Abstract
Vitamin D deficiency is a common condition affecting people from different age groups of both genders. Vitamin D can be obtained from diet or from cutaneous synthesis in the skin. Various etiological factors contribute to the development of vitamin D deficiency. Vitamin D functions are beyond calcium and phosphate homeostasis and bone health. Vitamin D is essential for muscle and nervous system growth and function. Therefore, deficiency in vitamin D may lead to alterations in the neuromuscular apparatus, leading to undesirable sequelae. Vitamin D deficiency has been linked to several neuromuscular conditions including myopathy, myalgia, myotonic dystrophy, myasthenia gravis, drug-induced myopathy and rhabdomyolysis, and others. Screening such patients is vital for early detection and rapid intervention in order to prevent the development of the undesirable outcomes and to improve the quality of life in these patients. Therefore, Vitamin D supplementation is essential once the disease is diagnosed. In this chapter, we will delineate the relationship between vitamin D deficiency and the development of various neuromuscular conditions. In addition, we will shed the light on the epidemiology and biochemistry of vitamin D as well as the importance of vitamin D supplementation in the prevention of neuromuscular conditions.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Elliott ME, Binkley NC, Carnes M et al (2003) Fracture risks for women in long-term care: high prevalence of calcaneal osteoporosis and hypovitaminosis D. Pharmacotherapy 23(6):702–710
Karalius VP, Zinn D, Wu J et al (2014) Prevalence of risk of deficiency and inadequacy of 25-hydroxy vitamin D in US children: NHANES 2003–2006. J Pediatr Endocrinol Metab 27(5–6):461–466
van der Wielen RP, Löwik MR, van den Berg H et al (1995) Serum vitamin D concentrations among elderly people in Europe. Lancet 346(8969):207–210
Mishal AA (2001) Effects of different dress styles on vitamin D levels in healthy young Jordanian women. Osteoporos Int 12(11):931–935
Clemens TL, Adams JS, Henderson SL et al (1982) Increased skin pigment reduces the capacity of skin to synthesise vitamin D3. Lancet 1(8263):74–76
Holick MF (2007) Vitamin D deficiency. N Engl J Med 357(3):266–281
Girgis CM, Clifton-Bligh RJ, Hamrick MW et al (2013) The roles of vitamin D in skeletal muscle: form, function, and metabolism. Endocr Rev 34(1):33–83
Ramagopalan SV, Heger A, Berlanga AJ et al (2010) A ChIP-seq defined genome-wide map of vitamin D receptor binding: associations with disease and evolution. Genome Res 20(10):1352–1360
Ceglia L (2009) Vitamin D and its role in skeletal muscle. Curr Opin Clin Nutr Metab Care 12(6):628–633
Holick MF, Chen TC (2008) Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr 87(4):1080S–1086S
Stumpf WE, Sar M, Clark SA et al (1982) Brain target sites for 1,25-dihydroxyvitamin D3. Science 215(4538):1403–1405
Eyles DW, Smith S, Kinobe R et al (2005) Distribution of the vitamin D receptor and 1 alpha-hydroxylase in human brain. J Chem Neuroanat 29(1):21–30
DeLuca GC, Kimball SM, Kolasinski J et al (2013) Review: the role of vitamin D in nervous system health and disease. Neuropathol Appl Neurobiol 39(5):458–484
Eyles D, Brown J, Mackay-Sim A et al (2003) Vitamin D3 and brain development. Neuroscience 118(3):641–653
Ko P, Burkert R, McGrath J et al (2004) Maternal vitamin D3 deprivation and the regulation of apoptosis and cell cycle during rat brain development. Brain Res Dev Brain Res 153(1):61–68
Morelli S, Buitrago C, Boland R et al (2001) The stimulation of MAP kinase by 1,25(OH)(2)-vitamin D(3) in skeletal muscle cells is mediated by protein kinase C and calcium. Mol Cell Endocrinol 173(1–2):41–52
de Boland AR, Albornoz LE, Boland R (1983) The effect of cholecalciferol in vivo on proteins and lipids of skeletal muscle from rachitic chicks. Calcif Tissue Int 35(6):798–805
An SS, Fabry B, Mellema M et al (2004) Role of heat shock protein 27 in cytoskeletal remodeling of the airway smooth muscle cell. J Appl Physiol 96(5):1701–1713
Floyd M, Ayyar DR, Barwick DD et al (1974) Myopathy in chronic renal failure. Q J Med 43(172):509–524
