Meta-analysis2025Industry fundedOpen access

Funded in part by dsm-firmenich

A systematic review and meta-analysis of circulating 25-hydroxyvitamin D concentration and vitamin D status worldwide

Dunlop E, Pham NM, Van Hoang D, Mazahery H, Neo B, Shrapnel J, Kalmpourtzidou A, Chai KEK, Ng L, Black LJ

Journal of public health (Oxford, England) · 18 citations

Review labels

Author industry tiesIndustry funded

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Meta-analysis (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Industry funded
University or hospital
Curtin University of Technology
Company
dsm-firmenich
Authors
At least one author declares a financial tie to industry

Based on 2 listed funder(s) and full-text disclosure statement.

Publication

Published
2025-07-13 · J Public Health (Oxf) · vol. 47 · issue 4 · pp. e520–e529
Publisher
Oxford University Press
Cited
24 citations · more than 99% of similar papers · 7.5× the field average
Impact
Top 10% most cited in its field
References
30 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Vitamin D Research Studies · Nutrition, Genetics, and Disease · Health, Environment, Cognitive Aging
Keywords
Medicine, Vitamin D and neurology, Meta-analysis, Confidence interval, vitamin D deficiency, Public health, Demography, Epidemiology, Cohort study, Environmental health, MEDLINE, Internal medicine, Pathology, Biology
MeSH
humans, vitamin d deficiency, vitamin d, prevalence, cross-sectional studies, adult, female, male, global health

10 authors

From AU, IT

  • Eleanor DunlopDeakin University; Curtin University
  • Ngoc Minh PhamCurtin University
  • Dong Van HoangCurtin University
  • Hajar MazaheryCurtin University
  • Belinda NeoCurtin University
  • Jillian ShrapnelCurtin University

Abstract

Background

Vitamin D deficiency is a public health concern; however, data on its global prevalence are limited. We reported pooled mean circulating 25-hydroxyvitamin D (25(OH)D) concentration and estimated the prevalence of concentration according to commonly reported thresholds for general, healthy populations worldwide.

Methods

We searched MEDLINE, Embase, Web of Science, Global Index Medicus and grey literature sites. We included cross-sectional and cohort studies published since 2011 that reported circulating 25(OH)D concentration in general, healthy populations of all ages. Using random-effects meta-analysis, we pooled data on circulating 25(OH)D concentration and prevalence estimates according to thresholds by continent, country, latitude, sex, adults/children, season, assay, and study quality. PROSPERO registration: CRD42021242466.

Results

Eligible publications (n = 586) included 2 370 136 eligible participants across 102 countries. The pooled mean (95% confidence interval [CI]) overall circulating 25(OH)D concentration was 53.9 (52.6-55.1) nmol/L (529 publications; 1 412 281 participants). The pooled prevalence of concentration < 30, < 50, and < 75 nmol/L was 18, 47, and 75%, respectively (403 studies; 1 508 830 participants).

Conclusions

Low vitamin D status is prevalent across general, healthy populations worldwide. Governments, health organizations and policy makers could use these findings to identify regions in need of public health strategies for improving vitamin D status.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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