Menon A S, Anayath S, Garg M K, Pisharody I
Commandant, Military Hospital, Mhow, India.
Col Trg, AMC Centre & College, Lucknow, India.
Med J Armed Forces India. 2020 Jan;76(1):71-76. doi: 10.1016/j.mjafi.2018.12.004. Epub 2020 Jan 7.
Vitamin D deficiency (VDD) is ubiquitous in the Indian subcontinent. VDD has been shown to impair muscle functions. However, the association of VDD with cardiorespiratory endurance is uncertain. Hence, we enrolled and supplemented vitamin D in military recruits with VDD with an aim to evaluate effect of supplementation on cardiorespiratory endurance and muscle strength.
We enrolled 90 military recruits with VDD and randomly allotted them to two groups equally. The group I received cholecalciferol granules 60,000 IU every fortnight for twelve weeks (cases), and the group II was observed as control. Muscle strength and cardiorespiratory endurance was assessed with a battery of tests (standing broad jump, bent arm hang test, 20 m shuttle run) at baseline and repeated at the end of training (nineteen weeks). Blood samples were collected for measurement of serum 25(OH)D and parathyroid hormone.
In Group I and Group II, there was significant increase in 25(OH) D levels (25.8 ± 7.1 and 17.3 ± 3.5 ng/ml, respectively), and in VO2 max (9.8 ± 8.8 and 12.7 ± 8.6 ml/kg/min, respectively) compared with the baseline values. However, no significant change was observed in muscle strength after supplementation. There was no difference between the groups in VO2 max and muscle strength at baseline and at the end of training.
Vitamin D supplementation did not improve muscle strength and cardiorespiratory endurance in military recruits with VDD. A significant rise in 25(OH) D was observed even in those not supplemented with vitamin D.
维生素D缺乏症(VDD)在印度次大陆普遍存在。研究表明,VDD会损害肌肉功能。然而,VDD与心肺耐力之间的关联尚不确定。因此,我们招募了患有VDD的新兵并为其补充维生素D,旨在评估补充维生素D对心肺耐力和肌肉力量的影响。
我们招募了90名患有VDD的新兵,并将他们随机平均分为两组。第一组每两周服用60,000国际单位的胆钙化醇颗粒,持续12周(病例组),第二组作为对照组。在基线时通过一系列测试(立定跳远、屈臂悬垂测试、20米穿梭跑)评估肌肉力量和心肺耐力,并在训练结束时(19周)重复评估。采集血样以测量血清25(OH)D和甲状旁腺激素。
与基线值相比,第一组和第二组的25(OH)D水平(分别为25.8±7.1和17.3±3.5 ng/ml)以及最大摄氧量(分别为9.8±8.8和12.7±8.6 ml/kg/min)均有显著升高。然而,补充后肌肉力量未观察到显著变化。在基线和训练结束时,两组之间的最大摄氧量和肌肉力量没有差异。
补充维生素D并未改善患有VDD的新兵的肌肉力量和心肺耐力。即使在未补充维生素D的人群中,也观察到25(OH)D显著升高。