Sato Y, Iwamoto J, Kanoko T et al (2005) Low-dose vitamin D prevents muscular atrophy and reduces falls and hip fractures in women after stroke: a randomized controlled trial. Cerebrovasc Dis 20(3):187–192
Russell JA (1994) Osteomalacic myopathy. Muscle Nerve 17(6):578–580
Schott GD, Wills MR (1976) Muscle weakness in osteomalacia. Lancet 1(7960):626–629
Qari FA, Nasser AT (2013) Association between neurological and rheumatological manifestations in vitamin D deficiency and vitamin D levels. Pak J Med Sci 29(3):735–739
Al-Said YA, Al-Rached HS, Al-Qahtani HA et al (2009) Severe proximal myopathy with remarkable recovery after vitamin D treatment. Can J Neurol Sci 36(3):336–339
Ziambaras K, Dagogo-Jack S (1997) Reversible muscle weakness in patients with vitamin D deficiency. West J Med 167(6):435–439
Irani PF (1976) Electromyography in nutritional osteomalacic myopathy. J Neurol Neurosurg Psychiatry 39(7):686–693
Harper PS (2001) Myotonic dystrophy, 3rd edn. Saunders, London
Ørngreen MC, Arlien-Søborg P, Duno M et al (2012) Endocrine function in 97 patients with myotonic dystrophy type 1. J Neurol 259(5):912–920
Passeri E, Bugiardini E, Sansone VA et al (2013) Vitamin D, parathyroid hormone and muscle impairment in myotonic dystrophies. J Neurol Sci 331(1–2):132–135
Terracciano C, Rastelli E, Morello M et al (2013) Vitamin D deficiency in myotonic dystrophy type 1. J Neurol 260(9):2330–2334
Askmark H, Haggård L, Nygren I et al (2012) Vitamin D deficiency in patients with myasthenia gravis and improvement of fatigue after supplementation of vitamin D3: a pilot study. Eur J Neurol 19(12):1554–1560
Bischoff-Ferrari HA, Borchers M, Gudat F et al (2004) Vitamin D receptor expression in human muscle tissue decreases with age. J Bone Miner Res 19(2):265–269
Armitage J, Bowman L, Wallendszus K et al (2010) Intensive lowering of LDL cholesterol with 80 mg versus 20 mg simvastatin daily in 12,064 survivors of myocardial infarction: a double-blind randomised trial. Lancet 376(9753):1658–1669
Joy TR, Hegele RA (2009) Narrative review: statin-related myopathy. Ann Intern Med 150(12):858–868
Bruckert E, Hayem G, Dejager S et al (2005) Mild to moderate muscular symptoms with high-dosage statin therapy in hyperlipidemic patients – the PRIMO study. Cardiovasc Drugs Ther 19(6):403–414
Rallidis LS, Fountoulaki K, Anastasiou-Nana M (2012) Managing the underestimated risk of statin-associated myopathy. Int J Cardiol 159(3):169–176
Thompson PD, Clarkson P, Karas RH (2003) Statin-associated myopathy. JAMA 289(13):1681–1690
Gillespie LD, Gillespie WJ, Robertson MC et al (2003) Interventions for preventing falls in elderly people. Cochrane Database Syst Rev (4):CD000340
Vellas BJ, Wayne SJ, Romero LJ et al (1997) Fear of falling and restriction of mobility in elderly fallers. Age Ageing 26(3):189–193
Vieth R (1999) Vitamin D supplementation, 25-hydroxyvitamin D concentrations, and safety. Am J Clin Nutr 69(5):842–856
Chapuy MC, Arlot ME, Duboeuf F et al (1992) Vitamin D3 and calcium to prevent hip fractures in the elderly women. N Engl J Med 327(23):1637–1642
Bischoff-Ferrari HA, Willett WC, Wong JB et al (2005) Fracture prevention with vitamin D supplementation: a meta-analysis of randomized controlled trials. JAMA 293(18):2257–2264
Trivedi DP, Doll R, Khaw KT (2003) Effect of four monthly oral vitamin D3 (cholecalciferol) supplementation on fractures and mortality in men and women living in the community: randomised double blind controlled trial. BMJ 326(7387):469
Vieth R, Chan PC, MacFarlane GD (2001) Efficacy and safety of vitamin D3 intake exceeding the lowest observed adverse effect level. Am J Clin Nutr 73(2):288–294
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Abou Al-Shaar, H., Bohlega, S.A. (2016). Vitamin D Deficiency in Muscle. In: Angelini, C. (eds) Acquired Neuromuscular Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-29514-5_12
Download citation
DOI: https://doi.org/10.1007/978-3-319-29514-5_12
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-29512-1
Online ISBN: 978-3-319-29514-5
eBook Packages: MedicineMedicine (R0)