The Relationship Among Bone Mineral Density, Bone Biomarkers and Vitamin D Levels in Patients with Parkinson's Disease.
Clinical Laboratory, 01 Aug 2020, 66(8) DOI: 10.7754/clin.lab.2019.190615 PDF is behind a paywall
Can NU, Alagöz AN
Idiopathic Parkinson's disease (IPD) is the most common age-related neurodegenerative movement disorder. It causes a decrease and deceleration in movements. It may also lead to loss of bone mineral density, vitamin D deficiency, falls and fractures due to various factors. As indicated in our study, determining the prevalence of osteopenia and osteoporosis in IPD is important to determine complications.
Thirty patients with IPD and 30 age-matched control subjects were included in the study.
The bone mineral density (BMD) measurements of the participants were taken from the lumbar spine (L1-4) and double femur regions using the dual energy X-ray absorptiometry device. Serum 25 (OH) vitamin D, alkaline phosphatase, parathormone, osteocalcin, prolidase and urine hydroxyproline levels were measured.
The femur total BMD and serum 25 (OH) vitamin D levels were lower in the patients with IPD than in the control group (p > 0.05). The serum prolidase and urinary hydroxyproline levels were higher in the IPD group relative to the control group (p < 0.05).
The frequency of osteoporosis and osteopenia was significantly higher in the IPD group than in the control group (p < 0.05).
Patients with Parkinson's disease tend to have lower vitamin D levels than those with a similar age without Parkinson's disease. Vitamin D levels are usually associated with BMD in people with Parkinson's disease, but administering vitamin D does not improve BMD.
Cross-sectional studies suggest a correlation between vitamin D levels and the severity of symptoms of Parkinson's disease. Decreased exposure to sunlight due to immobilisation and reduced vitamin D intake by diet may lead to vitamin D deficiency and low BMD.
There is a negative correlation among the
- duration of disease,
- disease severity,
- number of falls,
- parathormone level
and serum vitamin D level in people with Parkinson's disease.
Consequently, vitamin D levels may be low in Parkinson's disease patients. Therefore, patients with Parkinson's disease should be checked for vitamin D and osteoporosis by considering the risk of hip fracture, fall from a height and high risk of osteoporosis.
VitaminDWiki - Overview Parkinson's and Vitamin D contains
- Vitamin D associated with Parkinson’s Disease in 55 studies, more studies needed- March 2022
- Parkinson's category has
117 studies - Parkinson’s Disease and Vitamin D – review of 52 studies – May 2022
- Parkinson patients: 60 % taking Vitamin D – Dec 2019
- Low Vitamin D increases Parkinson's by 3X– July 2010 "only" a 30 year test, need more study
- Parkinson's disease prevented by Vitamin D, but small doses do not treat it - Aug 2023
- 10 clinical trials for PD with vitamin D intervention as of June 2023
- Parkinson’s Disease Summer School – alternative therapies included 60-80 ng of Vitamin D – Sept 2019
- Associated with PD are: Meta-analyses (
12 ), Cognition ( 24 studies), Multiple Sclerosis ( 18 studies), VIRUS ( 4 studies), Omega-3 ( 3 studies), Vitamin D Receptor ( 11 studies) - Note by the Founder of VitaminDWiki: I have twice recommended lots of Vitamin D to treat PD. Both got much better, but one had his doctor him cut back to just 2,000 IU. All of his recovery got reversed. With lots of vitamin D he could sing and bike, but now he can barely talk or walk
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Parkinson’s – Vitamin D, bone and falls – Aug 20221698 visitors, last modified 10 May, 2023, This page is in the following categories (# of items in each category)