Serum vitamin D status inversely associates with a prevalence of severe sarcopenia among female patients with rheumatoid arthritis
Sci Rep. 2021 Oct 14;11(1):20485. doi: 10.1038/s41598-021-99894-6.
Hiroto Minamino # 1 2, Masao Katsushima # 3, Mie Torii 4, Wataru Yamamoto 5, Yoshihito Fujita 1, Kaori Ikeda 1, Emi Okamura 1, Kosaku Murakami 3, Ryu Watanabe 6 7, Koichi Murata 6 8, Hiromu Ito 6 8 9, Masao Tanaka 6, Hidenori Arai 10, Shuichi Matsuda 8, Akio Morinobu 3 6, Nobuya Inagaki 1, Motomu Hashimoto 6 7
Sarcopenia (muscle loss) and Vitamin D page contains
To gain muscle, many studies have found that you need some of the following:
Exercise - just even walking (Intermittent high intensity exercise is much better)
Vitamin D - at least 800 IU/day,
Loading dose will show improvements in weeks instead of 4+ months
Protein - perhaps 1gm/kg/day in a form appropriate for existing stomach acid
Calcium - 300 mg?
Omega-3
See also Bone Health reduce falls and fractures Fraility and Vitamin D - many studies Overview Muscles and Vitamin D
VitaminDWiki pages containing SARCOPENIA in title
(16 as of Oct 2021)
This list is automatically updated
 Download the PDF from VitaminDWiki
Sarcopenia is an age-related disease with an increased risk of mortality. It is emerging that low serum 25-hydroxyvitamin D [25(OH)D] affects the sarcopenic state in general, but in rheumatoid arthritis (RA), these associations are not understood although the prevalence of vitamin D insufficiency is high in RA. We conducted a cross-sectional study of older female outpatients from our cohort (KURAMA) database. We measured skeletal muscle mass, handgrip strength, and gait-speed to diagnose severe sarcopenia. The serum 25(OH)D concentration was measured using electrochemiluminescence immunoassay. A total of 156 female patients with RA (sarcopenia:44.9%, severe sarcopenia: 29.5%, and without sarcopenia: 25.6%) were enrolled. Classification of vitamin D status at a cutoff point of median 25(OH)D concentration revealed that low 25(OH)D status was associated with a high prevalence of severe sarcopenia and with low measured values of muscle mass, handgrip, and gait speed. Furthermore, multivariable logistic regression analysis identified that low 25(OH)D status was associated with a high prevalence of severe sarcopenia (OR 6.00; 95% CI 1.99-18.08).The same association was observed when the cut-off value was set at 20 ng/ml. In components of sarcopenia, both low physical performance and muscle mass were associated with low 25(OH)D status. In conclusion, vitamin D status was inversely associated with severe sarcopenia, low physical performance, and low skeletal muscle mass. Modification of vitamin D status including vitamin D supplementation should be investigated as a therapeutic strategy for sarcopenic patients with RA.
