Evidence map›Paper›PMID 41915083›Full record

Trial reportEuropean journal of nutrition2026

Does inflammation moderate the effect of vitamin D supplementation on depressive symptoms? Results of an interventional study in children and adolescents.

Laura Schlarbaum, Nicole Jankovic, Judith Bühlmeier, Eva Hohoff, Rhea Dankers, Harald Engler, Raphael Hirtz, Denise Zwanziger, Corinna Grasemann, Triinu Peters and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2026. 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

14 authors.

Laura SchlarbaumInstitute of Nutrition, Consumption and Health, Faculty of Natural Sciences, Paderborn University, Warburger Strasse 100, 33098, Paderborn, Germany. laura.schlarbaum@uni-paderborn.de.ORCID http://orcid.org/0009-0001-4969-4459
Nicole JankovicInstitute of Nutrition, Consumption and Health, Faculty of Natural Sciences, Paderborn University, Warburger Strasse 100, 33098, Paderborn, Germany.
Judith BühlmeierInstitute of Nutrition, Consumption and Health, Faculty of Natural Sciences, Paderborn University, Warburger Strasse 100, 33098, Paderborn, Germany.
Eva HohoffInstitute of Nutrition, Consumption and Health, Faculty of Natural Sciences, Paderborn University, Warburger Strasse 100, 33098, Paderborn, Germany.
Rhea DankersInstitute of Nutrition, Consumption and Health, Faculty of Natural Sciences, Paderborn University, Warburger Strasse 100, 33098, Paderborn, Germany.
Harald EnglerInstitute of Medical Psychology and Behavioral Immunobiology, Center for Translational Neuro- and Behavioral Sciences, University Hospital Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45122, Essen, Germany.
Raphael HirtzCenter for Child and Adolescent Medicine, Helios University Hospital Wuppertal, Witten/Herdecke University, Wuppertal, Germany.
Denise ZwanzigerCentral Laboratory, University Hospital Essen (AöR), University of Duisburg-Essen, Hufelandstrasse 55, 45147, Essen, Germany.
Corinna GrasemannDepartment of Pediatrics, Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Triinu PetersSection of Molecular Genetics of Mental Disorders, University Hospital Essen, Essen, Germany.
Anke HinneySection of Molecular Genetics of Mental Disorders, University Hospital Essen, Essen, Germany.
Jochen AntelCenter for Translational Neuro- and Behavioral Sciences, University Hospital Essen, Essen, Germany.
Manuel FöckerDepartment of Child and Adolescent Psychiatry, University Hospital Münster, Albert-Schweitzer-Campus 1, 48149, Münster, Germany.
Lars LibudaInstitute of Nutrition, Consumption and Health, Faculty of Natural Sciences, Paderborn University, Warburger Strasse 100, 33098, Paderborn, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStudies in adults suggest antidepressant effects of vitamin D, possibly via anti-inflammatory pathways, but evidence in youth is lacking. In the first randomized controlled trial (RCT) in depressed, vitamin D-deficient adolescents (DRKS00009758), symptom reduction emerged in only one of three outcomes. This secondary analysis investigates whether baseline inflammatory status modifies the effect of vitamin D.

methodsData from 92 participants (78.3% ♀) of the RCT conducted at the Department of Child and Adolescent Psychiatry were analyzed. All participants were deficient in vitamin D [25(OH)D ≤ 30 nmol/l] and at least mild depressive symptoms [Beck Depression Inventory-II (BDI-II) ≥ 14]. Participants received 2640 IU/day of vitamin D or placebo for 28 days plus treatment as usual. Depressive symptoms were assessed via BDI-II and the Diagnostic System for Mental Disorders in Childhood and Adolescence (DISYPS), self- and proxy-rated. C-reactive protein (CRP) was measured at baseline as an inflammatory marker. Its impact on treatment effects was examined via interaction analyses and stratification by CRP status.

resultsIn 81.5% of the participants, CRP levels were below the threshold for low-grade inflammation (3 mg/L). No consistent interaction between treatment and baseline CRP was observed across outcomes. A nominal interaction for self-rated DISYPS at the 3 mg/L threshold lost significance after correction for multiple testing. Stratified analyses using different CRP thresholds revealed no significant subgroup effects.

conclusionsOverall, our findings do not support the hypothesis that the antidepressant effects of vitamin D supplementation in children and adolescents depend on baseline CRP status—at least within a sample characterized by minimal baseline inflammation.

Indexed as

DepressionDietary SupplementsInflammationVitamin DVitamin D DeficiencyAdolescentBiomarkersChildC-Reactive ProteinFemaleHumansMaleBiomarkersC-Reactive ProteinVitamin DChildren and adolescentsC-reactive protein (CRP)DepressionInflammationVitamin D [25(OH)D]Youth

Identifiers

PMID41915083
PMCPMC13038648

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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.