Panacea Index Logo

Command Palette

Search for a command to run...

Vitamin D supplementation and its influence on muscle strength and mobility in community-dwelling older persons: a systematic review and meta-analysis.

Journal of human nutrition and dietetics : the official journal of the British Dietetic Association
February 1, 2017
H Rosendahl-Riise et al. (5 authors)
Journal ArticleMeta-AnalysisReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to determine whether vitamin D with or without calcium supplementation improves muscle strength and mobility in community-dwelling older adults.

Results Summary

The study found no improvement in muscle strength and a small but significant deterioration in mobility after vitamin D with or without calcium supplementation, based on limited studies and participants.

Population

Community-dwelling adults above the age of 65 years.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
vitamin D with or without calcium supplements
no change
muscle strength
community-dwelling older persons
-
no improvement
#1
vitamin D with or without calcium supplements
no change
mobility
community-dwelling older persons
-
no improvement
#2
vitamin D supplementation
no change
hand grip strength (HGS)
participants above the age of 65 years
+0.2 kg (95% confidence interval = -0.25 to 0.7 kg)
nonsignificant change
#3
vitamin D supplementation
increase
timed-up-and-go test
participants above the age of 65 years
0.3 s (95% confidence interval = 0.1 to 0.5 s)
small, significant increase
#4
vitamin D with or without calcium supplements
decrease
mobility
-
-
small but significant deterioration
#5
Abstract

BACKGROUND: It has been suggested that vitamin D status or supplementation is important for maintaining or improving muscle strength and mobility in older adults. The study results, however, do not provide consistent results. We therefore aimed to summarise the available evidence systematically, including only studies conducted in community-dwelling older persons. METHODS: A systematic search of the literature was performed in April of 2016. The systematic review includes studies that used vitamin D with or without calcium supplementation as the exposure variable and various measurements of muscle strength and mobility. The meta-analysis was limited to studies using hand grip strength (HGS) and timed-up-and-go test as the outcome variables. RESULTS: A total of 15 studies out of 2408 articles from the literature search were included in the systematic review, providing 2866 participants above the age of 65 years. In the majority of studies, no improvement in muscle strength and mobility was observed after administration of vitamin D with or without calcium supplements. In the meta-analysis, we observed a nonsignificant change in HGS [+0.2 kg (95% confidence interval = -0.25 to 0.7 kg; seven studies)] and a small, significant increase in the timed-up-and-go test [0.3 s (95% confidence interval = 0.1 to 0.5 s; five studies)] after vitamin D supplementation. The meta-analyses showed a high degree of heterogeneity between the studies. CONCLUSIONS: In conclusion, we observed no improvement in muscle strength after the administration of vitamin D with or without calcium supplements. We did find a small but significant deterioration of mobility. However, this is based on a limited number of studies and participants.

Medical Subject Headings (MeSH)
AgedCalcium, DietaryDatabases, FactualDietary SupplementsHand StrengthHumansMuscle StrengthObservational Studies as TopicRandomized Controlled Trials as TopicTreatment OutcomeVitamin D
Study Links
Quality Scores
SafetyNot Assessed
Efficacy30/10
Quality75/10
Citation Metrics
Total Citations91
Citations/Year11.4
Relative Citation Ratio4.95
NIH Percentile92.9%
Research Impact Scores
APT Score0.95
Weight Score2.13
Normalized Score0.47
Related Supplements
Vitamin D supplementation and its influence on muscle streng... | Panacea Index