References
- Chen, L. K. et al. Sarcopenia in Asia: consensus report of the asian working group for aarcopenia. J. Am. Med. Dir. Assoc. 15, 95–101. https://doi.org/10.1016/j.jamda.2013.11.025 (2014). - DOI - PubMed
- Beaudart, C., Zaaria, M., Pasleau, F., Reginster, J. Y. & Bruyere, O. Health outcomes of sarcopenia: a systematic review and meta-analysis. PLoS ONE 12, e0169548. https://doi.org/10.1371/journal.pone.0169548 (2017). - DOI - PubMed - PMC
- Yeung, S. S. Y. et al. Sarcopenia and its association with falls and fractures in older adults: a systematic review and meta-analysis. J. Cachexia Sarcopenia Muscle 10, 485–500. https://doi.org/10.1002/jcsm.12411 (2019). - DOI - PubMed - PMC
- Bowen, T. S., Schuler, G. & Adams, V. Skeletal muscle wasting in cachexia and sarcopenia: molecular pathophysiology and impact of exercise training. J. Cachexia Sarcopenia Muscle 6, 197–207. https://doi.org/10.1002/jcsm.12043 (2015). - DOI - PubMed - PMC
- Yoshimura, Y. et al. Interventions for treating sarcopenia: a systematic review and meta-analysis of randomized controlled studies. J. Am. Med. Dir. Assoc. 18, 553 e551. https://doi.org/10.1016/j.jamda.2017.03.019 (2017). - DOI
- Petermann-Rocha, F. et al. Factors associated with sarcopenia: a cross-sectional analysis using UK Biobank. Maturitas 133, 60–67. https://doi.org/10.1016/j.maturitas.2020.01.004 (2020). - DOI - PubMed
- Sokka, T., Hakkinen, A., Krishnan, E. & Hannonen, P. Similar prediction of mortality by the health assessment questionnaire in patients with rheumatoid arthritis and the general population. Ann. Rheum. Dis. 63, 494–497. https://doi.org/10.1136/ard.2003.009530 (2004). - DOI - PubMed - PMC
- Cramer, J. T. et al. Impacts of high-protein oral nutritional supplements among malnourished men and women with sarcopenia: a multicenter, randomized, double-blinded, controlled trial. J. Am. Med. Dir. Assoc. 17, 1044–1055. https://doi.org/10.1016/j.jamda.2016.08.009 (2016). - DOI - PubMed
- Cruz-Jentoft, A. J. & Sayer, A. A. Sarcopenia. The Lancet 393, 2636–2646. https://doi.org/10.1016/s0140-6736(19)31138-9 (2019). - DOI
- Torii, M. et al. Prevalence and factors associated with sarcopenia in patients with rheumatoid arthritis. Mod. Rheumatol. 29, 589–595. https://doi.org/10.1080/14397595.2018.1510565 (2019). - DOI - PubMed
- Wu, C. H. et al. Prevalence and associated factors of sarcopenia and severe sarcopenia in older Taiwanese living in rural community: the Tianliao Old People study 04. Geriatr. Gerontol. Int. 14(Suppl 1), 69–75. https://doi.org/10.1111/ggi.12233 (2014). - DOI - PubMed
- Giles, J. T. et al. Abnormal body composition phenotypes in older rheumatoid arthritis patients: association with disease characteristics and pharmacotherapies. Arthritis Rheum. 59, 807–815. https://doi.org/10.1002/art.23719 (2008). - DOI - PubMed - PMC
- Dzik, K. P. & Kaczor, J. J. Mechanisms of vitamin D on skeletal muscle function: oxidative stress, energy metabolism and anabolic state. Eur. J. Appl. Physiol. 119, 825–839. https://doi.org/10.1007/s00421-019-04104-x (2019). - DOI - PubMed - PMC
- Wang, J. et al. vitamin D is related to handgrip strength in adult men aged 50 years and over: a population study from the TCLSIH cohort study. Clin. Endocrinol. (Oxf) 90, 753–765. https://doi.org/10.1111/cen.13952 (2019). - DOI
- Wicherts, I. S. et al. vitamin D status predicts physical performance and its decline in older persons. J. Clin. Endocrinol. Metab. 92, 2058–2065. https://doi.org/10.1210/jc.2006-1525 (2007). - DOI - PubMed
