The Effects of Vitamin D on Skeletal Muscle Strength, Muscle Mass, and Muscle Power: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Context:There is growing evidence that vitamin D plays a role on several tissues including skeletal muscle.Objective:The aim was to summarize with a meta-analysis, the effects of vitamin D supplementation on muscle function.Data Sources:A systematic research of randomized controlled trials, performe...
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| Published in | The journal of clinical endocrinology and metabolism Vol. 99; no. 11; pp. 4336 - 4345 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article Web Resource |
| Language | English |
| Published |
Bethesda, MD
Oxford University Press
01.11.2014
Copyright by The Endocrine Society Endocrine Society |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-972X 1945-7197 1945-7197 |
| DOI | 10.1210/jc.2014-1742 |
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| Abstract | Context:There is growing evidence that vitamin D plays a role on several tissues including skeletal muscle.Objective:The aim was to summarize with a meta-analysis, the effects of vitamin D supplementation on muscle function.Data Sources:A systematic research of randomized controlled trials, performed between 1966 and January 2014 has been conducted on Medline, Cochrane Database of Systematics Reviews, Cochrane Central Register of Controlled and completed by a manual review of the literature and congressional abstracts.Study Selection:All forms and doses of vitamin D supplementation, with or without calcium supplementation, compared with placebo or control were included. Out of the 225 potentially relevant articles, 30 randomized controlled trials involving 5615 individuals (mean age: 61.1 years) met the inclusion criteria.Data Extraction:Data were extracted by two independent reviewers.Data Synthesis:Results revealed a small but significant positive effect of vitamin D supplementation on global muscle strength with a standardized mean difference (SMD) of 0.17 (P = .02). No significant effect was found on muscle mass (SMD 0.058; P = .52) or muscle power (SMD 0.057; P = .657). Results on muscle strength were significantly more important with people who presented a 25-hydroxyvitamin D level <30 nmol/L. Supplementation seems also more effective on people aged 65 years or older compared to younger subjects (SMD 0.25; 95% CI 0.01 to 0.48 vs SMD 0.03; 95% CI −0.08 to 0.14).Conclusions:Vitamin D supplementation has a small positive impact on muscle strength, but additional studies are needed to define optimal treatment modalities, including dose, mode of administration, and duration. |
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| AbstractList | Context:There is growing evidence that vitamin D plays a role on several tissues including skeletal muscle.Objective:The aim was to summarize with a meta-analysis, the effects of vitamin D supplementation on muscle function.Data Sources:A systematic research of randomized controlled trials, performed between 1966 and January 2014 has been conducted on Medline, Cochrane Database of Systematics Reviews, Cochrane Central Register of Controlled and completed by a manual review of the literature and congressional abstracts.Study Selection:All forms and doses of vitamin D supplementation, with or without calcium supplementation, compared with placebo or control were included. Out of the 225 potentially relevant articles, 30 randomized controlled trials involving 5615 individuals (mean age: 61.1 years) met the inclusion criteria.Data Extraction:Data were extracted by two independent reviewers.Data Synthesis:Results revealed a small but significant positive effect of vitamin D supplementation on global muscle strength with a standardized mean difference (SMD) of 0.17 (P = .02). No significant effect was found on muscle mass (SMD 0.058; P = .52) or muscle power (SMD 0.057; P = .657). Results on muscle strength were significantly more important with people who presented a 25-hydroxyvitamin D level <30 nmol/L. Supplementation seems also more effective on people aged 65 years or older compared to younger subjects (SMD 0.25; 95% CI 0.01 to 0.48 vs SMD 0.03; 95% CI −0.08 to 0.14).Conclusions:Vitamin D supplementation has a small positive impact on muscle strength, but additional studies are needed to define optimal treatment modalities, including dose, mode of administration, and duration. There is growing evidence that vitamin D plays a role on several