“Nonclassical effects” of vitamin D in menopausal women

Andreeva E.N., Sheremetyeva E.V., Manushakyan G.A.

1) National Medical Research Center of Endocrinology, Ministry of Health of Russia, Moscow, Russia; 2) A.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of Russia, Moscow, Russia; 3) Department of Personalized Medicine, “MEDSI” Companies Group, Moscow, Russia
Traditionally, vitamin D is primarily associated with calcium and phosphorus metabolism and its impact on bone mineral density. This “classical” role of vitamin D has been well investigated; however, the ideas of vitamin D have begun to expand in the 21st century. Vitamin D is also called hormone D; and this hormone is important for producing a wide range of physiological processes in the body. When there is an age-related decrease in sex steroids in a woman, a number of pathological conditions and diseases in postmenopausal women can be caused by deficiency of another significant hormone – hormone D. An update shows that low blood vitamin D levels can be implicated in the pathogenesis of metabolic syndrome and type 2 diabetes mellitus and in the formation of a set of vasomotor complaints during menopause, Alzheimer’s disease, psychological disorders, cardiovascular diseases, decreased physical activity, and other “non-classical” effects. Numerous studies support the enormous impact of vitamin D on women’s health throughout life.
Conclusion. The study of the impact of vitamin D deficiency on the development and course of somatic diseases, affective states and cognitive behavioral manifestations during menopause and the efficacy colecalciferol for their prevention and treatment are of great theoretical and practical value.

Keywords

vitamin D
menopause
metabolic syndrome
obesity
cardiovascular disease
type 2 diabetes
urogenital syndrome
hot flashes

