Vitamin D status and muscle function in children with neurofibromatosis type 1 (NF1)
C W Hockett1, J Eelloo, S M Huson
1Department of Epidemiology, Colorado School of Public Health, Denver, CO, USA.
Insights
Children with neurofibromatosis type 1 (NF1) show impaired muscle function, specifically reduced jumping power and force, compared to their siblings. Vitamin D levels did not differ between groups and were not linked to muscle performance in this study.
Area of Science:
- Pediatric Endocrinology
- Genetics
- Musculoskeletal Health
Background:
- Neurofibromatosis type 1 (NF1) is a genetic disorder affecting multiple systems.
- Muscle function deficits are reported in NF1, but the role of vitamin D is unclear.
Purpose of the Study:
- To compare vitamin D status and muscle function in children with NF1 versus their unaffected siblings.
- To investigate the relationship between vitamin D levels and muscle performance in NF1.
Main Methods:
- Cross-sectional study of children (5-18 years) with NF1 and unaffected siblings.
- Measured serum 25-hydroxyvitamin D (25(OH)D) and other biochemical markers.
- Assessed muscle function using Leonardo Mechanography Ground Reaction Force Platform (GRFP) for jump power, force, and height.
Main Results:
- No significant difference in serum 25(OH)D levels between NF1 children and siblings.
- NF1 children exhibited significantly lower relative jump power (P=0.054) and force (P<0.0001) compared to controls.
- Jumping parameters were not correlated with 25(OH)D concentrations.
Conclusions:
- Vitamin D status is not significantly associated with NF1 status in children.
- Children with NF1 demonstrate impaired muscle power and force compared to their unaffected siblings.
- These findings highlight a potential non-vitamin D related deficit in muscle function in NF1.
Objectives:
The aim of this cross-sectional study was to assess the vitamin D status and muscle function in children with NF1 compared with their unaffected siblings.
Methods:
NF1 children between 5 and 18 years of age and who had at least one unaffected sibling were identified. Serum concentrations of 25-hydroxyvitamin D (25(OH)D), calcium, inorganic phosphate, alkaline phosphate, parathyroid hormone and 1,25-dihydroxyvitamin D were measured. The Leonardo Mechanography Ground Reaction Force Platform (GRFP) was used to measure EFI, jump power, force and height.
Results:
There was no significant difference in 25(OH)D between NF1 subjects and unaffected siblings. Relative jump power and force were found to be significantly different. The adjusted means (95% confidence limits) of non-NF1 and NF1 children for relative jump power (W/kg), controlling for body mass and age, were 37.31 (34.14, 40.49) and 32.51 (29.34, 35.68), respectively (P=0.054); and force (N/kg), controlling for body mass, age and gender, were 25.79 (24.28, 27.30) and 21.12 (19.61, 22.63), respectively (P<0.0001). Jumping parameters were not related to serum 25(OH)D.
Conclusions:
There was no significant relationship between vitamin D status and NF1 status in children. NF1 children had significantly impaired jumping power and force, when compared to their unaffected siblings.
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