Nutritional PsychiatryNano et al.Meta-Analysis
Vitamin D deficiency and depressive episodes in adolescents and young adults: systematic review and meta-analysis
Background We conducted a systematic review and meta-analysis to examine the association between vitamin D deficiency and depression in adolescents (10–17 years) and young adults (18–39 years). Methods We searched databases and reference lists (inception to October 2025, limited to English studies). We extracted data and assessed study quality using the Newcastle-Ottawa Scale. We used random-effects meta-analyses to determine mean difference scores in vitamin D serum levels (depressed vs. non-depressed), odds ratios for vitamin D categories (insufficiency and deficiency), and subgroup analyses (gender). We assessed statistical heterogeneity using I 2 , with leave-one-out as a sensitivity analysis. Results From 11,309 citations, we found 19 studies between 2010 and 2025 (mean=28,824; range: 51 to 483,683). Eleven studies (58%) found that vitamin D insufficiency (50–75 nmol/L) and deficiency (<50 nmol/L) were significantly associated with depression. Our meta-analysis revealed that the depressed population of young adults and adolescents had a significantly lower mean vitamin D levels than non-depressed participants (random-effect MD=-17.77 nmol/L [-30.12,-5.42]; p=0.005; I 2 =95%, heterogeneity P<0.001). We found a borderline significant association between depression and vitamin D deficiency (random-effect OR=2.06 [1.02, 4.17], p=0.05; I 2 =95%, heterogeneity P<0.001) but no association with vitamin D insufficiency (random-effect OR=0.94 [0.74, 1.21]; p>0.05; I 2 =0%, heterogeneity P>0.05). Leave-one-out sensitivity analysis produced overall consistent results. Female participants had a significantly stronger association (random-effect OR=1.96 [1.05, 3.63], p=0.03, I 2 =97%, heterogeneity P<0.001). Conclusion Our systematic review suggested that vitamin D deficiency is significantly associated with depression, with exploratory findings indicating potential variations by sex.