tissues including skeletal muscle. The aim was to summarize with a meta-analysis, the effects of vitamin D supplementation on muscle function. A systematic research of randomized controlled trials, performed between 1966 and January 2014 has been conducted on Medline, Cochrane Database of Systematics Reviews, Cochrane Central Register of Controlled and completed by a manual review of the literature and congressional abstracts. All forms and doses of vitamin D supplementation, with or without calcium supplementation, compared with placebo or control were included. Out of the 225 potentially relevant articles, 30 randomized controlled trials involving 5615 individuals (mean age: 61.1 years) met the inclusion criteria. Data were extracted by two independent reviewers. Results revealed a small but significant positive effect of vitamin D supplementation on global muscle strength with a standardized mean difference (SMD) of 0.17 (P = .02). No significant effect was found on muscle mass (SMD 0.058; P = .52) or muscle power (SMD 0.057; P = .657). Results on muscle strength were significantly more important with people who presented a 25-hydroxyvitamin D level <30 nmol/L. Supplementation seems also more effective on people aged 65 years or older compared to younger subjects (SMD 0.25; 95% CI 0.01 to 0.48 vs SMD 0.03; 95% CI -0.08 to 0.14). Vitamin D supplementation has a small positive impact on muscle strength, but additional studies are needed to define optimal treatment modalities, including dose, mode of administration, and duration. Context There is growing evidence that vitamin D plays a role on several tissues including skeletal muscle. Objective To summarize with a meta-analyse the effects of vitamin D supplementation on muscle function. Data sources A systematic research of randomized controlled trials, performed between 1966 and January 2014 has been conducted on Medline, Cochrane Database of Systematics Reviews, Cochrane Central Register of Controlled and completed by a manual review of the literature and congressional abstracts. Study selection All forms and doses of vitamin D supplementation, with or without calcium supplementation, compared with placebo or control were included. Out of the 225 potentially relevant articles, 30 randomized controlled trials involving 5615 individuals (mean age: 61.1 years) met the inclusion criteria. Data extraction Data were extracted by two independent reviewers. Data synthesis Results revealed a small but significant positive effect of vitamin D supplementation on global muscle strength with a standardized mean difference (SMD) of 0.17 (p=0.02). No significant effect was found on muscle mass (SMD 0.058; p=0.52) or muscle power (SMD 0.057; p=0.657). Results on muscle strength were significantly more important with people who presented a 25-hydroxyvitamin D level <30 nmol/L. Supplementation seems also more effective on people aged 65 years or older compared to younger subjects (SMD 0.25; 95% CI 0.01 to 0.48 versus SMD 0.03; 95% CI -0.08 to 0.14). Conclusions Vitamin D supplementation has a small positive impact on muscle strength but additional studies are needed to define optimal treatment modalities, including dose, mode of administration and duration. There is growing evidence that vitamin D plays a role on several tissues including skeletal muscle.CONTEXTThere is growing evidence that vitamin D plays a role on several tissues including skeletal muscle.The aim was to summarize with a meta-analysis, the effects of vitamin D supplementation on muscle function.OBJECTIVEThe aim was to summarize with a meta-analysis, the effects of vitamin D supplementation on muscle function.A systematic research of randomized controlled trials, performed between 1966 and January 2014 has been conducted on Medline, Cochrane Database of Systematics Reviews, Cochrane Central Register of Controlled and completed by a manual review of the literature and congressional abstracts.DATA SOURCESA systematic research of randomized controlled trials, performed between 1966 and January 2014 has been conducted on Medline, Cochrane Database of Systematics Reviews, Cochrane Central Register of Controlled and completed by a manual review of the literature and congressional abstracts.All forms and doses of vitamin D supplementation, with or without calcium supplementation, compared with placebo or control were included. Out of the 225 potentially relevant articles, 30 randomized controlled trials involving 5615 individuals (mean age: 61.1 years) met the