The Relation Between Vitamin D and Postural Balance According to Clinical Tests and Tetrax Posturography

Overview

Journal J Phys Ther Sci

Date 2016 May 19

PMID 27190466

Citations 10

Authors

Sedef Akdeniz

Simin Hepguler

Cihat Ozturk

Funda Calis Atamaz

Affiliations

Soon will be listed here.

Abstract

[Purpose] To evaluate the association between Vitamin D and risk of falling, balance, and lower extremity neuromuscular function in women aged 60 and above by using Tetrax posturography. [Subjects and Methods] A total 200 women were classified based on their 25-OH-vitamin D (25(OH)D) values: hypo-vitaminosis group (less than 50.0 nmol/l) and normal group (50.0 more). Balance was measured using a Tetrax(®) posturography device (Sunlight Medical Ltd, Israel). Falling risk, stability index (SI), and weight distribution index (WDI) were calculated. Short Physical Performance Battery (SPPB) and International Physical Activity Questionnaire (IPAQ) were used as the clinical tests. [Results] Standing balance, gait, chair stand performance and total SPPB scores were significantly better in the patients with serum 25(OH)D levels higher than 50.0 nmol/l. Similarly, falling risk and SI values in the most of the postures were significantly higher in the hypovitaminosis group. There were significant associations between serum 25(OH)D levels with SPPB total score and Tetrax-measured falling risk. [Conclusion] This study showed better balance control, lower extremity function, and reduced falling risk in patients with serum 25(OH)D levels higher than 50.0 nmol/l in women aged 60 and above.

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References

Qutubuddin A, Cifu D, Adler R, Carne W, Gitchel G . A pilot study of vitamin D and balance characteristics in middle-aged, healthy individuals. PM R. 2010; 2(1):23-6. DOI: 10.1016/j.pmrj.2009.10.007. View

Visser M, Deeg D, Puts M, Seidell J, Lips P . Low serum concentrations of 25-hydroxyvitamin D in older persons and the risk of nursing home admission. Am J Clin Nutr. 2006; 84(3):616-22. DOI: 10.1093/ajcn/84.3.616. View

Karlsson M, Vonschewelov T, Karlsson C, Coster M, Rosengen B . Prevention of falls in the elderly: a review. Scand J Public Health. 2013; 41(5):442-54. DOI: 10.1177/1403494813483215. View

Campbell A, Reinken J, ALLAN B, Martinez G . Falls in old age: a study of frequency and related clinical factors. Age Ageing. 1981; 10(4):264-70. DOI: 10.1093/ageing/10.4.264. View

Balion C, Griffith L, Strifler L, Henderson M, Patterson C, Heckman G . Vitamin D, cognition, and dementia: a systematic review and meta-analysis. Neurology. 2012; 79(13):1397-405. PMC: 3448747. DOI: 10.1212/WNL.0b013e31826c197f. View

Kalueff A, Minasyan A, Keisala T, Kuuslahti M, Miettinen S, Tuohimaa P . The vitamin D neuroendocrine system as a target for novel neurotropic drugs. CNS Neurol Disord Drug Targets. 2006; 5(3):363-71. DOI: 10.2174/187152706784111506. View

Shin S, An D . The Effect of Motor Dual-task Balance Training on Balance and Gait of Elderly Women. J Phys Ther Sci. 2014; 26(3):359-61. PMC: 3976002. DOI: 10.1589/jpts.26.359. View

Gillespie L, Robertson M, Gillespie W, Lamb S, Gates S, Cumming R . Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2009; (2):CD007146. DOI: 10.1002/14651858.CD007146.pub2. View

Holick M, Binkley N, Bischoff-Ferrari H, Gordon C, Hanley D, Heaney R . Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011; 96(7):1911-30. DOI: 10.1210/jc.2011-0385. View

10.

Endo I, Inoue D, Mitsui T, Umaki Y, Akaike M, Yoshizawa T . Deletion of vitamin D receptor gene in mice results in abnormal skeletal muscle development with deregulated expression of myoregulatory transcription factors. Endocrinology. 2003; 144(12):5138-44. DOI: 10.1210/en.2003-0502. View

11.

Bischoff H, Borchers M, Gudat F, Duermueller U, Theiler R, Stahelin H . In situ detection of 1,25-dihydroxyvitamin D3 receptor in human skeletal muscle tissue. Histochem J. 2001; 33(1):19-24. DOI: 10.1023/a:1017535728844. View

12.

Bischoff-Ferrari H, Borchers M, Gudat F, Durmuller U, Stahelin H, Dick W . Vitamin D receptor expression in human muscle tissue decreases with age. J Bone Miner Res. 2004; 19(2):265-9. DOI: 10.1359/jbmr.2004.19.2.265. View

13.

Liaw M, Chen C, Pei Y, Leong C, Lau Y . Comparison of the static and dynamic balance performance in young, middle-aged, and elderly healthy people. Chang Gung Med J. 2009; 32(3):297-304. View

14.

Rhymes J, Jaeger R . Falls. Prevention and management in the institutional setting. Clin Geriatr Med. 1988; 4(3):613-22. View

15.

Korkmaz N, Tutoglu A, Korkmaz I, Boyaci A . The Relationships among Vitamin D Level, Balance, Muscle Strength, and Quality of Life in Postmenopausal Patients with Osteoporosis. J Phys Ther Sci. 2014; 26(10):1521-6. PMC: 4210387. DOI: 10.1589/jpts.26.1521. View

16.

Annweiler C, Montero-Odasso M, Schott A, Berrut G, Fantino B, Beauchet O . Fall prevention and vitamin D in the elderly: an overview of the key role of the non-bone effects. J Neuroeng Rehabil. 2010; 7:50. PMC: 2959005. DOI: 10.1186/1743-0003-7-50. View

17.

Sorensen O, Saltin B, Lund B, Andersen R, Hjorth L, Melsen F . Myopathy in bone loss of ageing: improvement by treatment with 1 alpha-hydroxycholecalciferol and calcium. Clin Sci (Lond). 1979; 56(2):157-61. DOI: 10.1042/cs0560157. View

18.

Kohen-Raz R . Application of tetra-ataxiametric posturography in clinical and developmental diagnosis. Percept Mot Skills. 1991; 73(2):635-56. DOI: 10.2466/pms.1991.73.2.635. View

19.

Mastaglia S, Seijo M, Muzio D, Somoza J, Nunez M, Oliveri B . Effect of vitamin D nutritional status on muscle function and strength in healthy women aged over sixty-five years. J Nutr Health Aging. 2011; 15(5):349-54. DOI: 10.1007/s12603-010-0287-3. View

20.

Church J, Goodall S, Norman R, Haas M . An economic evaluation of community and residential aged care falls prevention strategies in NSW. N S W Public Health Bull. 2011; 22(3-4):60-8. DOI: 10.1071/NB10051. View