Research Summary
Analyzed using Evidence Intelligence™

Vitamin D improves telomere length and activity in prediabetes.

Last updated September 3, 2026

Key finding

LTL increased significantly in the intervention group by week 52 (P = .004) and became more pronounced at week 78 (P = .001), representing a 14.5% increase from baseline.

This study investigated the effects of Vitamin D3 supplementation on leukocyte telomere length and telomerase activity in Asian Indian women with prediabetes over 78 weeks.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study investigated the effects of Vitamin D3 supplementation on leukocyte telomere length and telomerase activity in Asian Indian women with prediabetes over 78 weeks.

Clinical relevance

These findings suggest that Vitamin D3 supplementation could play a role in improving cellular aging and health in women with prediabetes, potentially impacting their long-term health outcomes and risk of developing diabetes.

Keep in mind

The study's population was limited to Asian Indian women, affecting generalizability. The long-term effects beyond 78 weeks were not assessed. The study did not evaluate other potential confounding factors.

Published in

Journal Reference

Publication details and source links for this paper.

Surya PB, Shivam P, Anoop M. Vitamin D supplementation, over 78 weeks, is independently associated with increased LTL and telomerase activity in Asian Indian women with prediabetes. Journal of the Endocrine Society. 2025;9(9):bvaf124. doi:10.1210/jendso/bvaf124

Main Effects

Leukocyte telomere length increased by 14.5% from baseline by week 78 (P = .001).

Telomerase activity increased by 16.2% from baseline by week 78 (P < .0001).

Evidence network

How this study fits

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Evidence Context

This study contributes evidence to Vitamin D supplementation and Telomerase activity, Telomere length change.

Primary intervention

Vitamin D supplementation

Primary outcomes

  • Telomerase activity
  • Telomere length change

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

2
Evidence pairs
2
Relationships
0
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 46

0

Related topics

2

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 2 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Telomerase activity

Vitamin D supplementation → Telomerase activity

Vitamin D supplementation → Telomerase activity

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Telomere length change

Vitamin D supplementation → Telomere length change

Vitamin D supplementation → Telomere length change

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Leukocyte telomere length increased significantly by 14.5% (P = .001).
  • Telomerase activity showed a 16.2% increase (P < .0001) by week 78.
who this applies

Who this applies to

  • Asian Indian women aged 18-65 years.
  • Individuals diagnosed with prediabetes.
keep in mind

Keep in Mind

  • Results may not apply to men or other ethnic groups.
  • The study focused solely on Vitamin D3 without considering other interventions.
  • Further research is needed to explore long-term effects and mechanisms.
between the lines

Between the Lines

  • The study's population was limited to Asian Indian women, affecting generalizability.
  • The long-term effects beyond 78 weeks were not assessed.
  • The study did not evaluate other potential confounding factors.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Vitamin D supplementation and Telomerase activity, Vitamin D supplementation and Telomere length change.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Vitamin D supplementation improve telomerase activity?

Emerging Evidence

Vitamin D supplementation appears to improve telomerase activity.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Telomerase activity

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Vitamin D supplementation improve telomere length change?

Emerging Evidence

Vitamin D supplementation appears to improve telomere length change.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Telomere length change

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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