topicVitamin K2 Bone Turnover Randomized Trial
claimIn the Global Burden of Disease 2019 analysis, low bone mineral density was associated with about 438,000 deaths and 166 million disability-adjusted life years, with large increases since 1990 ().
evidence level1
citationZhang Zechen (2025)
sourceThe effect of vitamin K2 supplementation on bone turnover biochemical markers in postmenopausal osteoporosis patients: a systematic review and meta-analysis
topicVitamin K2 Bone Turnover Randomized Trial
claimIn a cross-sectional study of 900 Chinese adults, higher ucOC was associated with lower BMD at the spine, femoral neck, and hip, and with higher P1NP and β-CTX, indicating increased turnover ().
evidence level1
citationZhang Zechen (2025)
sourceThe effect of vitamin K2 supplementation on bone turnover biochemical markers in postmenopausal osteoporosis patients: a systematic review and meta-analysis
topicVitamin K2 Bone Turnover Randomized Trial
claimK2 deficiency has been linked to the “calcium paradox,” with insufficient skeletal deposition and increased vascular calcification ().
evidence level1
citationZhang Zechen (2025)
sourceThe effect of vitamin K2 supplementation on bone turnover biochemical markers in postmenopausal osteoporosis patients: a systematic review and meta-analysis
topicVitamin K2 Bone Turnover Randomized Trial
claimIt is characterized by low bone mass and deterioration of bone microarchitecture.
evidence level1
citationZhang Zechen (2025)
sourceThe effect of vitamin K2 supplementation on bone turnover biochemical markers in postmenopausal osteoporosis patients: a systematic review and meta-analysis
topicVitamin K2 Bone Turnover Randomized Trial
claimEvidence arises simultaneously from metabolic research, neuroendocrinology, hepatology, reproductive biology, and matrix biochemistry, yet these fields differ substantially in experimental models, assay methodologies, isoform definitions, and clinical endpoints.
evidence level3
citationDerwich Wiktor (2026)
sourceOsteocalcin Beyond Bone: Molecular Mechanisms, Endocrine Networks, and Translational Perspectives Across Metabolism, Neurobiology, and Chronic Disease
topicVitamin K2 Bone Turnover Randomized Trial
claimThis narrative review aims to unify these perspectives by: (a) summarizing structural determinants and carboxylation-dependent isoform biology; (b) outlining receptor-level mechanisms across target organs; (c) consolidating human evidence, including clamp-validated metabolic data; and (d) clarifying methodological and analytical limitations that critically shape the interpretation of OCN physiology.
evidence level3
citationDerwich Wiktor (2026)
sourceOsteocalcin Beyond Bone: Molecular Mechanisms, Endocrine Networks, and Translational Perspectives Across Metabolism, Neurobiology, and Chronic Disease
topicVitamin K2 Bone Turnover Randomized Trial
claimAs this is a narrative review, no formal eligibility criteria, protocol registration, or risk-of-bias tools were applied; studies were selected based on relevance, biological coherence, and their conceptual contribution to OCN physiology.
evidence level3
citationDerwich Wiktor (2026)
sourceOsteocalcin Beyond Bone: Molecular Mechanisms, Endocrine Networks, and Translational Perspectives Across Metabolism, Neurobiology, and Chronic Disease
topicVitamin K2 Bone Turnover Randomized Trial
claimBone is increasingly recognized as an endocrine organ, and osteocalcin (OCN) exemplifies this paradigm shift.
evidence level3
citationDerwich Wiktor (2026)
sourceOsteocalcin Beyond Bone: Molecular Mechanisms, Endocrine Networks, and Translational Perspectives Across Metabolism, Neurobiology, and Chronic Disease