Skip to main content
Top
Published in: Reproductive Biology and Endocrinology 1/2018

Open Access 01-12-2018 | Research

Whether vitamin D was associated with clinical outcome after IVF/ICSI: a systematic review and meta-analysis

Authors: Jing Zhao, Xi Huang, Bin Xu, Yi Yan, Qiong Zhang, Yanping Li

Published in: Reproductive Biology and Endocrinology | Issue 1/2018

Login to get access

Abstract

Background

There exist contradictive views on whether the vitamin D has association with clinical outcome of in vitro fertilization (IVF) and/or intracytoplasmic sperm injection (ICSI). The present meta-analysis aim to establish whether vitamin D was associated with clinical outcomes of IVF/ICSI.

Methods

MEDLINE, Google Scholar and the Cochrane Library from database inception to March 2017 were searched. Clinical studies, which evaluated the association of vitamin D level and the clinical outcomes after IVF/ICSI, were included. The Main Outcome Measures were clinical pregnancy, ongoing pregnancy, and live birth.

Results

In the analysis of clinical pregnancy, 9 cohort studies were included. Of which, 2 studies and 3 studies were identified in analyzing ongoing pregnancy and live birth, respectively. Meta-analysis showed trends toward lower clinical pregnancy [RR 0.91, (95% CI 0.77–1.07)] and higher ongoing pregnancy [RR 1.06, (95% CI 0.95–1.19)] for women with deficient level of vitamin D. The probability of live birth for women with deficient level of vitamin D was significantly lower than cases with sufficient level of vitamin D [RR 0.74, (95% CI 0.58–0.90)].

