File(s) under embargo

Reason: 12 month publisher embargo

4

month(s)

8

day(s)

until file(s) become available

Association between vitamin D deficiency and exercise capacity in patients with CKD, a cross-sectional analysis.

journal contribution
posted on 08.03.2021, 12:00 by Emma Watson, Thomas Wilkinson, Thomas O'Sullivan, Luke Baker, Douglas Gould, Soteris Xenophontos, Matthew Graham-Brown, Rupert Major, Carl Jenkinson, Martin Hewison, Andrew Philp, Alice Smith
Background
Evidence is growing for a role of vitamin D in regulating skeletal muscle mass, strength and functional capacity. Given the role the kidneys play in activating total vitamin D, and the high prevalence of vitamin D deficiency in Chronic Kidney Disease (CKD), it is possible that deficiency contributes to the low levels of physical function and muscle mass in these patients.

Methods
This is a secondary cross-sectional analysis of previously published interventional study, within vitro follow up work. 34 CKD patients at stages G3b-5 (eGFR 25.5 ± 8.3 ml/min/1.73m2; age 61 ± 12 years) were recruited, with a sub-group (n = 20) also donating a muscle biopsy. Vitamin D and associated metabolites were analysed in plasma by liquid chromatography tandem-mass spectroscopy and correlated to a range of physiological tests of muscle size, function, exercise capacity and body composition. The effects of 1α,25(OH)2D3 supplementation on myogenesis and myotube size was investigated in primary skeletal muscle cells from vitamin D deficient donors.

Results
In vivo, there was no association between total or active vitamin D and muscle size or strength, but a significant correlation with V̇O2Peak was seen with total vitamin D (25OHD). In vitro, 1α,25(OH)2D3 supplementation reduced IL-6 mRNA expression, but had no effect upon proliferation, differentiation or myotube diameter.

Conclusions
Vitamin D deficiency is not a prominent factor driving the loss of muscle mass in CKD, but may play a role in reduced exercise capacity.

History

Author affiliation

Department of Health Sciences, University of Leicester

Version

AM (Accepted Manuscript)

Published in

The Journal of Steroid Biochemistry and Molecular Biology

Publisher

Elsevier

issn

0960-0760

Acceptance date

23/02/2021

Copyright date

2021

Available date

03/03/2022

Language

en

Usage metrics

Categories

Exports