Parkinson’s – Vitamin D, bone density, insomnia, falls, poor sleep, anxiety – March 2019

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Relationship between 25-Hydroxyvitamin D, bone density, and Parkinson’s disease symptoms

Nutrients 2022,14, 1220. https://doi.org/10.1111/ane
Hui-Jun Zhang, Jin-Ru Zhang, Cheng-Jie Mao, Kai Li, Fen Wang, Jing Chen, Chun-Feng Liu

Objectives
Vitamin D deficiency is widespread in patients with Parkinson's disease (PD). Our aim was to determine whether serum vitamin D levels correlated with bone mineral density (BMD) and non-motor symptoms in patients with PD.

Materials & Methods
A consecutive series of 182 patients with PD and 185 healthy controls were included. Serum 25-hydroxyvitamin D (25OHD) levels were measured by immunoassay, while BMD of the lumbar spine and femoral neck was measured by dual-energy X-ray absorptiometry. Associations between serum vitamin D levels and clinical data were evaluated using partial correlation analysis.

Results
Patients with PD had significantly lower serum 25(OH)D levels relative to healthy controls (49.75 ± 14.11 vs 43.40 ± 16.51, P < 0.001). Furthermore, PD patients with lower vitamin D levels had a significantly higher frequency of falls (P = 0.033) and insomnia (P = 0.015). They also had significantly higher scores for the Pittsburgh Sleep Quality Index (PSQI; P = 0.014), depression (P = 0.020), and anxiety (P = 0.009).
Finally, patients with PD also had a significantly

• lower mean BMD of the lumbar spine (P = 0.011) and femoral neck (P < 0.001).

After adjusting for age, sex, and body mass index, vitamin D levels significantly correlated with

• falls,
• insomnia, and
• scores for the PSQI, depression, and anxiety.

Conclusions
In patients with PD, vitamin D levels significantly correlated with falls and some non-motor symptoms. However, no associations were found between BMD and the serum 25(OH)D levels in patients with PD. Thus, vitamin D supplementation is a potential therapeutic for non-motor PD symptoms.
 Download the PDF from VitaminDWiki

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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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VitaminDWiki – Sleep category contains

101 items in sleep category

A few items in SLEEP category

• Sleep greatly improved by 50,000 IU of vitamin D once every two weeks – RCT Sept 2018
• Sleep disorders nicely treated by Vitamin D (50,000 IU twice a month) – RCT May 2017
• Sleep, Dr. Gominak and Vitamin D - several studies
• Restless Legs Syndrome dramatically reduced by vitamin D, etc
• On the job sleepiness 2.2X more likely if low vitamin D – Feb 2020
• Poor sleep 1.5 X more likely if less than 20 ng of Vitamin D – Feb 2019
• The Better Sleep Vitamin (Vitamin D) – nice 3 dollar book Feb 2015
• The worse the sleep apnea, the lower the vitamin D levels – meta-analysis 2017, 2020
• Vitamin D for better sleep video - Dec 2021
• 5X increase in sleep problems in a decade in US Veterans
• Sleep Apnea and Vitamin D - many studies
• Melatonin and Vitamin D - many studies does much more than improve sleep

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VitaminDWiki – Falls and Fractures category contains

• 258 items in FALLS and FRACTURES
• Vitamin D and Calcium cost-effectively reduce falls and fractures – April 2019
• see also Overview Seniors and Vitamin D
  • Overview Fractures and Falls and Vitamin D
  • Overview Fractures and vitamin D
  • Muscles and Vitamin D - many studies

Falls

• Fall prevention - Vitamin D is one of the ways - umbrella review Jan 2024
• Deaths due to falls doubled in just a decade (age-adjusted, perhaps decreased vitamin D) – June 2019
• Preventing Falls in Older Adults – Vitamin D combination is the best - JAMA Meta-analysis Nov 2017
• Falls cut in half by 100,000 IU vitamin D monthly - RCT 2016
• Falls reduced by a third if achieved 40 ng level vitamin D– RCT Sept 2018
  • Note: It took 6 months to get to that level. Most trials last only 3 months
• Vitamin D prevents falls – majority of meta-analyses conclude – meta-meta analysis Feb 2015
• Falls reduced by Vitamin D: 13 percent reduction if more than 700 IU – review of 38 trials – Aug 2022

Left hand column section as of Nov 2024

Fracture

• Hip fractures are predicted by 10 factors – low Vitamin D is the biggest – Aug 2023
• Vitamin D and fractures – 24 meta-analyses and counting – Dec 2014
• Low trauma bone fractures in seniors – considering Vitamin D loading dose for all, without testing – Nov 2019
• Vitamin K (any amount and any kind) reduced bone fractures by 24 percent – meta-analysis – May 2019
• 77+ Hip fracture items in VitaminDWiki title   Click here for details examples:
  • Risk of Hip fracture cut in half if Vitamin D was prescribed - Aug 2023
  • Call to action: Vitamin D to prevent of treat hip fracture (50,000 weekly for 8 weeks, then bi-weekly) – Holick July 2020

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14+ VitaminDWiki pages have ANXIETY in the title

This list is automatically updated