Conclusions

Deficient vitamin D was associated with decreased probability of live birth after IVF/ICSI. So vitamin D should be supplied to women with deficient level vitamin D.
Appendix
Available only for authorised users
Literature
1.
go back to reference Halloran BP, DeLuca HF. Effect of vitamin D deficiency on fertility and reproductive capacity in the female rat. J Nutr. 1980;110:1573–80.CrossRefPubMed Halloran BP, DeLuca HF. Effect of vitamin D deficiency on fertility and reproductive capacity in the female rat. J Nutr. 1980;110:1573–80.CrossRefPubMed
2.
go back to reference Johnson LE, HF DL. Vitamin D receptor null mutant mice fed high levels of calcium are fertile. J Nutr. 2001;131:1787–91.CrossRefPubMed Johnson LE, HF DL. Vitamin D receptor null mutant mice fed high levels of calcium are fertile. J Nutr. 2001;131:1787–91.CrossRefPubMed
3.
go back to reference Kinuta K, Tanaka H, Moriwake T, Aya K, Kato S, Seino Y. Vitamin D is an important factor in estrogen biosynthesis of both female and male gonads. Endocrinology. 2000;141:1317–24.CrossRefPubMed Kinuta K, Tanaka H, Moriwake T, Aya K, Kato S, Seino Y. Vitamin D is an important factor in estrogen biosynthesis of both female and male gonads. Endocrinology. 2000;141:1317–24.CrossRefPubMed
4.
go back to reference Hurley WL, Doane RM. Recent developments in the roles of vitamins and minerals in reproduction. J Dairy Sci. 1989;72:784–804.CrossRefPubMed Hurley WL, Doane RM. Recent developments in the roles of vitamins and minerals in reproduction. J Dairy Sci. 1989;72:784–804.CrossRefPubMed
5.
go back to reference Halhali A, Acker GM, Garabedian M. 1,25-Dihydroxyvitamin D3 induces in vivo the decidualization of rat endometrial cells. J Reprod Fertil. 1991;91:59–64.CrossRefPubMed Halhali A, Acker GM, Garabedian M. 1,25-Dihydroxyvitamin D3 induces in vivo the decidualization of rat endometrial cells. J Reprod Fertil. 1991;91:59–64.CrossRefPubMed
6.
go back to reference Harkness LS, Bonny AE. Calcium and vitamin D status in the adolescent: key roles for bone, body weight, glucose tolerance, and estrogen biosynthesis. J Pediatr Adolesc Gynecol. 2005;18:305–11.CrossRefPubMed Harkness LS, Bonny AE. Calcium and vitamin D status in the adolescent: key roles for bone, body weight, glucose tolerance, and estrogen biosynthesis. J Pediatr Adolesc Gynecol. 2005;18:305–11.CrossRefPubMed
7.
go back to reference Ozkan S, Jindal S, Greenseid K, Shu J, Zeitlian G, Hickmon C, et al. Replete vitamin D stores predict reproductive success following in vitro fertilization. Fertil Steril. 2010;94:1314–9.CrossRefPubMed Ozkan S, Jindal S, Greenseid K, Shu J, Zeitlian G, Hickmon C, et al. Replete vitamin D stores predict reproductive success following in vitro fertilization. Fertil Steril. 2010;94:1314–9.CrossRefPubMed
8.
go back to reference Anifandis GM, Dafopoulos K, Messini CI, Chalvatzas N, Liakos N, Pournaras S, et al. Prognostic value of follicular fluid 25-OH vitamin D and glucose levels in the IVF outcome. Reprod Biol Endocrinol. 2010;8:91.CrossRefPubMedPubMedCentral Anifandis GM, Dafopoulos K, Messini CI, Chalvatzas N, Liakos N, Pournaras S, et al. Prognostic value of follicular fluid 25-OH vitamin D and glucose levels in the IVF outcome. Reprod Biol Endocrinol. 2010;8:91.CrossRefPubMedPubMedCentral
9.
go back to reference Garbedian K, Boggild M, Moody J, Liu KE. Effect of vitamin D status on clinical pregnancy rates following in vitro fertilization. CMAJ Open. 2013;1:E77–82.CrossRefPubMedPubMedCentral Garbedian K, Boggild M, Moody J, Liu KE. Effect of vitamin D status on clinical pregnancy rates following in vitro fertilization. CMAJ Open. 2013;1:E77–82.CrossRefPubMedPubMedCentral
10.
go back to reference Rudick B, Ingles S, Chung K, Stanczyk F, Paulson R, Bendikson K. Characterizing the influence of vitamin D levels on IVF outcomes. Hum Reprod. 2012;27:3321–7.CrossRefPubMed Rudick B, Ingles S, Chung K, Stanczyk F, Paulson R, Bendikson K. Characterizing the influence of vitamin D levels on IVF outcomes. Hum Reprod. 2012;27:3321–7.CrossRefPubMed
11.
