Abstract
Background
Prospective studies examining the potential association of vitamin D with age-related muscle loss have shown inconsistent results.
Objective
To examine the association between baseline serum 25-hydroxyvitamin D (25(OH)D), 1,25-dihydroxyvitamin D (1,25(OH)2D), and prospective change in lean mass with aging in African ancestry population. We also determined if associations were modulated by age and diabetes mellitus (DM). Design: Prospective observational cohort study.
Setting
Data were collected from a random sub-sample of 574 men, participants of the Tobago Bone Health Study (TBHS).
Participants
574 Afro-Caribbean men, aged 43+ years (mean age: 59.1 ± 10.5), who were randomly selected as the participants in both the baseline and the follow-up visits.
Measurements
Baseline fasting serum 25(OH)D was measured using liquid chromatography mass spectrometry (LC-MS/MS), and and 1,25(OH)2D was measured using radioimmunosassay (RIA). Changes in dual-energy X-ray absorptiometry (DXA)-measured appendicular lean mass (ALM), and total body lean mass (TBLM) were measured over an average of 6.0 ± 0.5 years. The associations of 25(OH) D and 1,25(OH)2D with ALM and TBLM were assessed by multiple linear regression model after adjusting for potential confounders.
Results
When stratifying all men into two groups by age, greater baseline 25(OH) D and 1,25(OH)2D levels were associated with smaller losses of ALM and TBLM in older (age 60+ years) but not in younger (age 43–59 years) men. When stratifying by DM status, the associations of 25(OH)D and 1,25(OH)2D with declines in ALM and TBLM were statistically significant only in prediabetic, but not among normal glycemic or diabetic men.
Conclusion
Higher endogenous vitamin D concentrations are associated with less lean mass loss with aging among older and prediabetic Afro-Caribbean men independent of potential confounders. Our findings raise a possibility that maintaining high serum vitamin D level might be important for musculoskeletal health in elderly and prediabetic African ancestry men.
Similar content being viewed by others
References
Hughes VA, Frontera WR, Roubenoff R, Evans WJ, Singh MA. Longitudinal changes in body composition in older men and women: role of body weight change and physical activity. Am J Clin Nutr 2002;76(2):473–481.
Visser M, Deeg DJ, Lips P. Low vitamin D and high parathyroid hormone levels as determinants of loss of muscle strength and muscle mass (sarcopenia): the Longitudinal Aging Study Amsterdam. J Clin Endocrinol Metab 2003;88(12):5766–5672.
Liu G, Lu L, Sun Q, et al. Poor vitamin D status is prospectively associated with greater muscle mass loss in middle-aged and elderly Chinese individuals. J Acad Nutr Diet 2014;114(10):1544–1551.
Hirani V, Cumming RG, Naganathan V, et al. Longitudinal Associations Between Vitamin D Metabolites and Sarcopenia in Older Australian men: The Concord Health and Aging in Men Project. J Gerontol A Bio Sci Med Sci 2017;73(1):131–138.
Scott D, Blizzard L, Fell J, Ding C, Winzenberg T, Jones G. A prospective study of the associations between 25-hydroxy-vitamin D, sarcopenia progression and physical activity in older adults. Clin Endocrinol (Oxf) 2010;73(5):581–587.
Chan R, Chan D, Woo J, et al. Not all elderly people benefit from vitamin D supplementation with respect to physical function: results from osteoporotic fractures in men study, Hong Kong. J Am Geriatr Soc. 2012;60(2):290–295.
Miljkovic I, Bodnar LM, Cauley JA, et al. Low prevalence of vitamin D deficiency in elderly Afro-Caribbean men. Ethn Dis 2011;21(1):79–84.
Jackson MD, Tulloch-Reid MK, Lindsay CM, et al. Both serum 25-hydroxyvitamin D and calcium levels may increase the risk of incident prostate cancer in Caribbean men of African ancestry. Cancer Med 2015;4(6):925–935.
Song Y, Wang L, Pittas AG, et al. Blood 25-hydroxy vitamin D levels and incident type 2 diabetes: a meta analysis of prospective studies. Diabetes Care 2013;36(5):1422–1428.
Bennett NR, Francis DK, Ferguson TS, et al. Disparities in diabetes mellitus among Caribbean populations: a scoping review. Int J Equity Health 2015;14:23.
Miljkovic I, Cauley JA, Petit MA, et al. Greater adipose tissue infiltration in skeletal muscle among older men of African ancestry. J Clin Endocrinol Metab 2009;94(8):2735–2742.
