Evidence map›Paper›PMID 37693250›Full record

ReviewFrontiers in nutrition2023

Efficacy of intermittent versus daily vitamin D supplementation on improving circulating 25(OH)D concentration: a Bayesian network meta-analysis of randomized controlled trials.

Yan Zhuang, Zhe Zhu, Peihan Chi, Haibo Zhou, Zhicheng Peng, Haoyue Cheng, Xing Xin, Wenliang Luo, Shuting Si, Minjia Mo and 3 more

Abstract readReview
In one paragraph

Review in Frontiers in nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
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  6. Review
  7. Article
  8. Vitamin D testing in pharmacies: Results of a federal screening campaign.Exploratory research in clinical and social pharmacy · 2025
    Article
  9. Review
  10. Review
  11. Article
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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

13 authors.

Yan ZhuangDepartment of Public Health, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Zhe ZhuThe Second School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Peihan ChiDepartment of Public Health, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Haibo ZhouDepartment of Public Health, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Zhicheng PengDepartment of Public Health, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Haoyue ChengDepartment of Public Health, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Xing XinDepartment of Public Health, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Wenliang LuoDepartment of Public Health, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Shuting SiDepartment of Public Health, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Minjia MoDepartment of Public Health, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Danqing ChenDepartment of Obstetrics and Gynecology, Woman's Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Hui LiuCentral Lab, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Yunxian YuDepartment of Public Health, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Vitamin D deficiency is a widespread issue globally, resulting in increased use of vitamin D supplements. However, it is unclear whether intermittent (weekly or monthly) vitamin D supplementation is as effective as daily supplementation in improving circulating 25-hydroxyvitamin D [25(OH)D] levels. Methods: Three databases including Medline, EMBASE, and the Cochrane Library were systematically searched up to 10 November 2020. The risk of bias was evaluated according to Cochrane Collaboration's tool for rating methodological quality assessment. Direct and indirect comparisons between interventions and controls were performed by a Bayesian network meta-analysis (NMA), where the mean difference (MD) and its 95% confidence interval (CI) were used to indicate the efficacy. Results: This NMA analysis included 116 RCTs with a total of 11,376 participants. Generally, we observed that 25(OH)D concentrations were significantly elevated regardless of vitamin D supplementation frequency. Although the findings of SUCRA indicated that daily vitamin D supplementation had a higher rank value than intermittent supplementation when the supplement dosage was similar, no statistically significant pooled mean differences of 25(OH)D concentration were noted between the daily supplementation group and intermittent supplementation group. Additionally, weekly supplementation with a total of 600,000 IU vitamin D supplementation during 3 months had the best efficacy in elevating 25(OH)D concentration (pooled MD = 63 nmol/L, 95%CI: 49-77). To achieve optimal 25(OH)D concentration (>75 nmol/L), we recommend 60,000 IU vitamin D supplementation monthly (~2,000 IU/day). Conclusion: The efficacy of intermittent vitamin D supplementation was similar to daily supplementation. Coupled with its convenience, the frequency and dosage of intermittent vitamin D supplements were recommended to reach the optimal 25(OH)D level.

Indexed as

25(OH)D concentrationdaily supplementationintermittent supplementationnetwork meta-analysisvitamin D

Identifiers

PMID37693250
PMCPMC10488712

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Registered trials

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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 OpenQuestion graph.