go back to reference Rudick BJ, Ingles SA, Chung K, Stanczyk FS, Paulson RJ, Bendikson KA. Influence of vitamin D levels on in vitro fertilization outcomes in donor-recipient cycles. Fertil Steril. 2014;101:447–52.CrossRefPubMed Rudick BJ, Ingles SA, Chung K, Stanczyk FS, Paulson RJ, Bendikson KA. Influence of vitamin D levels on in vitro fertilization outcomes in donor-recipient cycles. Fertil Steril. 2014;101:447–52.CrossRefPubMed
12.
go back to reference Paffoni A, Ferrari S, Vigano P, Pagliardini L, Papaleo E, Candiani M, Tirelli A, Fedele L, Somigliana E. Vitamin D deficiency and infertility insights from in vitro fertilization cycles. J Clin Endocrinol Metal. 2014;99:1–9.CrossRef Paffoni A, Ferrari S, Vigano P, Pagliardini L, Papaleo E, Candiani M, Tirelli A, Fedele L, Somigliana E. Vitamin D deficiency and infertility insights from in vitro fertilization cycles. J Clin Endocrinol Metal. 2014;99:1–9.CrossRef
13.
go back to reference Polyzos NP, Anckaert E, Guzman L, Schiettecatte J, Landuyt LV, Camus M, Smitz J, Tournaye H. Vitamin D deficiency and pregnancy rates in women undergoing single embryo, blastocyst stage, transfer (SET) for IVF/ICSI. Hum Reprod. 2014;29:2032–40.CrossRefPubMed Polyzos NP, Anckaert E, Guzman L, Schiettecatte J, Landuyt LV, Camus M, Smitz J, Tournaye H. Vitamin D deficiency and pregnancy rates in women undergoing single embryo, blastocyst stage, transfer (SET) for IVF/ICSI. Hum Reprod. 2014;29:2032–40.CrossRefPubMed
14.
go back to reference Firouzabadi RD, Rahmani E, Rahsepar M, Firouzabadi MM. Value of follicular fluid vitamin D in predicting the pregnancy rate in an IVF program. Arch Gynecol Obstet. 2014;289:201–6.CrossRefPubMed Firouzabadi RD, Rahmani E, Rahsepar M, Firouzabadi MM. Value of follicular fluid vitamin D in predicting the pregnancy rate in an IVF program. Arch Gynecol Obstet. 2014;289:201–6.CrossRefPubMed
15.
go back to reference Aleyasin A, Hosseini MA, Mahdavi A, Safdarian L, Fallahi P, Mohajeri MR, et al. Predictive value of the level of vitamin D in follicular fluid on the outcome of assisted reproductive technology. Eur J Obstet Gynecol Reprod Biol. 2011;159:132–7.CrossRefPubMed Aleyasin A, Hosseini MA, Mahdavi A, Safdarian L, Fallahi P, Mohajeri MR, et al. Predictive value of the level of vitamin D in follicular fluid on the outcome of assisted reproductive technology. Eur J Obstet Gynecol Reprod Biol. 2011;159:132–7.CrossRefPubMed
16.
go back to reference Van de Vijver A, Drakopoulos P, Van Landuyt L, Vaiarelli A, Blockeel C, Santos-Ribeiro S, et al. Vitamin D deficiency and pregnancy rates following frozen–thawed embryo transfer: a prospective cohort study. Hum Reprod. 2016;31:1749–54.CrossRefPubMed Van de Vijver A, Drakopoulos P, Van Landuyt L, Vaiarelli A, Blockeel C, Santos-Ribeiro S, et al. Vitamin D deficiency and pregnancy rates following frozen–thawed embryo transfer: a prospective cohort study. Hum Reprod. 2016;31:1749–54.CrossRefPubMed
17.
go back to reference Fabris A, Pacheco A, Cruz M, Puente JM, Fatemi H, Garcia-Velasco JA. Impact of circulating levels of total and bioavailable serum vitamin D on pregnancy rate in egg donation recipients. Fertil Steril. 2014;102:1608–12.CrossRefPubMed Fabris A, Pacheco A, Cruz M, Puente JM, Fatemi H, Garcia-Velasco JA. Impact of circulating levels of total and bioavailable serum vitamin D on pregnancy rate in egg donation recipients. Fertil Steril. 2014;102:1608–12.CrossRefPubMed
18.
go back to reference Franasiak JM, Molinaro TA, Dubell EK, Scott KL, Ruiz AR, Forman EJ, et al. Vitamin D levels do not affect IVF outcomes following the transfer of euploid blastocysts. Am J Obstet Gynecol. 2015;212:315e1–6.CrossRef Franasiak JM, Molinaro TA, Dubell EK, Scott KL, Ruiz AR, Forman EJ, et al. Vitamin D levels do not affect IVF outcomes following the transfer of euploid blastocysts. Am J Obstet Gynecol. 2015;212:315e1–6.CrossRef
19.
go back to reference Vanni VS, Vigano P, Somigliana E, Papaleo E, Paffoni A, Pagliardini L, et al. Vitamin D and assisted reproduction technologies: current concepts. Reprod Biol Endocrinol. 2014;12:47.CrossRefPubMedPubMedCentral Vanni VS, Vigano P, Somigliana E, Papaleo E, Paffoni A, Pagliardini L, et al. Vitamin D and assisted reproduction technologies: current concepts. Reprod Biol Endocrinol. 2014;12:47.CrossRefPubMedPubMedCentral