Nielsen J, Christensen DL. Glucose intolerance in the West African Diaspora: a skeletal muscle fiber type distribution hypothesis. Acta Physiol 2011;202(4):605–616.
Park SW, Goodpaster BH, Lee JS, et al. Excessive loss of skeletal muscle mass in older adults with type 2 diabetes. Diabetes Care 2009;32(11):1993–1997.
Bunker CH, Patrick AL, Konety BR, et al. High prevalence of screening-detected prostate cancer among Afro-Caribbeans: the Tobago Prostate Cancer Survey. Cancer Epidemiol Biomarkers Prev 2002;11(8):726–729.
Sheu Y, Cauley JA, Bunker CH, et al. Correlates of trabecular and cortical volumetric BMD in men of African ancestry. J Bone Miner Res 2009;24(12):1960–1968.
El-Khoury JM, Reineks EZ, Wang S. Progress of liquid chromatography-mass spectrometry in measurement of vitamin D metabolites and analogues. Clin Biochem 2011;44(1):66–76.
Clive DR, Sudhaker D, Giacherio D, et al. Analytic and clinical validation of a radioimmunoassay for the measurement of 1,25 dihydroxy vitamin D. Clin Biochem 2002;35(7):517–521.
Curtis JR, Ewing SK, Bauer DC, et al. Association of intact parathyroid hormone levels with subsequent hip BMD loss: the Osteoporotic Fractures in Men (MrOS) Study. J Clin Endocrinol Metab 2012;97(6):1937–1944.
Miljkovic I, Kuipers AL, Cvejkus R, et al. Myosteatosis increases with aging and is associated with incident diabetes in African ancestry men. Obesity 2016;24(2):476–482.
Holick MF. Vitamin D deficiency. N Eng J Med 2007;357(3):266–281.
Ceglia L, Chiu GR, Harris SS, Araujo AB. Serum 25-hydroxyvitamin D concentration and physical function in adult men. Clin Endocrinol (Oxf) 2011;74:370–376.
Lee CG, Boyko EJ, Barrett-Connor E, et al. Insulin sensitizers may attenuate lean mass loss in older men with diabetes. Diabetes Care 2011;34(11):2381–2386.
Hassan-Smith ZK, Jenkinson C, Smith DJ et al. 25-hydroxyvitamin D3 and 1,25-dihydroxyvitamin D3 exert distinct effects on human skeletal muscle function and gene expression. PLoS One 2017;12(2):e0170665.
Marantes I, Achenbach SJ, Atkinson EJ, Khosla S, Melton LJ 3rd, Amin S. Is vitamin D a determinant of muscle mass and strength? J Bone Miner Res 2011;26(12):2860–2871.
Grammatiki M, Rapti E, Karras S, Ajjan RA, Kotsa K. Vitamin D and diabetes mellitus: Causal or casual association? Rev Endocr Metab Disord 2017;18(2):227–241.
Dunlop TW, Vaisanen S, Frank C, Molnar F, Sinkkonen L, Carlberg C. The human peroxisome proliferator-activated receptor delta gene is a primary target of 1alpha,25-dihydroxyvitamin D3 and its nuclear receptor. J Mol Biol 2005;349(2):248–260.
Barazzoni R, Short KR, Asmann Y, Coenen-Schimke JM, Robinson MM, Nair KS. Insulin fails to enhance mTOR phosphorylation, mitochondrial protein synthesis, and ATP production in human skeletal muscle without amino acid replacement. Am J Physiol Endocrinol Metab 2012;303(9):E1117–1125.
Girgis CM, Cha KM, Houweling PJ, et al. Vitamin D receptor ablation and vitamin D deficiency result in reduced grip strength, altered muscle fibers, and increased myostatin in mice. Calcif Tissue Int 2015;97(6):602–610.
Girgis CM, Clifton-Bligh RJ, Mokbel N, Cheng K, Gunton JE. Vitamin D signaling regulates proliferation, differentiation, and myotube size in C2C12 skeletal muscle cells. Endocrinology 2014;155(2):347–357.
Olsson K, Saini A, Stromberg A, et al. Evidence for Vitamin D Receptor Expression and Direct Effects of 1alpha,25(OH)2D3 in Human Skeletal Muscle Precursor Cells. Endocrinology 2016;157(1):98–111.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Hwang, J., Zmuda, J.M., Kuipers, A.L. et al. Serum Vitamin D and Age-Related Muscle Loss in Afro-Caribbean Men: The Importance of Age and Diabetic Status. J Frailty Aging 8, 131–137 (2019). https://doi.org/10.14283/jfa.2018.40
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.14283/jfa.2018.40