- Beaudart, C. et al. The effects of vitamin D on skeletal muscle strength, muscle mass, and muscle power: a systematic review and meta-analysis of randomized controlled trials. J. Clin. Endocrinol. Metab. 99, 4336–4345. https://doi.org/10.1210/jc.2014-1742 (2014). - DOI - PubMed
- Gkekas, N. K. et al. The effect of vitamin D plus protein supplementation on sarcopenia: a systematic review and meta-analysis of randomized controlled trials. Maturitas 145, 56–63. https://doi.org/10.1016/j.maturitas.2021.01.002 (2021). - DOI - PubMed
- Furuya, T. et al. Prevalence of and factors associated with vitamin D deficiency in 4,793 Japanese patients with rheumatoid arthritis. Clin. Rheumatol. 32, 1081–1087. https://doi.org/10.1007/s10067-013-2216-4 (2013). - DOI - PubMed
- Hashimoto, M. et al. Increase of hemoglobin levels by anti-IL-6 receptor antibody (tocilizumab) in rheumatoid arthritis. PLoS ONE 9, e98202. https://doi.org/10.1371/journal.pone.0098202 (2014). - DOI - PubMed - PMC
- Minamino, H. et al. Urinary sodium-to-potassium ratio associates with hypertension and current disease activity in patients with rheumatoid arthritis: a cross-sectional study. Arthritis Res. Ther. 23, 96. https://doi.org/10.1186/s13075-021-02479-x (2021). - DOI - PubMed - PMC
- Singh, J. A. et al. 2015 American college of rheumatology guideline for the treatment of rheumatoid arthritis. Arthritis Care Res.. (Hoboken) 68, 1–25. https://doi.org/10.1002/acr.22783 (2016). - DOI
- Minamino, H. et al. Habitual fish intake negatively correlates with prevalence of frailty among patients with rheumatoid arthritis. Sci. Rep. 11, 5104. https://doi.org/10.1038/s41598-021-84479-0 (2021). - DOI - PubMed - PMC
- Chen, L. K. et al. Asian working group for sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment. J. Am. Med. Dir. Assoc. 21, 300–307. https://doi.org/10.1016/j.jamda.2019.12.012 (2020). - DOI - PubMed
- Rubenstein, L. Z., Harker, J. O., Salva, A., Guigoz, Y. & Vellas, B. Screening for undernutrition in geriatric practice: developing the short-form mini-nutritional assessment (MNA-SF). J. Gerontol. A Biol. Sci. Med. Sci. 56, M366-372. https://doi.org/10.1093/gerona/56.6.m366 (2001). - DOI - PubMed
- Pearce, S. H. & Cheetham, T. D. Diagnosis and management of vitamin D deficiency. BMJ 340, b5664. https://doi.org/10.1136/bmj.b5664 (2010). - DOI - PubMed
- Yamada, Y. et al. Glucocorticoid use is an independent risk factor for developing sarcopenia in patients with rheumatoid arthritis: from the CHIKARA study. Clin. Rheumatol. 39, 1757–1764. https://doi.org/10.1007/s10067-020-04929-4 (2020). - DOI - PubMed
- Bonnet, N., Bourgoin, L., Biver, E., Douni, E. & Ferrari, S. RANKL inhibition improves muscle strength and insulin sensitivity and restores bone mass. J. Clin. Invest. 129, 3214–3223. https://doi.org/10.1172/JCI125915 (2019). - DOI - PubMed - PMC
- Marozik, P., Rudenka, A., Kobets, K. & Rudenka, E. vitamin D status, bone mineral density, and VDR gene polymorphism in a cohort of Belarusian postmenopausal women. Nutrients https://doi.org/10.3390/nu13030837 (2021). - DOI - PubMed - PMC
- Okereke, O. I. et al. Effect of long-term vitamin D3 supplementation vs placebo on risk of depression or clinically relevant depressive symptoms and on change in mood scores: a randomized clinical trial. JAMA 324, 471–480. https://doi.org/10.1001/jama.2020.10224 (2020). - DOI - PubMed - PMC