inclusion criteria.STUDY SELECTIONAll forms and doses of vitamin D supplementation, with or without calcium supplementation, compared with placebo or control were included. Out of the 225 potentially relevant articles, 30 randomized controlled trials involving 5615 individuals (mean age: 61.1 years) met the inclusion criteria.Data were extracted by two independent reviewers.DATA EXTRACTIONData were extracted by two independent reviewers.Results revealed a small but significant positive effect of vitamin D supplementation on global muscle strength with a standardized mean difference (SMD) of 0.17 (P = .02). No significant effect was found on muscle mass (SMD 0.058; P = .52) or muscle power (SMD 0.057; P = .657). Results on muscle strength were significantly more important with people who presented a 25-hydroxyvitamin D level <30 nmol/L. Supplementation seems also more effective on people aged 65 years or older compared to younger subjects (SMD 0.25; 95% CI 0.01 to 0.48 vs SMD 0.03; 95% CI -0.08 to 0.14).DATA SYNTHESISResults revealed a small but significant positive effect of vitamin D supplementation on global muscle strength with a standardized mean difference (SMD) of 0.17 (P = .02). No significant effect was found on muscle mass (SMD 0.058; P = .52) or muscle power (SMD 0.057; P = .657). Results on muscle strength were significantly more important with people who presented a 25-hydroxyvitamin D level <30 nmol/L. Supplementation seems also more effective on people aged 65 years or older compared to younger subjects (SMD 0.25; 95% CI 0.01 to 0.48 vs SMD 0.03; 95% CI -0.08 to 0.14).Vitamin D supplementation has a small positive impact on muscle strength, but additional studies are needed to define optimal treatment modalities, including dose, mode of administration, and duration.CONCLUSIONSVitamin D supplementation has a small positive impact on muscle strength, but additional studies are needed to define optimal treatment modalities, including dose, mode of administration, and duration. CONTEXT:There is growing evidence that vitamin D plays a role on several tissues including skeletal muscle. OBJECTIVE:The aim was to summarize with a meta-analysis, the effects of vitamin D supplementation on muscle function. DATA SOURCES:A systematic research of randomized controlled trials, performed between 1966 and January 2014 has been conducted on Medline, Cochrane Database of Systematics Reviews, Cochrane Central Register of Controlled and completed by a manual review of the literature and congressional abstracts. STUDY SELECTION:All forms and doses of vitamin D supplementation, with or without calcium supplementation, compared with placebo or control were included. Out of the 225 potentially relevant articles, 30 randomized controlled trials involving 5615 individuals (mean age61.1 years) met the inclusion criteria. DATA EXTRACTION:Data were extracted by two independent reviewers. DATA SYNTHESIS:Results revealed a small but significant positive effect of vitamin D supplementation on global muscle strength with a standardized mean difference (SMD) of 0.17 (P = .02). No significant effect was found on muscle mass (SMD 0.058; P = .52) or muscle power (SMD 0.057; P = .657). Results on muscle strength were significantly more important with people who presented a 25-hydroxyvitamin D level <30 nmol/L. Supplementation seems also more effective on people aged 65 years or older compared to younger subjects (SMD 0.25; 95% CI 0.01 to 0.48 vs SMD 0.03; 95% CI −0.08 to 0.14). CONCLUSIONS:Vitamin D supplementation has a small positive impact on muscle strength, but additional studies are needed to define optimal treatment modalities, including dose, mode of administration, and duration. |
| Author | Buckinx, Fanny Beaudart, Charlotte Cavalier, Etienne Petermans, Jean Slomian, Justine Bruyère, Olivier Reginster, Jean-Yves Rabenda, Véronique Gillain, Sophie |
| AuthorAffiliation | Department of Public Health (C.B., F.B., V.R., J.S., J-Y.R., O.B.), Epidemiology and Health Economics, University of Liège, Liège, Belgium; Support Unit in Epidemiology and Biostatistics (C.B., F.B., J.S., J-Y.R., O.B.), University of Liège, Belgium; Geriatric Department (S.G., J.P.), CHU Liège, Liège, Belgium; Department of Clinical Chemistry (E.C.), University of Liège, CHU Sart-Tilman, Liège, Belgium; Bone and Cartilage Metabolism Department (J-Y.R.), CHU Liège, Liège, Belgium; and Department of Motricity Sciences (O.B.), University of Liège, Liège, Belgium |
