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Clinical Summary

Does vitamin D supplementation improve muscle strength?

Takeaway

  • In individuals with vitamin D insufficiency, four-month administration of vitamin D showed no effects on muscular strength.

Why this matters

  • Findings warrant future studies including daily dosing, assessment of conutrient status and physical activity, and use of active vitamin D to understand the vitamin D metabolism and musculoskeletal health.

Study design

  • 411 participants (men and women; age, 40–80 years) were randomly assigned to receive a loading dose of 100000 IU (2500 ug) vitamin D3 followed by 20000 IU (500 ug)/week (n=208) or placebo (n=203).
  • Muscle strength was assessed by dynamometers at baseline and after 4 months.
  • Funding: The North Norway Regional Health Authorities.

Key results

  • Serum vitamin D increased by 56.2 ± 22.2 nmol/L in the vitamin D group and reduced by 4.5±12.8 nmol/L in the placebo group (P<.01).
  • No significant difference was observed between both the group in terms of changes in muscle strength including:
    • hip flexion (P=.64),
    • biceps flexion (P=.43),
    • pectorals (P=.43), and  
    • handgrip strength (P=.31).
  • Changes in muscle strength did not differ between vitamin D and placebo group in the analyses stratified on gender (men and women), 25(OH)D levels (>/<25 nmol/L), smoking status (smokers or non-smokers), and BMI (>/< 27 kg/m2).  

Limitations

  • Duration of vitamin D supplementation was small.
  • Study measured only aspect of muscular function.

References


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