of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.
Tewodros GetnetCollege of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.
Abdu OmerCollege of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin D supplementation is essential for health, yet its full benefits and optimal use remain incompletely understood, particularly given the global prevalence of deficiency, which affects around 50% of the population, with higher rates in high-latitude regions and among individuals with darker skin. This systematic review synthesizes evidence on the health outcomes of vitamin D supplementation in Africa, addressing gaps in regional and demographic-specific research.

methodsA comprehensive literature search was conducted using PubMed, Scopus, Epistemonikos, and Google Scholar, limited to English-language publications without date restrictions. Two independent reviewers evaluated study eligibility, data quality, and risk of bias. The findings were reported in accordance with PRISMA guidelines, employing narrative synthesis and meta-analyses to compare the effects of vitamin D supplementation against control groups. Heterogeneity and publication bias were assessed using Egger's regression and Q statistics.

resultsThe review included 14 randomized controlled trials from 9 African countries, involving 11,259 participants. Half of the studies reported health benefits associated with vitamin D supplementation. Meta-analysis of seven studies demonstrated significant increases in serum vitamin D levels (odds ratio = 6.78, p < 0.001) and reduced viral load in patients with human immunodeficiency virus (odds ratio = 1.63, p = 0.033). However, supplementation did not significantly affect weight gain (odds ratio = 1.1, p = 0.18) or mortality rates in patients with tuberculosis and human immunodeficiency virus (odds ratio = 0.971, p = 0.638). Improvements in disease symptoms and biochemical markers were observed (odds ratio = 2.28, p = 0.028), with no significant heterogeneity or publication bias. Subgroup analysis was constrained by the diversity of diseases and insufficient studies.

conclusionsVitamin D supplementation showed significant benefits in half of the studies, elevating serum levels and reducing viral load in HIV patients. However, it did not affect weight gain or mortality in TB and HIV patients. While symptom and biomarker improvements were noted, further research is needed to explore subgroup effects and optimize strategies.

trial registrationPROSPERO registration number CRD42024620729.

Indexed as

AfricaHealth outcomesSupplementationSystematic reviewVitamin D

Identifiers

PMID40616195
PMCPMC12231985

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.