References

  1. Морозова Ю.Е., Тарасова М.А. Физиологическая роль витамина D и значение его дефицита в патогенезе климактерического синдрома. Журнал акушерства и женских болезней. 2018; 67(3): 74-82. [Morozova Yu.E., Tarasova M.A. The physiological role of vitamin D and the significance of its deficiency in the pathogenesis of climacteric syndrome. 2018;67(3):74-82. (in Russian)]. https://dx.doi.org/10.17816/JOWD67374-82.
  2. Калинченко С.Ю., Жиленко М.И., Гусакова Д.А., Тюзиков И.А, Мсхалая Г.Ж., Саблин К.С., Дымова А.В. Витамин D и репродуктивное здоровье женщин. Проблемы репродукции. 2016; 22(4): 28-36. [Kalinchenko S.Yu., Zhilenko M.I., Gusakova D.A., Tyuzikov Raen, Mskhalaya G.Zh., Sablin K.S., Dymova A.V. Vitamin D and Women’s Reproductive Health. Reproduction problems. 2016; 22 (4): 28-36. (in Russian)]. https://doi.org/10.17116/repro201622428-36.
  3. Плещева А.В., Пигарова Е.А., Дзеранова Л.К. Витамин D и метаболизм: факты, мифы и предубеждения. Ожирение и метаболизм. 2012; 2: 33-42. [Pleshcheva A.V., Pigarova E.A., Dzeranova L.K. Vitamin D and metabolism: facts, myths and preconceptions. Obesity and metabolism. 2012; 2: 33-42. (in Russian)].
  4. Buttriss J.L., Lanham S.A. New is a vitamin D fortification strategy needed? Nutr. Bull. 2020; 45(2): 115-22. https://dx.doi.org/10.1111/nbu.12430.
  5. WHO/FAO World Health Organization. Food and Agricultural Organization of the United Nations. Guidelines on food fortification with micronutrients. 2006. Available at: https://www.who.int/nutrition/publications/micronutrients/9241594012/en/ Accessed 26 March 2020.
  6. Пигарова Е.А., Рожинская Л.Я., Белая Ж.Е., Дзеранова Л.К., Каронова Т.Л., Ильин А.В., Мельниченко Г.А., Дедов И.И. Клинические рекомендации Российской ассоциации эндокринологов по диагностике, лечению и профилактике дефицита витамина D у взрослых. Проблемы эндокринологии. 2016; 62(4): 60-84. [Pigarova E.A., Rozhinskaya L.Y., Belaya J.E. et al. Russian Association of Endocrinologists recommendations for diagnosis, treatment and prevention of vitamin D deficiency in adults. Problems of Endocrinology. 2016. 2016; 62(4): 60-84. (in Russian)]. https://dx.doi.org/10.14341/probl201662460-84.
  7. Ng S.Y., Bettany-Saltikov J., Cheung I.Y.K., Chan K.K.Y. The role of vitamin D in the pathogenesis of adolescent idiopathic scoliosis. Asian Spine J. 2018; 12(6): 1127-45. https://dx.doi.org/10.31616/asj.2018.12.6.1127.
  8. Buggio L., Roncella E., Somigliana E., Vercellini P. Vitamin D and benign gynaecological diseases: A critical analysis of the current evidence. Gynecol. Endocrinol. 2015; 16: 1-5.
  9. Merhi Z., Doswell A., Krebs K., Cipolla M. Vitamin D alters genes involved in follicular development and steroidogenesis in human cumulus granulosa cells. J. Clin. Endocrinol. Metab. 2014; 99(6): E1137- 45.
  10. Андреева Е.Н., Шереметьева Е.В. Психические аспекты и нарушение жирового обмена в климактерии.Акушерство и гинекология. 2019; 9: 165-72. [Andreeva E.N., Sheremetyeva E.V. Mental aspects and violation of fat metabolism in menopause. Obstetrics and gynecology. 2019; 9: 165-72. (in Russian)]. https://dx.doi.org/10.18565/aig.2019.9.165-172.
  11. Purdue-Smithe A.C., Whitcomb B.W., Szegda K.L., Boutot M.E., Manson J.E., Hankinson S.E. et al. Vitamin D and calcium intake and risk of early menopause. Am. J. Clin. Nutr. 2017; 105(6): 1493-501.
  12. Purdue-Smithe A.C., Whitcomb B.W., Manson J.E., Hankinson S.E., Troy L.M., Rosner B.A., Bertone-Johnson E.R. Vitamin D status is not associated with risk of early menopause. J. Nutr. 2018; 148(9): 1445-52.
  13. Moghasemi S., Marjani A. The effect of short-term vitamin D supplementation on lipid profile and blood pressure in post-menopausal women: A randomized controlled trial. Iran. J. Nurs. Mdwifery Res. 2014; 19(5):517-21.
  14. Vacek J.L., Vanga S.R., Good M., Lai S.M., Lakkireddy D., Howard P.A. Vitamin D deficiency and supplementation and relation to cardiovascular health. Am. J. Cardiol. 2012; 109: 359-63.
  15. Kwak J.H., Hong Y.C., Choi Y.H. Serum 25-hydroxyvitamin D and hypertension in premenopausal and postmenopausal women: National Health and Nutrition Examination Surveys 2007-2010. Public Health Nutr. 2020; Jan 17: 1-11. https://dx.doi.org/10.1017/S1368980019003665.
  16. Delle Monache S., Di Fulvio P., Iannetti E., Valerii L., Capone L., Nespoli M.G. et al. Body mass index represents a good predictor of vitamin D status in women independently from age. Clin. Nutr. 2019; 38(2): 829-34.
  17. Rahman S.A., Chee W.S., Yassin Z., Chan S.P. Vitamin D status among postmenopausal Malaysian women. Asia Pac. J. Clin. Nutr. 2004; 13: 255-60.
  18. Vázquez-Lorente H., Molina-López J., Herrera-Quintana L., Gamarra-Morales Y., López-González B., Planells E. Association between body fatness and vitamin D3 status in a postmenopausal population. Nutrients. 2020; 12(3): 667. https://dx.doi.org/10.3390/nu12030667.
  19. Ferreira P.P., Cangussu L., Bueloni-Dias F.N., Orsatti C.L., Schmitt E.B., Nahas-Neto J., Nahas E.A.P. Vitamin D supplementation improves the metabolic syndrome risk profile in postmenopausal women. Climacteric. 2020; 23(1): 24-31. https://dx.doi.org/10.1080/13697137.2019.1611761.
  20. Schmitt E.B., Nahas-Neto J., Bueloni-Dias F., Poloni P.F., Orsatti C.L., Petri Nahas E.A. Vitamin D deficiency is associated with metabolic syndrome in postmenopausal women. Maturitas. 2018; 107: 97-102. https://dx.doi.org/10.1016/j.maturitas.2017.10.011.
  21. Григорян О.Р., Андреева Е.Н. Состояние углеводного обмена у женщин в период менопаузы. Сахарный диабет. 2009; 4: 15-20. [Grigoryan O.R., Andreeva E.N. The state of carbohydrate metabolism in women during menopause. Diabetes Mellitus. 2009; 4: 15-20.(in Russian)].
  22. International Diabetes Federation. IDF Diabetes Atlas. 9th ed. Brussels, Belgium: International Diabetes Federation; 2019.