20.
go back to reference Lv SS, Ji YW, Wang XQ, Wang Y, Yong X. Serum vitamin D status and in vitro fertilization outcomes: a systematic review and meta-analysis. Arch Gynecol Obstet. 2016;293:1339–45.CrossRefPubMed Lv SS, Ji YW, Wang XQ, Wang Y, Yong X. Serum vitamin D status and in vitro fertilization outcomes: a systematic review and meta-analysis. Arch Gynecol Obstet. 2016;293:1339–45.CrossRefPubMed
21.
go back to reference Wells G, SBOD. The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of non-randomised Studies in Meta-analysis, Improving Quality and Impact. Oxford: Proceedings or the Third Symposium on Systematic Reviews beyond the Basics; 2000. Wells G, SBOD. The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of non-randomised Studies in Meta-analysis, Improving Quality and Impact. Oxford: Proceedings or the Third Symposium on Systematic Reviews beyond the Basics; 2000.
22.
go back to reference Nesby-O’Dell S, Scanlon KS, Cogswell ME, Gillespie C, Hollis BW, Looker AC, et al. Hypovitaminosis D prevalence and determinants among African American and white women of reproductive age: third National Health and nutrition examination survey, 1988-1994. Am J Clin Nutr. 2002;76:187–92.CrossRefPubMed Nesby-O’Dell S, Scanlon KS, Cogswell ME, Gillespie C, Hollis BW, Looker AC, et al. Hypovitaminosis D prevalence and determinants among African American and white women of reproductive age: third National Health and nutrition examination survey, 1988-1994. Am J Clin Nutr. 2002;76:187–92.CrossRefPubMed
23.
go back to reference Yoshizawa T, Handa Y, Uematsu Y, Takeda S, Sekine K, Yoshihara Y, et al. Mice lacking the vitamin D receptor exhibit impaired bone formation, uterine hypoplasia and growth retardation after weaning. Nat Genet. 1997;16:391–6.CrossRefPubMed Yoshizawa T, Handa Y, Uematsu Y, Takeda S, Sekine K, Yoshihara Y, et al. Mice lacking the vitamin D receptor exhibit impaired bone formation, uterine hypoplasia and growth retardation after weaning. Nat Genet. 1997;16:391–6.CrossRefPubMed
24.
go back to reference Parikh G, Varadinova M, Suwandhi P, Araki T, Rosenwaks Z, Poretsky L, et al. Vitamin D regulates steroidogenesis and insulin-like growth factor binding protein-1 (IGFBP-1) production in human ovarian cells. Horm Metab Res. 2010;42:754.CrossRefPubMed Parikh G, Varadinova M, Suwandhi P, Araki T, Rosenwaks Z, Poretsky L, et al. Vitamin D regulates steroidogenesis and insulin-like growth factor binding protein-1 (IGFBP-1) production in human ovarian cells. Horm Metab Res. 2010;42:754.CrossRefPubMed
25.
go back to reference Aflatoonian A, Mashayekhy M, Mohamadian F, Moghaddam FM. The correlation between follicular fluid anti-mullerian hormone levels and fertilization and embryo quality in ART cycles. Iran J Reprod Med. 2010;8:157–60. Aflatoonian A, Mashayekhy M, Mohamadian F, Moghaddam FM. The correlation between follicular fluid anti-mullerian hormone levels and fertilization and embryo quality in ART cycles. Iran J Reprod Med. 2010;8:157–60.
26.
go back to reference Zarnani AH, Shahbazi M, Salek-Moghaddam A, Zareie M, Tavakoli M, Ghasemi J, et al. Vitamin D(3) receptor is expressed in the endometrium of cycling mice throughout the estrous cycle. Fertil Steril. 2010;93:2738–43.CrossRefPubMed Zarnani AH, Shahbazi M, Salek-Moghaddam A, Zareie M, Tavakoli M, Ghasemi J, et al. Vitamin D(3) receptor is expressed in the endometrium of cycling mice throughout the estrous cycle. Fertil Steril. 2010;93:2738–43.CrossRefPubMed
27.
go back to reference Johnson LE, Deluca HF. Vitamin D receptor null mutant mice fed high levels of calcium are fertile. J Nutrition. 2001;131:1787–91.CrossRef Johnson LE, Deluca HF. Vitamin D receptor null mutant mice fed high levels of calcium are fertile. J Nutrition. 2001;131:1787–91.CrossRef
28.
go back to reference Lerchbaum E, Obermayer-Pietsch B. Mechanisms in endocrinology: vitamin D and fertility: a systematic review. Eur J Endocrinol. 2012;166:765–78.CrossRefPubMed Lerchbaum E, Obermayer-Pietsch B. Mechanisms in endocrinology: vitamin D and fertility: a systematic review. Eur J Endocrinol. 2012;166:765–78.CrossRefPubMed
