Effect of Calcifediol on Physical Performance and Muscle Strength Parameters: A Systematic Review and Meta-Analysis
There is general agreement that optimal vitamin D status is necessary for bones, muscles, and general health, particularly in older adults, who are at higher risk of negative consequences of vitamin D deficiency, including sarcopenia; vitamin D supplementation is proposed as a potential intervention...
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MDPI AG
2022-04-01
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| Series: | Nutrients |
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| Online Access: | https://www.mdpi.com/2072-6643/14/9/1860 |
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| author | Mario Barbagallo Nicola Veronese Agnese Di Prazza Francesco Pollicino Luca Carruba Anna La Carrubba Ligia J. Dominguez |
| author_facet | Mario Barbagallo Nicola Veronese Agnese Di Prazza Francesco Pollicino Luca Carruba Anna La Carrubba Ligia J. Dominguez |
| author_sort | Mario Barbagallo |
| collection | DOAJ |
| description | There is general agreement that optimal vitamin D status is necessary for bones, muscles, and general health, particularly in older adults, who are at higher risk of negative consequences of vitamin D deficiency, including sarcopenia; vitamin D supplementation is proposed as a potential intervention to mitigate sarcopenia. Several RCTs have reported that calcifediol (25(OH)D) was more potent than cholecalciferol in increasing plasma 25(OH)D. The present systematic review and meta-analysis aimed to summarize the effects of calcifediol on physical performance and muscle strength. We searched databases from inception to 1 January 2022 for studies investigating calcifediol on physical performance or muscle strength parameters. We calculated the difference between the means of follow-up vs. baseline data using standardized mean differences (SMD) and their 95% confidence intervals (CIs); a random-effect model was considered for all of the analyses. Seven RCTs were included in the meta-analysis. Calcifediol significantly improved gait speed (SMD = 2.500; 95%CI = 1.768–3.223; <i>p</i> < 0.0001); handgrip strength (<i>n</i> = 5446 participants, SMD = 0.532; 95%CI: 0.305–0.758; <i>p</i> < 0.0001; I<sup>2</sup> = 20.2%); and leg extension (<i>n</i> = 4318 participants, SMD = 0.641; 95%CI: 0.346 to 0.935; <i>p</i> < 0.0001; I<sup>2</sup> = 18.8%;) vs. baseline values. In conclusion, in this systematic review and meta-analysis, we observed that calcifediol may have a positive effect on muscle strength parameters, with less evidence on physical performance. These data further indicate the importance of vitamin D and, in particular, of calcifediol, not only on bone metabolism but also on muscle parameters and sarcopenia. |
| first_indexed | 2024-03-10T03:49:23Z |
| format | Article |
| id | doaj.art-063238743fba41b98f6eaa3ad7d0056f |
| institution | Directory Open Access Journal |
| issn | 2072-6643 |
| language | English |
| last_indexed | 2024-03-10T03:49:23Z |
| publishDate | 2022-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nutrients |
| spelling | doaj.art-063238743fba41b98f6eaa3ad7d0056f2023-11-23T08:59:28ZengMDPI AGNutrients2072-66432022-04-01149186010.3390/nu14091860Effect of Calcifediol on Physical Performance and Muscle Strength Parameters: A Systematic Review and Meta-AnalysisMario Barbagallo0Nicola Veronese1Agnese Di Prazza2Francesco Pollicino3Luca Carruba4Anna La Carrubba5Ligia J. Dominguez6Geriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, 90127 Palermo, ItalyGeriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, 90127 Palermo, ItalyGeriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, 90127 Palermo, ItalyGeriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, 90127 Palermo, ItalyGeriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, 90127 Palermo, ItalyGeriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, 90127 Palermo, ItalyGeriatric Unit, Department of Internal Medicine and Geriatrics, University of Palermo, 90127 Palermo, ItalyThere is general agreement that optimal vitamin D status is necessary for bones, muscles, and general health, particularly in older adults, who are at higher risk of negative consequences of vitamin D deficiency, including sarcopenia; vitamin D supplementation is proposed as a potential intervention to mitigate sarcopenia. Several RCTs have reported that calcifediol (25(OH)D) was more potent than cholecalciferol in increasing plasma 25(OH)D. The present systematic review and meta-analysis aimed to summarize the effects of calcifediol on physical performance and muscle strength. We searched databases from inception to 1 January 2022 for studies investigating calcifediol on physical performance or muscle strength parameters. We calculated the difference between the means of follow-up vs. baseline data using standardized mean differences (SMD) and their 95% confidence intervals (CIs); a random-effect model was considered for all of the analyses. Seven RCTs were included in the meta-analysis. Calcifediol significantly improved gait speed (SMD = 2.500; 95%CI = 1.768–3.223; <i>p</i> < 0.0001); handgrip strength (<i>n</i> = 5446 participants, SMD = 0.532; 95%CI: 0.305–0.758; <i>p</i> < 0.0001; I<sup>2</sup> = 20.2%); and leg extension (<i>n</i> = 4318 participants, SMD = 0.641; 95%CI: 0.346 to 0.935; <i>p</i> < 0.0001; I<sup>2</sup> = 18.8%;) vs. baseline values. In conclusion, in this systematic review and meta-analysis, we observed that calcifediol may have a positive effect on muscle strength parameters, with less evidence on physical performance. These data further indicate the importance of vitamin D and, in particular, of calcifediol, not only on bone metabolism but also on muscle parameters and sarcopenia.https://www.mdpi.com/2072-6643/14/9/1860vitamin Dcalcifediolsarcopeniaphysical performancemuscle strengthmeta-analysis |
| spellingShingle | Mario Barbagallo Nicola Veronese Agnese Di Prazza Francesco Pollicino Luca Carruba Anna La Carrubba Ligia J. Dominguez Effect of Calcifediol on Physical Performance and Muscle Strength Parameters: A Systematic Review and Meta-Analysis Nutrients vitamin D calcifediol sarcopenia physical performance muscle strength meta-analysis |
| title | Effect of Calcifediol on Physical Performance and Muscle Strength Parameters: A Systematic Review and Meta-Analysis |
| title_full | Effect of Calcifediol on Physical Performance and Muscle Strength Parameters: A Systematic Review and Meta-Analysis |
| title_fullStr | Effect of Calcifediol on Physical Performance and Muscle Strength Parameters: A Systematic Review and Meta-Analysis |
| title_full_unstemmed | Effect of Calcifediol on Physical Performance and Muscle Strength Parameters: A Systematic Review and Meta-Analysis |
| title_short | Effect of Calcifediol on Physical Performance and Muscle Strength Parameters: A Systematic Review and Meta-Analysis |
| title_sort | effect of calcifediol on physical performance and muscle strength parameters a systematic review and meta analysis |
| topic | vitamin D calcifediol sarcopenia physical performance muscle strength meta-analysis |
| url | https://www.mdpi.com/2072-6643/14/9/1860 |
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