| AuthorAffiliation_xml | – name: Department of Public Health (C.B., F.B., V.R., J.S., J-Y.R., O.B.), Epidemiology and Health Economics, University of Liège, Liège, Belgium; Support Unit in Epidemiology and Biostatistics (C.B., F.B., J.S., J-Y.R., O.B.), University of Liège, Belgium; Geriatric Department (S.G., J.P.), CHU Liège, Liège, Belgium; Department of Clinical Chemistry (E.C.), University of Liège, CHU Sart-Tilman, Liège, Belgium; Bone and Cartilage Metabolism Department (J-Y.R.), CHU Liège, Liège, Belgium; and Department of Motricity Sciences (O.B.), University of Liège, Liège, Belgium |
| Author_xml | – sequence: 1 givenname: Charlotte surname: Beaudart fullname: Beaudart, Charlotte email: c.beaudart@ulg.ac.be organization: 1Department of Public Health (C.B., F.B., V.R., J.S., J-Y.R., O.B.), Epidemiology and Health Economics, University of Liège, Liège, Belgium – sequence: 2 givenname: Fanny surname: Buckinx fullname: Buckinx, Fanny organization: 1Department of Public Health (C.B., F.B., V.R., J.S., J-Y.R., O.B.), Epidemiology and Health Economics, University of Liège, Liège, Belgium – sequence: 3 givenname: Véronique surname: Rabenda fullname: Rabenda, Véronique organization: 1Department of Public Health (C.B., F.B., V.R., J.S., J-Y.R., O.B.), Epidemiology and Health Economics, University of Liège, Liège, Belgium – sequence: 4 givenname: Sophie surname: Gillain fullname: Gillain, Sophie organization: 3Geriatric Department (S.G., J.P.), CHU Liège, Liège, Belgium – sequence: 5 givenname: Etienne surname: Cavalier fullname: Cavalier, Etienne organization: 4Department of Clinical Chemistry (E.C.), University of Liège, CHU Sart-Tilman, Liège, Belgium – sequence: 6 givenname: Justine surname: Slomian fullname: Slomian, Justine organization: 1Department of Public Health (C.B., F.B., V.R., J.S., J-Y.R., O.B.), Epidemiology and Health Economics, University of Liège, Liège, Belgium – sequence: 7 givenname: Jean surname: Petermans fullname: Petermans, Jean organization: 3Geriatric Department (S.G., J.P.), CHU Liège, Liège, Belgium – sequence: 8 givenname: Jean-Yves surname: Reginster fullname: Reginster, Jean-Yves organization: 1Department of Public Health (C.B., F.B., V.R., J.S., J-Y.R., O.B.), Epidemiology and Health Economics, University of Liège, Liège, Belgium – sequence: 9 givenname: Olivier surname: Bruyère fullname: Bruyère, Olivier organization: 1Department of Public Health (C.B., F.B., V.R., J.S., J-Y.R., O.B.), Epidemiology and Health Economics, University of Liège, Liège, Belgium |
| BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28943494$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/25033068$$D View this record in MEDLINE/PubMed |
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| Snippet | Context:There is growing evidence that vitamin D plays a role on several tissues including skeletal muscle.Objective:The aim was to summarize with a... CONTEXT:There is growing evidence that vitamin D plays a role on several tissues including skeletal muscle. OBJECTIVE:The aim was to summarize with a... There is growing evidence that vitamin D plays a role on several tissues including skeletal muscle. The aim was to summarize with a meta-analysis, the effects... There is growing evidence that vitamin D plays a role on several tissues including skeletal muscle.CONTEXTThere is growing evidence that vitamin D plays a role... Context There is growing evidence that vitamin D plays a role on several tissues including skeletal muscle. Objective To summarize with a meta-analyse the... |
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| SubjectTerms | 25-Hydroxyvitamin D Biological and medical sciences Clinical trials Dietary Supplements Endocrinopathies Feeding. Feeding behavior Fundamental and applied biological sciences. Psychology General & internal medicine Human health sciences Humans Literature reviews Medical sciences Meta-analysis Middle Aged Muscle strength Muscle Strength - drug effects Muscle Strength - physiology Muscle, Skeletal - drug effects Muscle, Skeletal - physiology Musculoskeletal system Médecine générale & interne Randomized Controlled Trials as Topic Sciences de la santé humaine Skeletal muscle Vertebrates: anatomy and physiology, studies on body, several organs or systems Vertebrates: endocrinology Vitamin D Vitamin D - administration & dosage |
| Title | The Effects of Vitamin D on Skeletal Muscle Strength, Muscle Mass, and Muscle Power: A Systematic Review and Meta-Analysis of Randomized Controlled Trials |
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