29.
go back to reference Vigano P, Lattuada D, Mangioni S, Ermellino L, Vignali M, Caporizzo E, et al. Cycling and early pregnant endometrium as a site of regulated expression of the vitamin D system. J Mol Endocrinol. 2006;36:415–24.CrossRefPubMed Vigano P, Lattuada D, Mangioni S, Ermellino L, Vignali M, Caporizzo E, et al. Cycling and early pregnant endometrium as a site of regulated expression of the vitamin D system. J Mol Endocrinol. 2006;36:415–24.CrossRefPubMed
30.
go back to reference Merewood A, Mehta SD, Chen TC, Bauchner H, Holick MF. Association between severe vitamin D deficiency and primary caesarean section. J Clin Endocrinol Metab. 2009;94:940–5.CrossRefPubMed Merewood A, Mehta SD, Chen TC, Bauchner H, Holick MF. Association between severe vitamin D deficiency and primary caesarean section. J Clin Endocrinol Metab. 2009;94:940–5.CrossRefPubMed
31.
go back to reference Shand AW, Nassar N, Von Dadelszen P, Innis SM, Green TJ. Maternal vitamin D status in pregnancy and adverse pregnancy outcomes in a group at high risk for pre-eclampsia. BJOG. 2010;117:1593–8.CrossRefPubMed Shand AW, Nassar N, Von Dadelszen P, Innis SM, Green TJ. Maternal vitamin D status in pregnancy and adverse pregnancy outcomes in a group at high risk for pre-eclampsia. BJOG. 2010;117:1593–8.CrossRefPubMed
32.
go back to reference Soheilykhah S, Mojibian M, Rashidi M, Rahimi-Saghand S, Jafari F. Maternal vitamin D status in gestational diabetes mellitus. Nutr Clin Pract. 2010;25:524–7.CrossRefPubMed Soheilykhah S, Mojibian M, Rashidi M, Rahimi-Saghand S, Jafari F. Maternal vitamin D status in gestational diabetes mellitus. Nutr Clin Pract. 2010;25:524–7.CrossRefPubMed
33.
go back to reference Evans KN, Nguyen L, Chan J, Innes BA, Bulmer JN, Kilby MD, et al. Effects of 25-hydroxyvitamin D3 and 1,25-dihydroxyvitamin D3 on cytokine production by human decidual cells. Biol Reprod. 2006;75:816–22.CrossRefPubMed Evans KN, Nguyen L, Chan J, Innes BA, Bulmer JN, Kilby MD, et al. Effects of 25-hydroxyvitamin D3 and 1,25-dihydroxyvitamin D3 on cytokine production by human decidual cells. Biol Reprod. 2006;75:816–22.CrossRefPubMed
34.
go back to reference Bodnar LM, Catov JM, Simhan HN, Holick MF, Powers RW, Roberts JM. Maternal vitamin D deficiency increases the risk of preeclampsia. J Clin Endocrinol Metab. 2007a;92:3517–22.CrossRefPubMedPubMedCentral Bodnar LM, Catov JM, Simhan HN, Holick MF, Powers RW, Roberts JM. Maternal vitamin D deficiency increases the risk of preeclampsia. J Clin Endocrinol Metab. 2007a;92:3517–22.CrossRefPubMedPubMedCentral
35.
go back to reference Pasco JA, Wark JD, Carlin JB, Ponsonby A-L, Vuillermin PJ, Morley R. Maternal vitamin D in pregnancy may influence not only offspring bone mass but other aspects of musculoskeletal health and adiposity. Med Hypothes. 2008;71:266–9.CrossRef Pasco JA, Wark JD, Carlin JB, Ponsonby A-L, Vuillermin PJ, Morley R. Maternal vitamin D in pregnancy may influence not only offspring bone mass but other aspects of musculoskeletal health and adiposity. Med Hypothes. 2008;71:266–9.CrossRef
36.
go back to reference Chen X, Yin B, Lian R-C, Zhang T, Zhang H-Z, Diao L-H, et al. Modulatory effects of vitamin D on peripheral cellular immunity in patiens with recurrent miscarriage. Am J Reprod Immunol. 2016;76:432–8.CrossRefPubMed Chen X, Yin B, Lian R-C, Zhang T, Zhang H-Z, Diao L-H, et al. Modulatory effects of vitamin D on peripheral cellular immunity in patiens with recurrent miscarriage. Am J Reprod Immunol. 2016;76:432–8.CrossRefPubMed
Metadata
Title
Whether vitamin D was associated with clinical outcome after IVF/ICSI: a systematic review and meta-analysis
Authors
Jing Zhao
Xi Huang
Bin Xu
Yi Yan
Qiong Zhang
Yanping Li
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Reproductive Biology and Endocrinology / Issue 1/2018
Electronic ISSN: 1477-7827
DOI
https://doi.org/10.1186/s12958-018-0324-3

Other articles of this Issue 1/2018

Reproductive Biology and Endocrinology 1/2018 Go to the issue