Meta-analysis2026Open access

Serum vitamin D levels in non-obese women with polycystic ovary syndrome: a systematic review and meta-analysis

Jiang M, Wang T, Huang L

Frontiers in endocrinology · 0 citations

How it was studied

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

Who paid for it

Funding
Independent funding
Government
Fundamental Research Funds for the Central Universities

Based on 1 listed funder(s) and full-text disclosure statement.

Publication

Published
2026-06-16 · Front Endocrinol (Lausanne) · vol. 17 · p. 1839319
Publisher
Frontiers Media
Cited
0 citations · more than 40% of similar papers · 0.0× the field average
References
56 works
Access
Open access (journal) · CC-BY
Research areas
Ovarian function and disorders · Vitamin D Research Studies · Menstrual Health and Disorders
Keywords
Polycystic ovary, Vitamin D and neurology, vitamin D deficiency, Obesity, Meta-analysis, Insulin resistance, Prospective cohort study, Insulin sensitivity
MeSH
humans, polycystic ovary syndrome, insulin resistance, vitamin d deficiency, obesity, vitamin d, female

3 authors

From CN

  • Mei JiangBeijing University of Chinese Medicine
  • Tan WangBeijing University of Chinese Medicine
  • Ling Huang · correspondingBeijing University of Chinese Medicine

Abstract

Introduction

Vitamin D deficiency is linked to increased risk of polycystic ovary syndrome (PCOS) and may worsen metabolic disorders such as insulin resistance. However, evidence remains inconsistent regarding vitamin D status in non-obese women with PCOS. This study aimed to perform the first systematic review and meta-analysis evaluating serum vitamin D levels in non-obese PCOS patients.

Methods

Relevant studies were searched in PubMed, Embase, Cochrane Library, and Web of Science up to May 2025. Eligible studies comparing non-obese PCOS women and healthy controls were included. Two reviewers independently screened articles. Meta-analysis was conducted using a random-effects model, supplemented by subgroup, sensitivity, and publication bias analyses.

Results

Eleven studies involving 533 non-obese PCOS patients and 574 controls were included. No significant differences were found in serum 25(OH)D or 1,25(OH)2D levels between groups. Heterogeneity was mainly attributed to region, diagnostic criteria, BMI, and assay methods. Significant publication bias was detected.

Discussion

Serum vitamin D levels are not significantly associated with non-obese PCOS, implying vitamin D deficiency may be driven by obesity rather than PCOS pathogenesis. Vitamin D supplementation may benefit obese PCOS patients, and further prospective studies are needed.

Systematic review registration

http://www.crd.york.ac.uk/PROSPERO, identifier CRD420251168257.

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

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