  23. Fondjo L.A., Sakyi S.A., Owiredu W.K.B.A., Laing E.F., Owiredu E.W., Awusi E.K. et al. Evaluating vitamin D status in pre- and postmenopausal type 2 diabetics and its association with glucose homeostasis. Biomed. Res. Int. 2018; 2018: 9369282. https://dx.doi.org/10.1155/2018/9369282.
  24. Rossmanith W.G., Ruebberdt W. What causes hot flushes? The neuroendocrine origin of vasomotor symptoms in the menopause. Gynecol. Endocrinol. 2009; 25(5): 303-14. https://dx.doi.org/10.1080/09513590802632514.
  25. Cass W.A., Smith M.P., Peters L.E. Calcitriol protects against the dopamine- and serotonin-depleting effects of neurotoxic doses of methamphetamine. Ann. N. Y. Acad. Sci. 2006; 1074(1): 261-71. https://dx.doi.org/10.1196/annals.1369.023.
  26. LeBlanc E.S., Desai M., Perrin N., Wactawski-Wende J., Manson J.E., Cauley J.A. et al. Vitamin D levels and menopause-related symptoms. Menopause. 2014; 21(11): 1197-203. https://dx.doi.org/10.1097/GME.0000000000000238.
  27. Polisseni A.F., Andrade A.T., Ribeiro L.C., Castro I.Q., Brandão M., Polisseni F. et al. Effects of a continuous-combined regimen of low-dose hormone therapy (oestradiol and norethindrone acetate) and tibolone on the quality of life in symptomatic postmenopausal women: a double-blind, randomised study. Maturitas. 2013; 74(2): 172-8. https://dx.doi.org/10.1016/j.maturitas.2012.11.001.
  28. Pludowski P., Holick M.F., Pilz S., Wagner C.L., Hollis B.W., Grant W.B. et al. Vitamin D effects on musculoskeletal health, immunity, autoimmunity, cardiovascular disease, cancer, fertility, pregnancy, dementia and mortality — a review of recent evidence. Autoimmun. Rev. 2013; 12(10): 976-89. https://dx.doi.org/10.1016/j.autrev.2013.02.004.
  29. Buell J.S., Dawson-Hughes B., Scott T.M., Weiner D.E., Dallal G.E., Qui W.Q. et al. 25-Hydroxyvitamin D, dementia, and cerebrovascular pathology in elders receiving home services. Neurology. 2010; 74(1): 18-26. https://dx.doi.org/10.1212/WNL.0b013e3181beecb7.
  30. Eyles D.W., Burne T.H., McGrath J.J. Vitamin D, effects on brain development, adult brain function and the links between low levels of vitamin D and neuropsychiatric disease. Front. Neuroendocrinol. 2013; 34(1): 47-64. https://dx.doi.org/10.1016/j. yfrne.2012.07.001.
  31. Dana-Alamdari L., Kheirouri S., Noorazar S.G. Serum 25-Hydroxyvitamin D in patients with major depressive disorder. Iran. J. Public Health. 2015; 44(5): 690-7.
  32. Littlejohns T.J., Henley W.E., Lang I.A., Annweiler C., Beauchet O., Chaves P.H., Fried L., Kestenbaum B.R., Kuller L.H., Langa K.M., Lopez O.L., Kos K., Soni M., Llewellyn D.J. Vitamin D and the risk of dementia and Alzheimer disease. Neurology. 2014 Sep. 2;83(10):920-8. https://dx.doi.org/10.1212/WNL.0000000000000755.
  33. Gowda U., Mutowo M.P., Smith B.J., Wluka A.E., Renzaho A.M. Vitamin D supplementation to reduce depression in adults: meta-analysis of randomized controlled trials. Nutrition. 2015;31(3):421-429. https://dx.doi.org/10.1016/j.nut.2014.06.017.
  34. Khoraminya N., Tehrani-Doost M., Jazayeri S. et al. Therapeutic effects of vitamin D as adjunctive therapy to fluoxetine in patients with major depressive disorder. Aust. N. Z. J. Psychiatry. 2013; 3(47): 271.
  35. Haibin Li, Dianqin Sun, Anxin Wang, Huiying Pan, Wei Feng, Chee H. Ng. et al. Serum 25-Hydroxyvitamin D levels and depression in older adults: A dose–response meta-analysis of prospective cohort studies. Am. J. Geriatr. Psychiatry. 2019; 27(11): 1192-202.
  36. Bener A., Saleh N.M. Low vitamin D, and bone mineral density with depressive symptoms burden in menopausal and postmenopausal women. J. Midlife Health. 2015; 6(3): 108-14. https://dx.doi.org/10.4103/0976-7800.165590.
  37. Okereke O.I., Singh A. The role of vitamin D in the prevention of late-life depression. J. Affect Disord. 2016; 198: 1-14. https://dx.doi.org/10.1016/j.jad.2016.03.022.
  38. Yuan J., Chen T., Lei Y., Wei S., Yu P., Cao Y. et al. Association analysis between vitamin D level and depression in women perimenopause: a protocol of systematic review and meta-analysis. Medicine (Baltimore). 2020; 99(21): e20416. http://dx.doi.org/10.1097/MD.0000000000020416.
  39. Badalian S.S., Rosenbaum P.F. Vitamin D and pelvic floor disorders in women: results from the National Health and Nutrition Examination Survey. Obstet. Gynecol. 2010; 115(4): 795-803. https://dx.doi.org/10.1097/AOG.0b013e3181d34806.
  40. Angelou K., Grigoriadis T., Diakosavvas M., Zacharakis D., Athanasiou S. The genitourinary syndrome of menopause: an overview of the recent data. Cureus. 2020; 12(4): e7586. https://dx.doi.org/10.7759/cureus.7586.
  41. Reichrath J. Unravelling of hidden secrets: The role of vitamin D in skin aging. Dermatoendocrinol. 2012; 4(3): 241-4. https://dx.doi.org/10.4161/derm.21312.
  42. Rasheed H., Mahgoub D., Hegazy R., El-Komy M., Abdel Hay R., Hamid M.A., Hamdy E. Serum ferritin and vitamin D in female hair loss: do they play a role? Skin Pharmacol. Physiol. 2013; 26(2): 101-7. https://dx.doi.org/10.1159/000346698
  43. Buchanan J.R., Santen R., Cauffman S., Cavaliere A., Greer R.B., Demers L.M. The effect of endogenous estrogen fluctuation on metabolism of 25-Hydroxyvitamin D. Calcif. Tissue Int. 1986; 39(3): 139-44. https://dx.doi.org/10.1007/BF02555109.
  44. Vitamin D and Bone Health: A Practical Clinical Guideline for Patient Management National Osteoporosis Society is a registered charity No. 1102712 in England and Wales and no. SC039755 in Scotland. Registered as a company limited by guarantee in England and Wales no. 4995013. November 2018.
  45. Громова О.А. Особенности фармакологии водорастворимой формы витамина D на основе мицелл. Практика педиатра. 2014; 6: 31-7. [Gromova O.A. Features of the pharmacology of the water-soluble form of vitamin D based on micelles. Pediatrician’s Practice. 2014, 31-7. (in Russian)].
  46. Lau F.H., Majumder R., Torabi R. et al. Vitamin D insufficiency is prevalent in severe COVID-19. medRxiv. 2020. https://doi.org/10.1101/2020.04.24.20075838.

