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Supplement

Vitamin K

Vitamin K is a fat-soluble vitamin that helps the body activate proteins needed for blood clotting and for binding calcium into bone. People mainly look at it for newborn nutritional support, where the evidence is strong, and for bone health, where reviews of trials found bone density improved. The size of that benefit was moderate, though, and inflammation markers, blood pressure and bruising showed no clear difference in small studies.

Sources: PMID 21674202; PMID 31076817

Best evidence
Grade B
Conditions studied
13
Outcomes
78
Graded outcomes
0408

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

13 conditions

Bone Health: outcomes studied for Vitamin K
GradeOutcomeEffectSizeStudiesPeopleStudies list
Bone Mineral Density

Moderate Improvement

Improves (the measure goes up)Moderate effect18 studies1,049 people

Studies that measured bone mineral density

and 8 more in the citations list

C-Reactive Protein (CRP)

No effect

NoneNo effect379 people
WeightImproves (the measure goes down)2 studies760 people
Fracture RiskChanges; see studies1 study11,112 people
Interleukin 6Improves (the measure goes down)379 people
OsteoprotegerinImproves (the measure goes up)379 people

Osteoporosis: outcomes studied for Vitamin K
GradeOutcomeEffectSizeStudiesPeopleStudies list
Bone Mineral Density

Moderate Improvement

Improves (the measure goes up)Moderate effect18 studies4,800 people

Studies that measured bone mineral density

and 8 more in the citations list

WeightImproves (the measure goes down)2 studies40 people
EstrogenChanges; see studies1 study40 people
Fracture RiskChanges; see studies1 study11,112 people
Total cholesterolImproves (the measure goes down)40 people

Menopause

  • Bone Mineral Density: improves
  • Weight: improves
  • Estrogen: changes; see studies
Menopause: outcomes studied for Vitamin K
GradeOutcomeEffectSizeStudiesPeopleStudies list
Bone Mineral Density

Moderate Improvement

Improves (the measure goes up)Moderate effect18 studies327 people

Studies that measured bone mineral density

and 8 more in the citations list

WeightImproves (the measure goes down)2 studies40 people
EstrogenChanges; see studies1 study40 people
Food IntakeChanges; see studies40 people
High-density lipoprotein (HDL)Improves (the measure goes up)40 people
Low-density lipoprotein (LDL)Improves (the measure goes down)40 people
Total cholesterolImproves (the measure goes down)40 people
TriglyceridesImproves (the measure goes down)40 people

Liver Cancer

  • Cancer Mortality: improves
  • Liver Cancer Risk: changes; see studies
Liver Cancer: outcomes studied for Vitamin K
GradeOutcomeEffectSizeStudiesPeopleStudies list
Cancer Mortality

Small Improvement

Improves (the measure goes down)Small effect1,980 people
Liver Cancer RiskChanges; see studies3 studies1,980 people

Skin Health

  • Bruising
  • Erythema: improves
Skin Health: outcomes studied for Vitamin K
GradeOutcomeEffectSizeStudiesPeopleStudies list
Bruising

No effect

NoneNo effect2 studies54 people

Studies that measured bruising

ErythemaImproves (the measure goes up)2 studies40 people

Surgical Recovery

  • Bruising
  • Erythema: improves
Surgical Recovery: outcomes studied for Vitamin K
GradeOutcomeEffectSizeStudiesPeopleStudies list
Bruising

No effect

NoneNo effect2 studies10 people

Studies that measured bruising

ErythemaImproves (the measure goes up)2 studies20 people

Cardiovascular Disease

  • Blood Pressure
  • Osteocalcin: improves
  • Calcium Score: improves
Cardiovascular Disease: outcomes studied for Vitamin K
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood Pressure

No effect

NoneNo effect1 study60 people

Studies that measured blood pressure

OsteocalcinImproves (the measure goes up)1 study733 people
Calcium ScoreImproves (the measure goes up)733 people
High-density lipoprotein (HDL)Improves (the measure goes up)60 people
Low-density lipoprotein (LDL)Improves (the measure goes down)60 people
Pulse Wave VelocityImproves (the measure goes down)733 people
Total cholesterolImproves (the measure goes down)60 people
TriglyceridesImproves (the measure goes down)60 people

Metabolic Health

  • Adiponectin
  • Insulin Resistance: improves
  • Weight: improves
Metabolic Health: outcomes studied for Vitamin K
GradeOutcomeEffectSizeStudiesPeopleStudies list
Adiponectin

No effect

NoneNo effect42 people
Insulin ResistanceImproves (the measure goes down)2 studies1,548 people
WeightImproves (the measure goes down)2 studies1,548 people
Blood glucoseImproves (the measure goes down)1 study1,548 people

