The effect of vitamin D supplementation on the androgenic profile in men: A systematic review and meta-analysis of clinical trials

Andrologia. 2019 Oct;51(9):e13343. doi: 10.1111/and.13343. Epub 2019 Jul 23.


The aim of this systematic review and meta-analysis was to evaluate the effect of vitamin D supplementation on total testosterone (TT) and sex hormone-binding globulin (SHBG) in men. We searched PubMed, Scopus and Web of Science for randomized, controlled trials of vitamin D supplementation in men ≥18 years old up to September 2018, without language restrictions. Meta-analysis was based on a random effects model. The systematic review was registered as CRD42018094498. We identified 3,402 articles, of which eight studies with 10 effect sizes met the inclusion criteria. Vitamin D daily dose equivalents ranged from 600 to 4,000 per day to 60,000 IU per week; duration was 6 weeks to 36 months. In general, vitamin D supplementation had no significant effect on TT (MD = 0.20, 95% CI: -0.20, 0.60, p = 0.336) and SHBG (MD = 1.56, 95% CI: -0.85, 3.97, p = 0.204). Subgroup analysis conducted with duration of prescription, type (daily or weekly), dosing frequency and baseline vitamin D and TT concentration showed that vitamin D did not significantly affect TT. The present study did not find any evidence to support beneficial effect of vitamin D supplementation on TT and SHBG in men. Thus, further large-scale randomised controlled trials are required to evaluate the effects of vitamin D supplementation on androgen in men.

Keywords: men; sex hormone-binding globulin; total testosterone; vitamin D.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Controlled Clinical Trials as Topic
  • Dietary Supplements
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Humans
  • Infertility, Male / blood
  • Infertility, Male / etiology
  • Infertility, Male / prevention & control*
  • Male
  • Sex Hormone-Binding Globulin / analysis*
  • Testosterone / blood*
  • Treatment Outcome
  • Vitamin D / administration & dosage*
  • Vitamin D Deficiency / blood
  • Vitamin D Deficiency / complications
  • Vitamin D Deficiency / drug therapy*


  • Sex Hormone-Binding Globulin
  • Vitamin D
  • Testosterone