Vitamin D3 vs D2 and depression

What 2 graded rows on vitamin d3 vs d2 agree on for depression, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Vitamin D3 vs D2 page, with its PubMed record.

Your question

Vitamin D3 vs D2 and depression

2 rows · 20,333 people

Split. 1 row found an improvement and 1 found no difference.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade C× 1
  • No effect× 1
Rows
2
Trials
19
People
20,333
Pooled reviews may count some twice

Where they differ

From the rows
Trial sizeStudy designWhen published

The best-graded row, grade C, is a meta-analysis of 1,980 people (2023) and found an improvement. 1 row is graded No effect, our grade for adequately powered trials that found no effect.

The row that found no difference was larger: 18,353 people, against 1,980 people for the row that found an improvement.

The row that found an improvement is a pooled review of several trials; the row that found no difference is a single study.

The row that found an improvement is newer (2023) than the row that found no difference (2020).

The rows

1 improved · 1 no difference
  1. Grade CDepressive symptoms in people with depression · Improved

    Meta-analysis, 18 studies · n 1,980 · 2023 · 18 placebo-controlled RCTs in depressed patients (median age 39), literature searched through January 2022

    Varied: daily oral, intermittent high-dose oral and single high-dose intramuscular regimens · Varied across trials

    Vitamin D reduced depressive symptoms more than placebo (SMD −0.49, 95% CI −0.75 to −0.23; I² 81%). Adults responded (SMD −0.70) while children and adolescents did not (SMD 0.10). Bolus doses appeared more effective than daily oral dosing. Dropout did not differ (RR 0.84).

    Row on the Vitamin D3 vs D2 page · PubMed 36716601 (opens PubMed)

  2. No effectDepression or clinically relevant depressive symptoms in adults 50+ (VITAL-DEP) · No difference

    RCT · n 18,353 · 2020 · US adults aged 50+ without clinically relevant depressive symptoms at baseline: 16,657 with no depression history and 1,696 with a past history but no treatment in the prior 2 years (VITAL ancillary study; mean age 67.5)

    2,000 IU/day · Median 5.3 years

    Risk of depression or clinically relevant depressive symptoms did not differ: 609 events on vitamin D3 vs 625 on placebo (12.9 vs 13.3 per 1,000 person-years; HR 0.97, 95% CI 0.87–1.09). No difference in first episodes or recurrences, and no difference in mood-score change (PHQ-8 difference 0.01 points, 95% CI −0.04 to 0.05).

    Row on the Vitamin D3 vs D2 page · PubMed 32749491 (opens PubMed)

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