Evidence map›Paper›PMID 39125301›Full record

ReviewNutrients2024

The Importance of Vitamin K and the Combination of Vitamins K and D for Calcium Metabolism and Bone Health: A Review.

Jan O Aaseth, Trine Elisabeth Finnes, Merete Askim, Jan Alexander

Registry-linked trialAbstract readReview
In one paragraph

Review in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07256769 (Synergic Role of Vitamin k, D-chiro Inositol and α-lactalbumin in Bone Homeostasis in Breast Cancer Patients Treated With Aromatase Inhibitors), which is not on this map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 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.

NCT07256769 recruitingnot on this mapstarted 2025, after this paper: background citation

Synergic Role of Vitamin k, D-chiro Inositol and α-lactalbumin in Bone Homeostasis in Breast Cancer Patients Treated With Aromatase Inhibitors

TypeobservationalSponsorRegina Elena Cancer InstituteRan2025 to 2028Enrolled134ConditionsOsteoporosis Secondary, Breast Cancer FemalesArmsGroup 1: calcium carbonate/cholecalciferol, Group 2: Synostea® (calcium carbonate/cholecalciferol/vitamin K/α-lactalbumin/ d-chiro-inositol)
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Association BetweenMedicina (Kaunas, Lithuania) · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Menaquinone-4 protects CD8Science China. Life sciences · 2026
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

4 authors.

Jan O AasethDepartment of Research, Innlandet Hospital Trust, P.O. Box 104, N-2381 Brumunddal, Norway.ORCID 0000-0002-7518-5703
Trine Elisabeth FinnesDepartment of Medicine, Innlandet Hospital Hamar, P.O. Box 4453, N-2326 Hamar, Norway.ORCID 0000-0003-1102-8706
Merete AskimIndependent Researcher, Bromstadvegen 43, N-7045 Trondheim, Norway.
Jan AlexanderNorwegian Institute of Public Health, P.O. Box 222 Skøyen, N-0213 Oslo, Norway.ORCID 0000-0002-6381-5720

Funding

Innlandet Hospital Trust No numberInnlandet Hospital Trust No Number
6 · The paper itself

Abstract

The aim of the present review is to discuss the roles of vitamin K (phylloquinone or menaquinones) and vitamin K-dependent proteins, and the combined action of the vitamins K and D, for the maintenance of bone health. The most relevant vitamin K-dependent proteins in this respect are osteocalcin and matrix Gla-protein (MGP). When carboxylated, these proteins appear to have the ability to chelate and import calcium from the blood to the bone, thereby reducing the risk of osteoporosis. Carboxylated osteocalcin appears to contribute directly to bone quality and strength. An adequate vitamin K status is required for the carboxylation of MGP and osteocalcin. In addition, vitamin K acts on bone metabolism by other mechanisms, such as menaquinone 4 acting as a ligand for the nuclear steroid and xenobiotic receptor (SXR). In this narrative review, we examine the evidence for increased bone mineralization through the dietary adequacy of vitamin K. Summarizing the evidence for a synergistic effect of vitamin K and vitamin D3, we find that an adequate supply of vitamin K, on top of an optimal vitamin D status, seems to add to the benefit of maintaining bone health. More research related to synergism and the possible mechanisms of vitamins D3 and K interaction in bone health is needed.

Indexed as

Bone and BonesOsteocalcinVitamin DVitamin KCalciumCalcium-Binding ProteinsDietary SupplementsExtracellular Matrix ProteinsHumansMatrix Gla ProteinNutritional StatusOsteoporosisCalciumCalcium-Binding ProteinsExtracellular Matrix ProteinsMatrix Gla ProteinOsteocalcinVitamin DVitamin Kbone lossmatrix Gla proteinosteocalcinosteoporosisvascular calcificationvitamin K

Identifiers

PMID39125301
PMCPMC11313760

What OpenQuestion holds

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Registered trials

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.