Vitamin D and muscle strength, functional ability and balance in peritoneal dialysis patients with vitamin D deficiency
Abstract
25(OH)D deficiency has been associated with significantly worse physical performance in individuals with normal renal function. We examined the physical function, muscle strength and balance in age- and gender-matched 25 Stage 3 - 4 CKD patients and 47 Stage 5 CKD patients on peritoneal dialysis (PD) with vitamin D deficiency by objective methods and evaluated the effect of vitamin D replacement on physical performance tests: the "timed up and go" (TUG) test, gait velocity test, timed chair stand test, stair climb test, dynamic balance tests (TUG test, dynamic postural stability test), static balance test (functional reach test) and muscle strength in these two groups. At baseline 25(OH)D in the Stage 3 - 4 CKD patients and patients on PD were 6.9 ± 3.5 ng/ ml (17.2 ± 8.7 nmol/l) and 5.7 ± 3.3 ng/ml (14.2 ± 8.2 nmol/l), respectively (p > 0.05). Mean (± SD) 25(OH)D in Stage 3 - 4 CKD patients and those on PD were 52.0 ± 40.9 ng/ml (129.7 ± 102.2 nmol/l) and 41.9 ± 21, ng/ml (104,5 ± 52,6 nmol/l) respectively after vitamin D replacement (p > 0.05). When both Stage 3 - 4 CKD and dialysis patients became vitamin D-sufficient after vitamin D replacement, they took a significantly shorter time to complete the TUG test, gait velocity test, the timed chair stand test and stair climb test. Results of physical performance tests, static and dynamic balance tests and isometric strength tests improved in both groups after the treatment (p < 0.05). In conclusion, our results show that vitamin D supplementation improves muscle strength, functional ability and balance in both CKD and dialysis patients.
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Vitamin D supplementation in deficient patients might improve muscle strength and functional status in chronic kidney disease.
“Vitamin D supplementation in patients who are deficient might also improve muscle strength and functional status in those with chronic kidney disease.112”
From Age-related and disease-related muscle loss: The effect of diabetes, obesity, and other diseases (2014) · cites this paper as [112]
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- Authors
- Taskapan, H., Baysal, O., Karahan, D., Durmus, B., Altay, Z., & Ulutas, O.
- Venue
- Clinical Nephrology
- Publisher
- Dustri-Verlgag Dr. Karl Feistle
- Published
- 2011-08-01
- Volume
- 76
- Issue
- 08
- Pages
- 110-116
- ISSN
- 0301-0430 (ISSN-L)
- OpenAlex
- W2334641674
- Cited by
- 64
- References
- 0
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 5 · 2023: 1 · 2022: 7 · 2021: 6 · 2020: 1 · 2019: 2 · 2018: 5 · 2017: 6 · 2016: 3 · 2015: 4 · 2014: 5 · 2013: 4 · 2012: 5
- FWCI
- 3.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Nephrology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Vitamin D Research Studies
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Medicine › Nephrology › Parathyroid Disorders and Treatments
- Keywords
- vitamin D deficiency, vitamin D supplementation, peritoneal dialysis, chronic kidney disease, muscle strength, functional capacity, balance, physical performance, 25-hydroxyvitamin D, walking speed, postural stability
- MeSH terms
- Adult, Female, Humans, Kidney Failure, Chronic, Male, Middle Aged, Motor Activity, Peritoneal Dialysis, Vitamin D, Vitamin D Deficiency, Muscle Strength
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