- Haque, U. J. & Bartlett, S. J. Relationships among vitamin D, disease activity, pain and disability in rheumatoid arthritis. Clin. Exp. Rheumatol. 28, 745–747 (2010). - PubMed
- Rossini, M. et al. vitamin D deficiency in rheumatoid arthritis: prevalence, determinants and associations with disease activity and disability. Arthritis Res. Ther. 12, R216. https://doi.org/10.1186/ar3195 (2010). - DOI - PubMed - PMC
- Toffanello, E. D. et al. vitamin D and physical performance in elderly subjects: the Pro.V.A study. PLoS One 7, e34950. https://doi.org/10.1371/journal.pone.0034950 (2012). - DOI - PubMed - PMC
- Vaes, A. M. M. et al. The association between 25-hydroxyvitamin D concentration, physical performance and frailty status in older adults. Eur. J. Nutr. 58, 1173–1181. https://doi.org/10.1007/s00394-018-1634-0 (2019). - DOI - PubMed
- Jain, S. K., Parsanathan, R., Achari, A. E., Kanikarla-Marie, P. & Bocchini, J. A. Jr. Glutathione stimulates vitamin D regulatory and glucose-metabolism genes, lowers oxidative stress and inflammation, and increases 25-hydroxy-vitamin D levels in blood: a novel approach to treat 25-hydroxyvitamin D deficiency. Antioxid Redox Signal 29, 1792–1807. https://doi.org/10.1089/ars.2017.7462 (2018). - DOI - PubMed - PMC
- Bischoff-Ferrari, H. A. et al. vitamin D receptor expression in human muscle tissue decreases with age. J. Bone Miner. Res. 19, 265–269. https://doi.org/10.1359/jbmr.2004.19.2.265 (2004). - DOI - PubMed
- Ryan, Z. C. et al. 1alpha,25-dihydroxyvitamin D3 regulates mitochondrial oxygen consumption and dynamics in human skeletal muscle cells. J. Biol. Chem. 291, 1514–1528. https://doi.org/10.1074/jbc.M115.684399 (2016). - DOI - PubMed
- Sinha, A., Hollingsworth, K. G., Ball, S. & Cheetham, T. Improving the vitamin D status of vitamin D deficient adults is associated with improved mitochondrial oxidative function in skeletal muscle. J. Clin. Endocrinol. Metab. 98, E509-513. https://doi.org/10.1210/jc.2012-3592 (2013). - DOI - PubMed
- Charoenngam, N. & Holick, M. F. Immunologic effects of vitamin D on human health and disease. Nutrients https://doi.org/10.3390/nu12072097 (2020). - DOI - PubMed - PMC
- Tang, J. et al. Calcitriol suppresses antiretinal autoimmunity through inhibitory effects on the Th17 effector response. J. Immunol. 182, 4624–4632. https://doi.org/10.4049/jimmunol.0801543 (2009). - DOI - PubMed
- Villaggio, B., Soldano, S. & Cutolo, M. 1,25-dihydroxyvitamin D3 downregulates aromatase expression and inflammatory cytokines in human macrophages. Clin. Exp. Rheumatol. 30, 934–938 (2012). - PubMed
- Boonstra, A. et al. 1alpha,25-dihydroxyvitamin D3 has a direct effect on naive CD4(+) T cells to enhance the development of Th2 cells. J. Immunol. 167, 4974–4980. https://doi.org/10.4049/jimmunol.167.9.4974 (2001). - DOI - PubMed
- Gregori, S., Giarratana, N., Smiroldo, S., Uskokovic, M. & Adorini, L. A 1alpha,25-dihydroxyvitamin D(3) analog enhances regulatory T-cells and arrests autoimmune diabetes in NOD mice. Diabetes 51, 1367–1374. https://doi.org/10.2337/diabetes.51.5.1367 (2002). - DOI - PubMed
- McInnes, I. B. & Schett, G. Cytokines in the pathogenesis of rheumatoid arthritis. Nat. Rev. Immunol. 7, 429–442. https://doi.org/10.1038/nri2094 (2007). - DOI - PubMed
- Mouterde, G. et al. Association between vitamin D deficiency and disease activity, disability, and radiographic progression in early rheumatoid arthritis: The ESPOIR cohort. J. Rheumatol. 47, 1624–1628. https://doi.org/10.3899/jrheum.190795 (2020). - DOI - PubMed