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All Journal Jurnal Anestesiologi Indonesia MEDIA MEDIKA INDONESIANA International Journal of Science and Engineering (IJSE) JURNAL GIZI INDONESIA Nurse Media Journal of Nursing Jurnal Kedokteran Diponegoro Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Interest : Jurnal Ilmu Kesehatan Jurnal Keperawatan dan Kesehatan Masyarakat CENDEKIA UTAMA Jurnal Epidemiologi Kesehatan Komunitas Medica Hospitalia Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Diponegoro International Medical Journal (DIMJ) Narra J JHeS (Journal of Health Studies) Neurona Jurnal Bidan Cerdas
Dwi Pudjonarko
Fakultas Kedokteran Universitas Diponegoro
Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Impact of vitamin D supplementation on post-stroke rehabilitation outcomes: A systematic review and meta-analysis Murbawani, Etisa A.; Pramukarso, Dodik T.; Muis, Siti F.; Pudjonarko, Dwi; Subagio, Hertanto W.; Tjandra, Kevin C.; Respati, Danendra RP.; Nugraha, Laksmana AK.; Ramadhany, Ghifarie A.; Pranoto, Stephano
Narra J Vol. 5 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i2.1848

Abstract

Each year, there are approximately 12.2 million new stroke cases and 6.5 million stroke-related deaths, with low- and middle-income countries shouldering a disproportionately high financial burden. Studies have associated vitamin D deficiency with arteriosclerosis, left ventricular hypertrophy, and vascular dysfunction, contributing to an elevated risk of stroke. The aim of this study was to evaluate how vitamin D supplementation affects post-stroke outcomes. A comprehensive literature search was performed across PubMed, Scopus, the Cochrane Library, ScienceDirect, Springer Link, ProQuest, and Epistemonikos from April to May 2024. This study focused on comparing the efficacy of vitamin D supplementation versus no supplementation in stroke patients of all ages. Outcome measures included the Functional Ambulation Classification (FAC), Brunnstrom Recovery Stage (BRS), Modified Rankin Scale (mRS), and National Institutes of Health Stroke Scale (NIHSS). Case reports, reviews, and research on other cardiovascular or metabolic issues were excluded. Five authors extracted data and analyzed bias separately using the Risk of Bias Version 2 (RoB V2) algorithms. The results of continuous variables were pooled into the mean difference (MD) along with 95% confidence intervals (CI) using random-effect models. Review Manager 5.4 was used to evaluate the data. Out of the 1,152,449 papers evaluated, six met the inclusion criteria, with a sample size ranging from 42 to 123 patients. Vitamin D supplementation was found to yield better outcomes after stroke. BRS in lower extremities showed better results (MD: 0.59 (95%CI: 0.27–0.91)), NIHSS improved with an MD of -1.47 (95%CI: -2.03–(-0.90)). Furthermore, there was also an improvement in mRS, with an MD of -0.91 (95%CI: -1.25–(-0.56)). In conclusion, vitamin D improved post-stroke outcomes, which supported its supplementation as a part of stroke rehabilitation.
Co-Authors Amin Husni Ani Margawati Annastasia Ediati Aria Nurahman Hendra Kusuma Arif Iskandar Arinta Puspita Wati, Arinta Puspita Aris Catur Bintoro Arlina, Yani Armatussolikha, Herna Rizkia Bagaskoro, Yoseph Cahyo Budisulistyo, Trianggoro Darmawati Ayu Indraswari Dewi Siyamti Diah Pasmanasari, Elta Dian Ratna Sawitri Dodik Pramukarso Dodik Tugasworo Dodik Tugasworo Dodik Tugasworo Pramukarso Edi Dharmana Endang Mahati Fauzi, Muhammad Iqbal Fitria Handayani Fitria Handayani Handayani Fitria Handayani Handayani Handayani, Fitria Hardhono Susanto Hari Peni Julianti Hartono, Jimmy Eko Budi Hassa, Nazwan Hastaning Sakti Herinawati, Herinawati Herman Kristanto Hermawan Istiadi Hermina Sukmaningtyas Ignatius Riwanto, Ignatius Julian Dewantiningrum Koestoer, Clara Krishanti Kusman Ibrahim Latifah Latifah Lestari, Lis Mukti Lis Mukti Lestari M Naharuddin Jenie Mardiyono, Mardiyono Maria Mexitalia Martha Irene Kartasurya Mateus Sakundarno Adi, Mateus Sakundarno Meidiana Dwidiyanti Meutia, Yurida Binta Muis, Siti F. Murbawani, Etisa A. Noegroho, Aji Nugraha, Laksmana AK. Nurahman Hendra Kusuma, Aria OS Hartanto Pangesti, Adelia Pradesta, Rizki Rudwi Pramukarso, Dodik T. Pranoto, Stephano Rahmawati, Maria Belladonna Ramadhany, Ghifarie A. Respati, Danendra RP. Retnaningsih Retnaningsih Rifky Ismail Satrio Adi Wicaksono Setyowati Setyowati Soejoenoes, Ariawan Sri Achadi Nugraheni Stephani Nesya Renamastika Subagio, Hertanto W. Suhartono, Suhartono Suharyo Hadisaputro Suharyo Hadisaputro Sunjata, Winda Putri Suparyatmo, J.B Suryawati, Herlina Tjandra, Kevin C. Udadi Sadhana, Udadi Untung Sujianto Vania Pangestika Purwaningrum