Studies that measured blood glucose

Blood PressureImproves (the measure goes down)1 study1,548 people

Studies that measured blood pressure

InsulinChanges; see studies1 study1,548 people
Body FatImproves (the measure goes down)439 people
Body Mass Index (BMI)Improves (the measure goes down)1,548 people
C-Reactive Protein (CRP)Improves (the measure goes down)421 people
Glycemic ControlImproves (the measure goes up)42 people
HbA1cImproves (the measure goes down)1,548 people
Interleukin 6Improves (the measure goes down)421 people
Low-density lipoprotein (LDL)Improves (the measure goes down)1,548 people
OsteoprotegerinImproves (the measure goes up)379 people
Total cholesterolImproves (the measure goes down)1,548 people
TriglyceridesImproves (the measure goes down)1,548 people
Waist circumferenceImproves (the measure goes down)439 people

Type 2 Diabetes

  • Adiponectin
  • Insulin Resistance: improves
  • Blood glucose: improves
Type 2 Diabetes: outcomes studied for Vitamin K
GradeOutcomeEffectSizeStudiesPeopleStudies list
Adiponectin

No effect

NoneNo effect452 people
Insulin ResistanceImproves (the measure goes down)2 studies452 people
Blood glucoseImproves (the measure goes down)1 study452 people

Studies that measured blood glucose

InsulinChanges; see studies1 study452 people
C-Reactive Protein (CRP)Improves (the measure goes down)452 people
Glycemic ControlImproves (the measure goes up)533 people
Interleukin 6Improves (the measure goes down)452 people
LeptinImproves (the measure goes up)452 people

General Cardiovascular Health

  • Adiponectin
  • Insulin Resistance: improves
  • Weight: improves
General Cardiovascular Health: outcomes studied for Vitamin K
GradeOutcomeEffectSizeStudiesPeopleStudies list
Adiponectin

No effect

NoneNo effect452 people
Insulin ResistanceImproves (the measure goes down)2 studies452 people
WeightImproves (the measure goes down)2 studies1,548 people
Blood glucoseImproves (the measure goes down)1 study452 people

Studies that measured blood glucose

Blood PressureImproves (the measure goes down)1 study60 people

Studies that measured blood pressure

InsulinChanges; see studies1 study452 people
Body Mass Index (BMI)Improves (the measure goes down)1,548 people
C-Reactive Protein (CRP)Improves (the measure goes down)452 people
HbA1cImproves (the measure goes down)1,548 people
High-density lipoprotein (HDL)Improves (the measure goes up)60 people
Interleukin 6Improves (the measure goes down)452 people
LeptinImproves (the measure goes up)452 people
Low-density lipoprotein (LDL)Improves (the measure goes down)60 people
Total cholesterolImproves (the measure goes down)60 people
TriglyceridesImproves (the measure goes down)60 people

Chronic Kidney Disease (CKD)

  • Calcium Score
  • Osteocalcin: improves
  • Pulse Wave Velocity: improves
Chronic Kidney Disease (CKD): outcomes studied for Vitamin K
GradeOutcomeEffectSizeStudiesPeopleStudies list
Calcium Score

No effect

NoneNo effect733 people
OsteocalcinImproves (the measure goes up)1 study733 people
Pulse Wave VelocityImproves (the measure goes down)733 people

Osteopenia

  • Bone Mineral Density: improves
Osteopenia: outcomes studied for Vitamin K
GradeOutcomeEffectSizeStudiesPeopleStudies list
Bone Mineral DensityImproves (the measure goes up)18 studies4,800 people

Studies that measured bone mineral density

and 8 more in the citations list

Telangiectasia (Spider Veins): outcomes studied for Vitamin K
GradeOutcomeEffectSizeStudiesPeopleStudies list
ErythemaImproves (the measure goes up)2 studies20 people

What the published studies found

1 automated reading

Automated reading of the published studies (Decosa evidence engine), for outcomes Dr. Grey has not graded yet. It is not a Dr. Grey grade and does not change one. How it is read

Key findings

  • Bone Mineral DensityBone HealthImproves (the measure goes up)
  • Cancer MortalityLiver CancerImproves (the measure goes down)
  • BruisingSkin Health

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Third-party tested Vitamin K products, in the forms the graded studies used where we can match them.

