Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Chronic Liver Disease & Vitamin D Supplementation

Cochrane; 2017 Nov 3; Bjelakovic, et al

Although vitamin D deficiency often occurs in patients with chronic liver disease, there’s no evidence to suggest vitamin D supplementation has any impact on all-cause mortality, liver-related deaths, health-related quality of life, or adverse events. This according to a recent Cochrane Library review that offered:

  • Vitamin D3, vitamin D2, 1,25-dihydroxyvitamin D, and 25-dihydroxyvitamin D supplements did not influence any of the end points described above.
  • Since too few trials addressed the question being studied by the Cochrane reviewers, it is still possible that larger, well-designed randomized trials might lead to different conclusions.
  • The analysis did not address the impact of vitamin D supplements on the well-documented consequence of vitamin D deficiency, including calcium malabsorption, bone demineralization, secondary hyperparathyroidism, and osteomalacia.

Citation:

Bjelakovic G, Nikolova D, Bjelakovic M, Gluud C. Vitamin D supplementation for chronic liver diseases in adults. Cochrane Database of Syst Rev. 2017, Issue 11. Art. No.: CD011564. doi:10.1002/14651858.CD011564.pub2.