Vitamin D and musculoskeletal health: outstanding aspects to be considered in the light of current evidence

Bibliographic Details
Title: Vitamin D and musculoskeletal health: outstanding aspects to be considered in the light of current evidence
Authors: Marcela Moraes Mendes, Patricia Borges Botelho, Helena Ribeiro
Source: Endocrine Connections, Vol 11, Iss 10, Pp 1-12 (2022)
Publisher Information: Bioscientifica, 2022.
Publication Year: 2022
Collection: LCC:Diseases of the endocrine glands. Clinical endocrinology
Subject Terms: 25(oh)d, bone health, vitamin d, skeletal health, Diseases of the endocrine glands. Clinical endocrinology, RC648-665
More Details: Vitamin D enhances calcium absorption and bone mineralisation, promotes maintenance of muscle function, and is crucial for musculoskeletal health. Low vitamin D status triggers secondary hyperparathyroidism, increases bone loss, and leads to muscle weakness. The primary physiologic function of vitamin D and its metabolites is maintaining calcium homeostasis for metabolic functioning, signal transduction, and neuromuscular activity. A considerable amount of human evidence supports the well-recognised contribution of adequate serum 25-hydroxyvitamin D concentrations for bone homeostasis maintenance and prevention and treatment strategies for osteoporosis when combined with adequate calcium intake. This paper aimed to review the literature published, mainly in the last 20 years, on the effect of vitamin D and its supplementation for mu sculoskeletal health in order to identify the aspects that remain unclear or controversial and therefore require further investigation and debate. There is a clear need for consistent data to establish realistic and meaningful recommendations of vitamin D status th at consider different population groups and locations. Moreover, there is still a lack of consensus on thresholds for vitamin D deficiency and optimal status as well as toxicity, optimal intake of vitamin D, vitamin D supplement alone as a strategy to prevent fractures and falls, recommended sun exposure at different latitudes and for different skin pigmentati ons, and the extra skeletal effects of vitamin D.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2049-3614
Relation: https://ec.bioscientifica.com/view/journals/ec/11/10/EC-21-0596.xml; https://doaj.org/toc/2049-3614
DOI: 10.1530/EC-21-0596
Access URL: https://doaj.org/article/b8fd7a5619a944d49d8f600912e5349a
Accession Number: edsdoj.b8fd7a5619a944d49d8f600912e5349a
Database: Directory of Open Access Journals
More Details
ISSN:20493614
DOI:10.1530/EC-21-0596
Published in:Endocrine Connections
Language:English