  • Grade B

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Studies cited

35 studies from PubMed

  1. Effect of vitamin K on bone mineral density: a meta-analysis of randomized controlled trialsJ Bone Miner Metab · PMID 21674202
  2. A longitudinal study of the effect of vitamin K2 on bone mineral density in postmenopausal women a comparative study with vitamin D3 and estrogen-progestin therapyMaturitas · PMID 10227010
  3. Factors affecting bone loss in female endurance athletes: a two-year follow-up studyAm J Sports Med · PMID 14623654
  4. Vitamin K2 supplementation improves hip bone geometry and bone strength indices in postmenopausal womenOsteoporos Int · PMID 17287908
  5. Low-dose vitamin K2 (MK-4) supplementation for 12 months improves bone metabolism and prevents forearm bone loss in postmenopausal Japanese womenJ Bone Miner Metab · PMID 23702931
  6. Vitamin K treatment reduces undercarboxylated osteocalcin but does not alter bone turnover, density, or geometry in healthy postmenopausal North American womenJ Bone Miner Res · PMID 19113922
  7. Effect of vitamin K supplementation on bone loss in elderly men and womenJ Clin Endocrinol Metab · PMID 18252784
  8. Three-year low-dose menaquinone-7 supplementation helps decrease bone loss in healthy postmenopausal womenOsteoporos Int · PMID 23525894
  9. Vitamin K, circulating cytokines, and bone mineral density in older men and womenAm J Clin Nutr · PMID 18689371
  10. Effect of continuous combined therapy with vitamin K(2) and vitamin D(3) on bone mineral density and coagulofibrinolysis function in postmenopausal womenMaturitas · PMID 11886767
  11. Randomized pilot trial of vitamin K2 for bone loss in patients with primary biliary cirrhosisJ Hepatol · PMID 11682046
  12. Effect of vitamin K on bone mineral density and fractures in adults: an updated systematic review and meta-analysis of randomised controlled trials.Osteoporos Int · PMID 31076817
  13. Effect of Vitamin K on Bone Mineral Density and Fracture Risk in Adults: Systematic Review and Meta-Analysis.Biomedicines · PMID 35625785
  14. The Efficacy of Vitamin K, A Member Of Naphthoquinones in the Treatment of Cancer: A Systematic Review and Meta-AnalysisCurr Cancer Drug Targets · PMID 33475062
  15. Effect of menatetrenone, a vitamin k2 analog, on recurrence of hepatocellular carcinoma after surgical resection: a prospective randomized controlled trialAnticancer Res · PMID 23225445
  16. The effect of menatetrenone, a vitamin K2 analog, on disease recurrence and survival in patients with hepatocellular carcinoma after curative treatment: a pilot studyCancer · PMID 16400650
  17. Vitamin K2 (menatetrenone) effectively prevents fractures and sustains lumbar bone mineral density in osteoporosisJ Bone Miner Res · PMID 10750566
  18. Effects of vitamin K supplementation on bone mineral density at different sites and bone metabolism in the middle-aged and elderly population.Bone Joint Res · PMID 39657786
  19. Dietary vitamin K2 supplement improves bone status after lung and heart transplantationTransplantation · PMID 20177349
  20. Vitamin K2 treatment for postmenopausal osteoporosis in IndonesiaJ Obstet Gynaecol Res · PMID 16594930
  21. Vitamin K2 inhibits glucocorticoid-induced bone loss partly by preventing the reduction of osteoprotegerin (OPG)J Bone Miner Metab · PMID 15616893
  22. Vitamin K1 supplementation retards bone loss in postmenopausal women between 50 and 60 years of ageCalcif Tissue Int · PMID 14506950
  23. Time-dependent effects of vitamin K2 (menatetrenone) on bone metabolism in postmenopausal womenEndocr J · PMID 12201222
  24. The effect of vitamin K supplementation on cardiovascular risk factors: a systematic review and meta-analysis.J Nutr Sci · PMID 38282652
  25. Effect of Menaquinone-7 (MK-7) Supplementation on Anthropometric Measurements, Glycemic Indices, and Lipid Profiles: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.Prostaglandins Other Lipid Mediat · PMID 40054729
  26. Possible effects of one week vitamin K (menaquinone-4) tablets intake on glucose tolerance in healthy young male volunteers with different descarboxy prothrombin levelsClin Nutr · PMID 10952797
  27. Effects of topical vitamin K and retinol on laser-induced purpura on nonlesional skinDermatol Surg · PMID 10594627
  28. The role of topical vitamin K oxide gel in the resolution of postprocedural purpuraJ Drugs Dermatol · PMID 19894369
  29. The effects of topical vitamin K on bruising after laser treatmentJ Am Acad Dermatol · PMID 12140470
  30. Lack of the effect of topical vitamin K on bruising after mechanical injuryJ Am Acad Dermatol · PMID 15153914
  31. Vitamin K for the primary prevention of cardiovascular diseaseCochrane Database Syst Rev · PMID 26389791
  32. Effect of vitamin K supplementation on insulin sensitivity: a meta-analysis.Diabetes Metab Syndr Obes · PMID 28496349
  33. Effects of vitamin K supplementation on vascular calcification in chronic kidney disease: A systematic review and meta-analysis of randomized controlled trials.Front Nutr · PMID 36704782
  34. Effect of Vitamin K Supplementation on Glycemic Control: A Systematic Review and Meta-Analysis of Clinical Trials.Horm Metab Res · PMID 29523009
  35. The relationship between vitamin K and T2DM: a systematic review and meta-analysis.Food Funct · PMID 37724446