Lower serum 25 (OH) D concentrations in type 1 diabetes: A meta-analysis

Diabetes Res Clin Pract. 2015 Jun;108(3):e71-5. doi: 10.1016/j.diabres.2014.12.008. Epub 2015 Jan 20.

Abstract

Objective: Vitamin D may have protective effects against type 1 diabetes (T1D). However, the results of current cross-sectional studies have been inconsistent. We aimed to examine the association of serum vitamin D and T1D by conducting a meta-analysis.

Methods: Multiple databases were searched until April 2014 to identify relevant studies. The search term was "serum vitamin D" and "type 1 diabetes". Random effects model was used to calculate the pooled risk estimate. The data were accessed by software Review manager 5.2.

Results: We included a total of 23 studies (11 studies with 1900 participants of children or adolescents and 13 studies with 3494 participants of adults) in our meta-analysis. In children or adolescents, serum 25(OH) D in T1D was 5.69 ng/ml [95% confidence interval (CI) (2.82-8.55, P<0.0001) lower than in healthy controls. In adults, serum 25(OH) D in T1D was 2.61 ng/ml [95% confidence interval (CI) (1.13-4.09, P=0.0005) lower than in healthy controls. We did not find evidence of publication bias.

Conclusion: Serum 25OHD is significantly lower in patients with T1D than in healthy controls.

Keywords: Meta-analysis; Serum vitamin D; Type 1 diabetes.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Diabetes Mellitus, Type 1 / blood*
  • Diabetes Mellitus, Type 1 / complications
  • Humans
  • Vitamin D / blood*
  • Vitamin D Deficiency / blood
  • Vitamin D Deficiency / etiology*

Substances

  • Vitamin D