Vitamin D Supplementation and Cancer Mortality: Narrative Review of Observational Studies and Clinical Trials.


Journal

Nutrients
ISSN: 2072-6643
Titre abrégé: Nutrients
Pays: Switzerland
ID NLM: 101521595

Informations de publication

Date de publication:
21 Sep 2021
Historique:
received: 26 08 2021
revised: 16 09 2021
accepted: 17 09 2021
entrez: 28 9 2021
pubmed: 29 9 2021
medline: 30 9 2021
Statut: epublish

Résumé

Several studies have investigated the beneficial effects of vitamin D on survival of cancer patients. Overall evidence has been accumulating with contrasting results. This paper aims at narratively reviewing the existing articles examining the link between vitamin D supplementation and cancer mortality. We performed two distinct searches to identify observational (ObS) studies and randomized clinical trials (RCTs) of vitamin D supplementation (VDS) in cancer patients and cohorts of general population, which included cancer mortality as an outcome. Published reports were gathered until March 2021. We identified 25 papers published between 2003 and 2020, including n. 8 RCTs on cancer patients, n. 8 population RCTs and n. 9 ObS studies. There was some evidence that the use of VDS in cancer patients could improve cancer survival, but no significant effect was found in population RCTs. Some ObS studies reported evidence that VDS was associated with a longer survival among cancer patients, and only one study found an opposite effect. The findings do not allow conclusive answers. VDS may have the potential as treatment to improve survival in cancer patients, but further investigations are warranted. We strongly support investment in well-designed and sufficiently powered RCTs to fully evaluate this association.

Identifiants

pubmed: 34579164
pii: nu13093285
doi: 10.3390/nu13093285
pmc: PMC8466115
pii:
doi:

Substances chimiques

Vitamins 0
Vitamin D 1406-16-2

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Grant Regione Lombardia. (DECRETO N. 7082 Del 17/06/2020. Identificativo Atto n. 366: CO-Vi-taminD Trial: prevenzione di complicanze da COVID-19 in pazienti oncologici).
ID : 366
Organisme : Federica Bellerba is a Ph.D. student within the European School of Molecular Medicine (SEMM).
ID : NA
Organisme : Italian Ministry of Health with Ricerca Corrente and 5×1,000 funds.
ID : NA

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Auteurs

Patrizia Gnagnarella (P)

Division of Epidemiology and Biostatistics, IEO European Institute of Oncology IRCCS, 20141 Milan, Italy.

Valeria Muzio (V)

Division of Epidemiology and Biostatistics, IEO European Institute of Oncology IRCCS, 20141 Milan, Italy.

Saverio Caini (S)

Institute for Cancer Research, Prevention and Clinical Network (ISPRO), Via Cosimo il Vecchio 2, 50139 Florence, Italy.

Sara Raimondi (S)

Department of Experimental Oncology, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy.

Chiara Martinoli (C)

Department of Experimental Oncology, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy.

Susanna Chiocca (S)

Department of Experimental Oncology, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy.

Claudia Miccolo (C)

Department of Experimental Oncology, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy.

Paolo Bossi (P)

Medical Oncology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health University of Brescia, ASST-Spedali Civili, 25121 Brescia, Italy.

Diego Cortinovis (D)

SC Oncologia Medica, Asst H S Gerardo Monza, 20900 Monza, Italy.

Ferdinando Chiaradonna (F)

Department of Biotechnology and Biosciences, University of Milano-Bicocca, 20126 Milan, Italy.

Roberta Palorini (R)

Department of Biotechnology and Biosciences, University of Milano-Bicocca, 20126 Milan, Italy.

Federica Facciotti (F)

Department of Experimental Oncology, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy.

Federica Bellerba (F)

Department of Experimental Oncology, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy.

Stefania Canova (S)

SC Oncologia Medica, Asst H S Gerardo Monza, 20900 Monza, Italy.

Sara Gandini (S)

Department of Experimental Oncology, IEO, European Institute of Oncology IRCCS, 20141 Milan, Italy.

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Classifications MeSH