Increased levels of active vitamin D can help to optimise muscle strength

Researchers at the University of Birmingham have shown that increasing the levels of active vitamin D can help to optimise muscle strength in humans. 

The study, published in PLOS ONE, builds on previous knowledge showing levels of inactive vitamin D to be associated with a lack of muscle mass.

The research team hope that the findings will inform the design of future supplementation studies and begin to answer questions as to the optimal levels of vitamin D required for healthy muscles. The research is the result of a cutting edge technique that allowed both active and inactive forms of vitamin D to be assessed alongside their impact on various muscle functions.

“When you look at significant challenges facing healthcare providers across the world you can see how optimising muscle function is of great interest”

Dr Zaki Hassan-Smith, from the University of Birmingham’s Institute of Metabolism and Systems Research, explained: “We have a good understanding of how vitamin D helps bone strength, but we still need to learn more about how it works for muscles. When you look at significant challenges facing healthcare providers across the world, such as obesity and an ageing population, you can see how optimising muscle function is of great interest.”

He added: “Previous studies have tested for the inactive forms of vitamin D in the bloodstream to measure vitamin D deficiency. Here we were able to develop a new method of assessing multiple forms of vitamin D, alongside extensive testing of body composition, muscle function and muscle gene expression.”

During the trial 116 healthy volunteers, aged between 20 and 74, were recruited. Participants had both active and inactive levels of vitamin D measured alongside physical characteristics including body fat and ‘lean mass’, a measure of muscle bulk.

Women with a healthy body composition, and lower body fat, were less likely to have high levels of inactive vitamin D, a marker of vitamin D deficiency. This was echoed by the finding that levels of inactive vitamin D were lower in women with increased body fat. This would suggest a relationship between vitamin D and body composition.

However, the active form of vitamin D was not associated with body fat, but was associated with lean mass. Individuals with an increased lean mass, and muscle bulk, had a higher level of active vitamin D in the bloodstream.

“It is vital to understand the complete picture so we can learn how to supplement vitamin D intake to enhance muscle strength”

“By looking at multiple forms in the same study we can say that it is a more complex relationship than previously thought,” said Dr Hassan-Smith. “It may be that body fat is linked to increased levels of inactive vitamin D, but lean mass is the key for elevated levels of active vitamin D. It is vital to understand the complete picture, and the causal mechanisms at work, so we can learn how to supplement vitamin D intake to enhance muscle strength.”

In this study some of the positive associations between active vitamin D and muscle bulk were not seen in men. Future studies with larger cohorts will help to identify if this is due to biological differences.

The team will now work alongside international collaborators to further investigate the mechanisms at work through lab-based studies and clinical trials.

• Have you got a question for the team? Tweet Dr Hassan-Smith at @ZakiHassanSmith
• Read more about the Institute of Metabolism and Systems Research
• Find out what clinical trials are currently being run at the University of Birmingham

Vitamin D is considered ‘inactive’ until it undergoes two enzymatic hydroxylation reactions within our bodies. The first reaction takes place in the liver while the second takes place in the kidney. Once this process is complete vitamin D is in an active form, which researchers suggest can help to optimise muscle strength.

Our bodies are capable of both ingesting and creating its own vitamin D. The most common food sources of vitamin D include oily fish, such as salmon, red meat and eggs. Dietary supplements are another source as well as some breakfast cereals and fat spreads.

When we are outdoors our bodies can also produce vitamin D from direct sunlight. Depending on the state of the great British weather, from about late March/early April to the end of September most of us should be able to get all the vitamin D we need from sunlight, although sun precautions should be taken if you plan on being outdoors for a lengthy period.