Amerta Nutrition
Vol. 7 No. 3 (2023): AMERTA NUTRITION (Bilingual Edition)

Pengaruh Cholecalciferol 1000 IU pada Kekuatan Genggam Tangan Lansia dengan Defisiensi Vitamin D: The Effects of Cholecalciferol 1000 IU Supplementation on Handgrip Strength in Elderly with Vitamin D Deficiency

Ika Swasti Mahargyani (Program Pendidikan Dokter Spesialis Gizi Klinis, Fakultas Kedokteran, Universitas Diponegoro, Semarang, Indonesia)
Enny Probosari (Program Pendidikan Dokter Spesialis Gizi Klinis, Fakultas Kedokteran, Universitas Diponegoro, Semarang, Indonesia)
Aryu Candra (Program Pendidikan Dokter Spesialis Gizi Klinis, Fakultas Kedokteran, Universitas Diponegoro, Semarang, Indonesia)
Hertanto Wahyu Subagio (Program Pendidikan Dokter Spesialis Gizi Klinis, Fakultas Kedokteran, Universitas Diponegoro, Semarang, Indonesia)
Khairuddin Khairuddin (Program Pendidikan Dokter Spesialis Gizi Klinis, Fakultas Kedokteran, Universitas Diponegoro, Semarang, Indonesia)



Article Info

Publish Date
05 Sep 2023

Abstract

Backgrounds: Vitamin D regulates muscle function by binding to vitamin D receptors (VDR) via genomic signaling pathways. The biologically active form of vitamin D (1,25-(OH)D) affects muscles by modulation of gene transcription and protein kinase signaling pathways that support proliferation and muscle growth. Aging will result in the interaction of vitamin D and VDR, affecting the regulation of muscle calcium channels, followed by a decrease in the stimulation of muscle contractions. Decreased synthesis and low vitamin D intake also affect serum level 25(OH)D. Maintaining vitamin D status in the elderly with vitamin D deficiency is expected to inhibit the decline in muscle strength and dysfunction. Objectives: Determining the effect of giving cholecalciferol on handgrip strength. Methods: An experimental study with randomized controlled trial (RCT) enrolled 54 elderly divided into treatment and control groups. The treatment group received cholecalciferol 1000 IU/day, and the control group received a placebo for 12 weeks. Both groups were examined for serum 25(OH) levels before and after treatment. Results: Most samples in both groups (79.62%) showed vitamin D deficiency. There was an effect of 1000 IU cholecalciferol supplementation on serum 25(OH)D levels with a mean change of 3.8 (p<0.001), while the grip strength showed insignificant results with a mean change of 0.5 (p=0.748). No significant relationship existed between serum 25(OH)D level changes and hand grip strength (r=0.02; p=0.87). Conclusions: Cholecalciferol supplementation of 1000 IU/day for 12 weeks increased serum vitamin D levels but did not increase grip strength.

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Journal Info

Abbrev

AMNT

Publisher

Subject

Health Professions Medicine & Pharmacology Nursing Public Health Other

Description

Amerta Nutrition (p-ISSN:2580-1163; e-ISSN: 2580-9776) is a peer reviewed open access scientific journal published by Universitas Airlangga. The scope for Amerta Nutrition include: public health nutrition, community nutrition, clinical nutrition, dietetics, food science and food service management. ...