Received 13.08.2020

Accepted 11.09.2020

About the Authors

Elena N. Andreeva, MD, PhD, Professor, Endocrinology Research Centre, Moscow, Russia, Moscow State University of Medicine and Dentistry, Moscow, Russia.
ORCID: 0000-0001-8425-0020, eLibrary SPIN: 1239-2937. 117036, Russia, Moscow, Dmitriya Ulyanova str., 11.
Ekaterina V. Sheremetyeva, MD, PhD, Endocrinology Research Centre, Moscow, Russia.
Tel.: +7(963)998-40-22. E-mail: s1981k@yandex.ru. ORCID: 0000-0001-7177-0254, eLibrary SPIN: 9413-5136. 117036, Russia, Moscow, Dmitriya Ulyanova str., 11.
Grigory A. Manushakyan, MD, Doctor of the Department of Personalized Medicine, MEDSI Premium, Russia, Moscow.
ORCID: 0000-0002-2029-5438, eLibrary SPIN: 9587-9455.

For citation: Andreeva E.N., Sheremetyeva E.V., Manushakyan G.A. “Nonclassical effects” of vitamin D in menopausal women.
Akusherstvo i Ginekologiya/ Obstetrics and Gynecology. 2020; 9: 217-224 (in Russian).
https://dx.doi.org/10.18565/aig.2020.9.217-224

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