Skip to main content

Vitamin D Deficiency in Muscle

  • Chapter
  • First Online:
  • 1192 Accesses

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

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. 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

    Article  PubMed  Google Scholar 

  2. 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

    CAS  PubMed  Google Scholar 

  3. 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

    Article  PubMed  Google Scholar 

  4. Mishal AA (2001) Effects of different dress styles on vitamin D levels in healthy young Jordanian women. Osteoporos Int 12(11):931–935

    Article  CAS  PubMed  Google Scholar 

  5. 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

    Article  CAS  PubMed  Google Scholar 

  6. Holick MF (2007) Vitamin D deficiency. N Engl J Med 357(3):266–281

    Article  CAS  PubMed  Google Scholar 

  7. 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

    Article  CAS  PubMed  Google Scholar 

  8. 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

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Ceglia L (2009) Vitamin D and its role in skeletal muscle. Curr Opin Clin Nutr Metab Care 12(6):628–633

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Holick MF, Chen TC (2008) Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr 87(4):1080S–1086S

    CAS  PubMed  Google Scholar 

  11. Stumpf WE, Sar M, Clark SA et al (1982) Brain target sites for 1,25-dihydroxyvitamin D3. Science 215(4538):1403–1405

    Article  CAS  PubMed  Google Scholar 

  12. 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

    Article  CAS  PubMed  Google Scholar 

  13. 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

    Article  CAS  PubMed  Google Scholar 

  14. Eyles D, Brown J, Mackay-Sim A et al (2003) Vitamin D3 and brain development. Neuroscience 118(3):641–653

    Article  CAS  PubMed  Google Scholar 

  15. 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

    Article  CAS  PubMed  Google Scholar 

  16. 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

    Article  CAS  PubMed  Google Scholar 

  17. 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

    Article  PubMed  Google Scholar 

  18. 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

    Article  CAS  PubMed  Google Scholar 

  19. Floyd M, Ayyar DR, Barwick DD et al (1974) Myopathy in chronic renal failure. Q J Med 43(172):509–524

    CAS  PubMed  Google Scholar 

  20. 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

    Article  CAS  PubMed  Google Scholar 

  21. Russell JA (1994) Osteomalacic myopathy. Muscle Nerve 17(6):578–580

    Article  CAS  PubMed  Google Scholar 

  22. Schott GD, Wills MR (1976) Muscle weakness in osteomalacia. Lancet 1(7960):626–629

    Article  CAS  PubMed  Google Scholar 

  23. 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

    Article  Google Scholar 

  24. 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

    Article  PubMed  Google Scholar 

  25. Ziambaras K, Dagogo-Jack S (1997) Reversible muscle weakness in patients with vitamin D deficiency. West J Med 167(6):435–439

    CAS  PubMed  PubMed Central  Google Scholar 

  26. Irani PF (1976) Electromyography in nutritional osteomalacic myopathy. J Neurol Neurosurg Psychiatry 39(7):686–693

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Harper PS (2001) Myotonic dystrophy, 3rd edn. Saunders, London

    Google Scholar 

  28. 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

    Article  PubMed  Google Scholar 

  29. 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

    Article  CAS  PubMed  Google Scholar 

  30. Terracciano C, Rastelli E, Morello M et al (2013) Vitamin D deficiency in myotonic dystrophy type 1. J Neurol 260(9):2330–2334

    Article  CAS  PubMed  Google Scholar 

  31. 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

    Article  CAS  PubMed  Google Scholar 

  32. 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

    Article  CAS  PubMed  Google Scholar 

  33. 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

    Article  PubMed  Google Scholar 

  34. Joy TR, Hegele RA (2009) Narrative review: statin-related myopathy. Ann Intern Med 150(12):858–868

    Article  PubMed  Google Scholar 

  35. 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

    Article  CAS  PubMed  Google Scholar 

  36. Rallidis LS, Fountoulaki K, Anastasiou-Nana M (2012) Managing the underestimated risk of statin-associated myopathy. Int J Cardiol 159(3):169–176

    Article  PubMed  Google Scholar 

  37. Thompson PD, Clarkson P, Karas RH (2003) Statin-associated myopathy. JAMA 289(13):1681–1690

    Article  CAS  PubMed  Google Scholar 

  38. Gillespie LD, Gillespie WJ, Robertson MC et al (2003) Interventions for preventing falls in elderly people. Cochrane Database Syst Rev (4):CD000340

    Google Scholar 

  39. 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

    Article  CAS  PubMed  Google Scholar 

  40. Vieth R (1999) Vitamin D supplementation, 25-hydroxyvitamin D concentrations, and safety. Am J Clin Nutr 69(5):842–856

    CAS  PubMed  Google Scholar 

  41. 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

    Article  CAS  PubMed  Google Scholar 

  42. 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

    Article  CAS  PubMed  Google Scholar 

  43. 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

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  44. 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

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Saeed A. Bohlega MD, FRCPC .

Editor information

Editors and Affiliations

Rights and permissions

Reprints 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)

Publish with us

Policies and ethics