Vitamin D supplementation associated with 12-weeks multimodal training in older women with low bone mineral density: A randomized double-blind placebo-controlled trial

Carregando...
Imagem de Miniatura
Citações na Scopus
1
Tipo de produção
article
Data de publicação
2021
Título da Revista
ISSN da Revista
Título do Volume
Editora
PERGAMON-ELSEVIER SCIENCE LTD
Citação
EXPERIMENTAL GERONTOLOGY, v.146, article ID 111211, 9p, 2021
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Objective: To evaluate the influence of vitamin D supplementation with a multimodal exercise program on postural balance and muscle strength in older women with low bone mineral density (BMD) and vitamin D insufficiency. Methods: 12-week, randomized, double-blind, placebo-controlled clinical trial. Total of 422 subjects were screened for participation, and 46 met the inclusion criteria. Those were randomized into an experimental group (EG; n = 23) and control group (CG; n = 23). At the time of enrollment, all subjects had low BMD, vitamin D insufficiency, and were not practicing resistance exercise. Muscle strength assessments were performed by the 30-s sit to stand test; 15-steps climbing test; handgrip dynamometer and knee muscle strength using an isokinetic dynamometer at 60 degrees /sec. Postural balance was clinically evaluated by the MiniBESTest and by a force platform. Dynamic balance was assessed by standing up from a chair and walk over a step, using also a force platform. Results: In the EG, vitamin D levels increased in the post-treatment period (P < 0.001) whereas in CG levels remained unchanged (P = 0.86). Both groups improved muscular strength in the dynamometry isokinetic test: flexors PT/BW - right (P < 0.02) and left side (P < 0.04). In the dynamic postural balance during the task to step up over: the Lift Up Left was better in the CG (P = 0.01); the Moment Time left was better in the CG (P = 0.01); the Impact index left was better in the EG (P = 0.01). The Mini-BESTest - both groups improved the postural balance test (P < 0.001). Conclusion: Vitamin D supplementation associated with multimodal exercise program did not augment muscle strength adaptation or postural balance in older women with low bone mineral density and vitamin D insufficiency.
Palavras-chave
Dietary supplementation, Vitamin D, Muscular strength, Postural balance, Exercise, Aging
Referências
  1. Baczyk G, 2012, ARCH MED SCI, V8, P332, DOI 10.5114/aoms.2012.28562
  2. Bischoff HA, 2003, J BONE MINER RES, V18, P343, DOI 10.1359/jbmr.2003.18.2.343
  3. Bischoff-Ferrari HA, 2006, OSTEOPOROSIS INT, V17, P656, DOI 10.1007/s00198-005-0030-9
  4. Bischoff-Ferrari HA, 2004, AM J CLIN NUTR, V80, P752
  5. Bislev LS, 2018, CALCIFIED TISSUE INT, V103, P483, DOI 10.1007/s00223-018-0443-z
  6. Brech GC, 2013, OSTEOPOROSIS INT, V24, P2007, DOI 10.1007/s00198-013-2285-x
  7. Brech GC, 2017, CLINICS, V72, P11, DOI 10.6061/clinics/2017(01)03
  8. Brech GC, 2013, GAIT POSTURE, V38, P321, DOI 10.1016/j.gaitpost.2012.12.012
  9. Brech GC, 2011, MATURITAS, V70, P379, DOI 10.1016/j.maturitas.2011.09.004
  10. Bunout D, 2006, EXP GERONTOL, V41, P746, DOI 10.1016/j.exger.2006.05.001
  11. Cangussu LM, 2016, MENOPAUSE, V23, P267, DOI 10.1097/GME.0000000000000525
  12. Capiati D, 2002, J CELL BIOCHEM, V86, P128, DOI 10.1002/jcb.10191
  13. Chodzko-Zajko WJ, 2009, MED SCI SPORT EXER, V41, P1510, DOI 10.1249/MSS.0b013e3181a0c95c
  14. CURRY OB, 1974, NATURE, V249, P83, DOI 10.1038/249083a0
  15. Daly RM, 2020, J BONE MINER RES, V35, P419, DOI 10.1002/jbmr.3865
  16. Edgren J, 2019, BMJ OPEN, V9, DOI 10.1136/bmjopen-2019-029682
  17. El Maghraoui A, 2012, BMC WOMENS HEALTH, V12, DOI 10.1186/1472-6874-12-11
  18. Glerup H, 2000, CALCIFIED TISSUE INT, V66, P419, DOI 10.1007/s002230010085
  19. Karinkanta S, 2007, OSTEOPOROSIS INT, V18, P453, DOI 10.1007/s00198-006-0256-1
  20. Lagally KM, 2006, J STRENGTH COND RES, V20, P252, DOI 10.1519/00124278-200605000-00003
  21. Mathiowetz Virgil, 2002, Occup Ther Int, V9, P201, DOI 10.1002/oti.165
  22. Mieszkowski J, 2018, INT J ENV RES PUB HE, V15, DOI 10.3390/ijerph15091951
  23. Mishra Nalini, 2011, J Midlife Health, V2, P51, DOI 10.4103/0976-7800.92524
  24. Moraes Luci Fabiane Scheffer, 2014, Rev. bras. epidemiol., V17, P719, DOI 10.1590/1809-4503201400030012
  25. Nikander R, 2010, BMC MED, V8, DOI 10.1186/1741-7015-8-47
  26. O'Donnell S, 2008, AM J CLIN NUTR, V88, P1528, DOI 10.3945/ajcn.2008.26415
  27. Pfeifer M, 2000, J BONE MINER RES, V15, P1113, DOI 10.1359/jbmr.2000.15.6.1113
  28. Pieterse S, 2002, EUR J CLIN NUTR, V56, P933, DOI 10.1038/sj.ejcn.1601443
  29. POINTON JJ, 1979, CLIN SCI, V57, P257, DOI 10.1042/cs0570257
  30. Roongbenjawan N, 2020, ANN PHYS REHABIL MED, V63, P309, DOI 10.1016/j.rehab.2019.08.003
  31. Schacht E, 2012, RHEUMATOL INT, V32, P207, DOI 10.1007/s00296-010-1607-y
  32. Shinchuk L, 2007, NUTR CLIN PRACT, V22, P297, DOI 10.1177/0115426507022003297
  33. Uusi-Rasi K, 2017, J GERONTOL A-BIOL, V72, P1239, DOI 10.1093/gerona/glx044
  34. Uusi-Rasi K, 2015, JAMA INTERN MED, V175, P1720, DOI 10.1001/jamainternmed.2015.3768
  35. Uusi-Rasi K, 2015, JAMA INTERN MED, V175, P703, DOI 10.1001/jamainternmed.2015.0225
  36. Uusi-Rasi K, 2012, BMC GERIATR, V12, DOI 10.1186/1471-2318-12-12
  37. Yanagimoto Y, 1999, Environ Health Prev Med, V4, P34, DOI 10.1007/BF02931248
  38. Yingyongyudha A, 2016, J GERIATR PHYS THER, V39, P64, DOI 10.1519/JPT.0000000000000050
  39. Yoon JR, 2019, J EXERC REHABIL, V15, P839, DOI 10.12965/jer.1938644.322
  40. Young CM, 2007, OSTEOPOROSIS INT, V18, P1379, DOI 10.1007/s00198-007-0400-6
  41. Zamoscinska M, 2020, J SPORT REHABIL, V29, P833, DOI 10.1123/jsr.2019-0170