The role of vitamin D and therapeutic exercises in correction of sarcopenia
Background. Today, the main areas of prevention and therapy of sarcopenia are nutritional correction, physical activity, vitamin D therapy. The purpose of the study was evaluation of the role of vitamin D and exercises in correction of age-related skeletal muscle changes in postmenopausal women. Materials and methods. Thirty eight postmenopausal women aged 53–82 years were examined. They were divided into the following groups: 1 — control group (n = 10); 2 — women received individual targeted vitamin D therapy (n = 11); 3 — women, who took individual targeted vitamin D therapy and OTAGO Exercise Program during 12 months (n = 17). Visits to the center to assess the state of examined women conducted every 3 months. 25(ОН)D total level was assessed by electrochemiluminescent method using Elecsys 2010 analytical system (Roche Diagnostics, Germany). The lean mass was measured by the dual energy X-ray absorptiometry method (Prodigy, GEHC Lunar, Madison, WI, USA). For evaluation of strength and skeletal muscle function, we used hand dynamometry and functional tests. Statistica 6.0 Copyright© StatSoft, Inc. 1984–2001, serial number 31415926535897, was used for data processing. Results. In women of control group, the mean 25(OH)D level significantly increased after 9 months of observation (9 months — р = 0.03) that we explain by seasonal factors. In women of 2nd and 3rd groups, the 25(OH)D level significantly increased after 3, 6, 9 and 12 months of observations (р < 0.05). The lean mass did not change in all groups during 12 months. The muscle strength significantly increased after 9 months (р = 0.01) in women of 3rd group, in women of 1st and 2nd group — did not change. In women of 3rd group, we observed the significant improvement in static balancing (p = 0.01). The fall frequency in women of 1st group significantly increased after 12 months, in women of 2nd group — did not change, in women of 3rd group — significantly decreased. Conclusions. The use of individual targeted vitamin D therapy and OTAGO Exercise Program in postmenopausal women during 12 months significantly improves daily activity, static balancing, muscle strength and decreased the fall frequency.
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