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  4. Age-dependent effect of vitamin D supplementation on musculoskeletal health in chronic spinal cord injury patients: A pilot study

Age-dependent effect of vitamin D supplementation on musculoskeletal health in chronic spinal cord injury patients: A pilot study

The Journal of Spinal Cord Medicine, 2025 · DOI: 10.1080/10790268.2023.2257850 · Published: September 27, 2023

Spinal Cord InjuryNutrition & DieteticsMusculoskeletal Medicine

Simple Explanation

This study explores how vitamin D supplementation affects body composition and musculoskeletal health in individuals with chronic spinal cord injury (SCI) who also have vitamin D deficiency. The research divided participants into two age groups: those under 65 and those 65 and older, to see if age influenced the effects of vitamin D supplementation. The findings suggest that vitamin D supplementation has different benefits for younger and older adults with SCI, with both groups showing positive changes in body composition.

Study Duration
12 weeks
Participants
17 patients with chronic SCI and vitamin D insufficiency/deficiency
Evidence Level
Prospective drug-intervention study

Key Findings

  • 1
    In younger adults with SCI, vitamin D supplementation led to significant improvements in testosterone, total cholesterol, and triglyceride levels.
  • 2
    In older adults with SCI, vitamin D supplementation significantly increased vitamin D and protein mass levels.
  • 3
    Baseline clinical characteristics, including Skeletal Muscle Mass Index (SMI), Skeletal Muscle Mass (SMM), Soft Lean Mass (SLM), and Protein Mass (PM) were significantly better in the younger adult group.

Research Summary

This study investigates the age-dependent effects of vitamin D supplementation on musculoskeletal health in chronic SCI patients with vitamin D deficiency. The results indicate that vitamin D supplementation has varying benefits for younger and older adults with SCI, showing improvements in body composition for both groups. The study suggests that vitamin D supplementation can be a beneficial intervention for managing musculoskeletal health in individuals with chronic SCI, with considerations for age-specific effects.

Practical Implications

Personalized Supplementation

Vitamin D supplementation strategies for SCI patients should consider age-related differences in response.

Sarcopenia Management

Vitamin D supplementation may be a useful tool for managing sarcopenia risk in older SCI patients.

Cardiometabolic Health

Vitamin D supplementation may improve cardiometabolic risk factors in younger SCI patients.

Study Limitations

  • 1
    Small sample size
  • 2
    Study population limited to male Korean patients
  • 3
    Lack of control for AIS thresholds and comorbidities

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