Low levels
of Vitamin D linked to muscle fat, decreased strength in young
There’s an epidemic in progress, and it
has nothing to do with the flu. A ground-breaking study published in the March
2010 Journal of Clinical Endocrinology
and Metabolism found an astonishing 59 per cent of study subjects had too
little Vitamin D in their blood. Nearly a quarter of the group had serious
deficiencies (less than 20 ng/ml) of this important vitamin. Since Vitamin D
insufficiency is linked to increased body fat, decreased muscle strength and a
range of disorders, this is a serious health issue.
“Vitamin D insufficiency is a risk factor
for other diseases,” explains principal investigator, Dr. Richard Kremer,
co-director of the Musculoskeletal Axis of the Research Institute of the MUHC.
“Because it is linked to increased body fat, it may affect many different parts
of the body. Abnormal levels of Vitamin D are associated with a whole spectrum
of diseases, including cancer, osteoporosis and diabetes, as well as
cardiovascular and autoimmune disorders.”
The study by Dr. Kremer and
co-investigator Dr. Vincente Gilsanz, head of musculoskeletal imaging at the
Children’s Hospital Los Angeles of the University of Southern California, is
the first to show a clear link between Vitamin D levels and the accumulation of
fat in muscle tissue – a factor in muscle strength and overall health.
Scientists have known for years that Vitamin D is essential for muscle
strength. Studies in the elderly have showed bedridden patients quickly gain
strength when given Vitamin D.
The study results are especially
surprising, because study subjects – all healthy young women living in
California – could logically be expected to benefit from good diet, outdoor
activities and ample exposure to sunshine – the trigger that causes the body to
produce Vitamin D.
“We are not yet sure what is causing
Vitamin D insufficiency in this group,” says Dr. Kremer who is also Professor
of Medicine at McGill University. High levels of Vitamin D could help reduce
body fat. Or, fat tissues might absorb or retain Vitamin D, so that people with
more fat are likely to also be Vitamin D deficient.”
The results extend those of an earlier
study by Dr. Kremer and Dr. Gilsanz, which linked low levels of Vitamin D to
increased visceral fat in a young population. “In the present study, we found
an inverse relationship between Vitamin D and muscle fat,” Dr. Kremer says.
“The lower the levels of Vitamin D the more fat in subjects’ muscles.”
Vitamin D Tied to Muscle Power in Adolescent Girls
Vitamin
D is significantly associated with muscle power and force in adolescent girls,
according to a new study in The Endocrine Society’s Journal of Clinical Endocrinology & Metabolism (JCEM). The
article “Vitamin D Status and Muscle Function in Post-Menarchal Adolescent
Girls,” appeared in the February 2009 issue.
Although
vitamin D is naturally produced in the body through exposure to direct
sunlight, vitamin D deficiency has become widely common in the United States.
Vitamin D deficiency has been shown to have a significant negative impact on
muscle and bone health, and can lead to conditions including osteoporosis and
rickets.
“We
know vitamin D deficiency can weaken the muscular and skeletal systems, but
until now, little was known about the relationship of vitamin D with muscle
power and force,” said Dr. Kate Ward, Ph.D., of the University of Manchester in
the U.K., and lead author of the study. “Our study found that vitamin D is
positively related to muscle power, force, velocity and jump height in adolescent
girls.”
For
this study, researchers followed 99 adolescent girls between the ages of 12 and
14 years. Dr. Ward and her colleagues took blood samples to measure the girls’
serum levels of vitamin D. Many of these girls were found to have low levels of
vitamin D despite not presenting any symptoms.
Researchers
used a novel outcome measure called jumping mechanography to measure muscle
power and force. Jumping mechanography derives power and force measurements
from a subject’s performance in a series of jumping activities. Dr. Ward says
this method of testing is ideal as the muscles required to jump are those most
often affected in subjects with vitamin D deficiency. Girls without vitamin D
deficiency performed significantly better in these tests.
“Vitamin
D affects the various ways muscles work and we’ve seen from this study that
there may be no visible symptoms of vitamin D deficiency,” said Dr. Ward.
“Further studies are needed to address this problem and determine the necessary
levels of vitamin D for a healthy muscle system.”
Vitamin D proven to boost energy -- from within the cells
Vitamin D is vital for making our muscles
work efficiently and boosting energy levels, new research from Newcastle
University has shown.
A study led by Dr Akash Sinha has shown
that muscle function improves with Vitamin D supplements which are thought to
enhance the activity of the mitochondria, the batteries of the cell.
A hormone normally produced in the skin
using energy from sunlight, Vitamin D can also be found in a few foods –
including fish, fish liver oils, egg yolks and fortified cereals but it can
also be effectively boosted with Vitamin D supplements.
It is thought around 60% of people in the
UK are vitamin D deficient, with children under five, people with dark skin and
the elderly being particularly vulnerable. While it has a well-established
association with helping in bone formation and a deficiency can lead to
rickets, its role in other health issues is just emerging.
The researchers used non-invasive
magnetic resonance scans to measure the response to exercise in 12 patients
with severe deficiency before and after treatment with vitamin D.
Lead author Dr Akash Sinha who also works
within the Newcastle upon Tyne Hospitals NHS Foundation Trust said: "The
scans provided a unique window into what is really going on in the muscle as it
works.
"Examining this small group of
patients with vitamin D deficiency who experienced symptoms of muscle fatigue,
we found that those with very low vitamin D levels improved their muscle
efficiency significantly when their vitamin D levels were improved."
Alongside poor bone health, muscle
fatigue is a common symptom in vitamin D deficient patients. This fatigue could
be due to reduced efficiency of the mitochondria: the 'power stations' within
each cell of the body.
Mitochondria use glucose and oxygen to
make energy in a form that can be used to run the cell - an energy-rich
molecule called ATP. Muscle cells need large amounts of ATP for movement and
they use phosphocreatine as a ready and available energy source to make ATP.
The mitochondria also replenish this phosphocreatine store after muscle
contraction and measuring the time taken to replenish these stores is a measure
of mitochondrial efficiency: better mitochondrial function is associated with
shorter phosphocreatine recovery times.
The team found that these recovery rates
significantly improved after the patients took a fixed dose of oral vitamin D
for 10-12 weeks. The average phosphocreatine recovery half time decreased from
34.4 sec to 27.8 sec. All patients reported an improvement in symptoms of
fatigue after having taken the supplements. In a parallel study, the group
demonstrated that low Vitamin D levels were associated with reduced
mitochondrial function.
Dr Sinha added: "We have proved for
the first time a link between vitamin D and mitochondria function.
"Of the patients I see, around 60%
are vitamin D deficient and most people living north of Manchester will
struggle to process enough vitamin D from sunlight alone, particularly during
winter and spring. So a simple vitamin D tablet could help boost your energy
levels – from within the cells."
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