Vitamin D deficiency is a risk factor for dynapenia (poor muscle strength)

1. Dynapenia is an important risk factor for disability and death later in life. A 4-year follow up study looked at association between #VitaminD deficiency and #dynapenia in 3205 people aged 50 or more.
2. Vitamin D deficiency (< 30 nmol/L or <12 ng/mL) increased the risk of the incidence of dynapenia by 70% after 4 years. The risk was even higher in people aged 70-79 (4-times higher) and those aged 80 or more (8 times higher)
#MedTwitter
link.springer.com/article/10.100…
3. Vitamin D participates in both biochemical processes for the maintenance of muscle mass & muscle contraction kinetics. Through its genomic effects, vitamin D exerts an influence on the expression of contractile proteins & differentiation of muscle fibers, which affects the +
4. quantity of muscle mass. Through its non-genomic effects, it participates in the regulation & transport of calcium, which exerts an influence on muscle contraction kinetics. Therefore, through 2 distinct mechanisms, vitamin D plays a role in the generation of muscular strength
5. Take home message
*Good muscle strength in older people is associated with lesser risk of serious diseases and greater longevity.
*Vitamin D should be checked and supplementation started if there is vitamin D deficiency (<12 ng/mL).

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More from @hyderabaddoctor

Feb 11
A grand party with friends ended devastatingly for Aruj

1. 33-year old Aruj was visiting home after a gap of 5 years (after landing a job with handsome paycheck overseas). It called for a grand celebration and Aruj was in no mood to disappoint his friends.
#MedTwitter
2. It was an extravagant party with a wide variety of cuisine from around the world. In addition, he had arranged for the best of spirits. Aruj was having a great time with friends- chatting about old times, dancing on popular numbers played by DJ and enjoying food & alcohol.
3. Aruj & his friends were in high spirits under the influence of spirits. However, after having gulped multiple drinks, they were getting unsteady on feet & were finding difficult to properly dance. Very soon, Aruj was unable to properly stand & it was decided to call it a day.
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Feb 8
Vitamin D is effective in decreasing risk for diabetes in adults with prediabetes

1. In a meta-analysis, the risk of #diabetes reduced by 15% in adults with prediabetes, who were given #vitaminD: 20,000 IU (500 mcg) weekly; OR 4,000 IU (100 mcg) daily, as compared to placebo.
2. The 3-year absolute risk reduction in developing diabetes was 3.3%.
The absolute risk reduction number is small, especially when compared with the risk reduction seen with intensive lifestyle changes (58%) and metformin (31%).
#MedTwitter
doi.org/10.7326/M22-30…
3. There are certain limitations.
*The effects of vitamin D can not be generalized to healthy adults, as it was tested in only those with prediabetes.
*The safety of prolonged vitamin D use on regular basis is not yet fully clear.
Read 4 tweets
Feb 7
Persistent #running can add 6 years to your #life

1. Running has several benefits including lesser risk of death and longer #survival. As per a research study, persistent running over 15 years can add 5.9 years to life.
doi.org/10.1016/j.jacc…
2. As per study, runners added 3 years to life as compared to never runners, and persistent runners (who continued running through the follow up period) added 5.9 years to life.
All cause death reduced by 29% and cardiovascular death reduced by 50% among consistent runners.
3. The benefits on survival and reduction in death were seen in all runners.
Weekly running even <51 min, <6 miles, 1 to 2 times or <6 miles/hour was sufficient to reduce risk of death, compared with not running.
Read 4 tweets
Feb 7
Relatively higher risk of Guillain-Barre Syndrome (GBS) after Janssen #COVID19 #Vaccine

1. Within 21 days of vaccination, GBS reporting rates per 1 million doses were 3.29 for the Janssen vaccine versus 0.29 and 0.35 for the Pfizer and Moderna vaccines, respectively
#MedTwitter
2. Within 42 days of vaccination, reporting rates per 1 million doses were 4.07, 0.34, and 0.44, respectively for Janssen, Pfizer and Moderna vaccines.
jamanetwork.com/journals/jaman…)%3Ae2253845.%20doi%3A-,10.1001/jamanetworkopen.2022.53845,-COVID%2D19%20Resource
3. The Advisory Committee on Immunization Practices (ACIP) preferentially recommends that people age 18 years and older receive an mRNA COVID-19 vaccine rather than the Janssen adenoviral vector vaccine when both types of COVID-19 vaccine are available.
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Feb 7
Long-term #depression is associated with #brain aging & poor cognitive function

1. 649 adults aged 23-36 years were followed up for 25 years in USA.
Participants with elevated depressive symptoms had on average a 3-year greater brain age.
#MedTwitter #Alzheimers #NeuroTwitter
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doi.org/10.1016/j.jad.…
3. Take home message
*Adults should be screened for the presence of depressive symptoms and those with depression should be treated, in order to reduce the risk of cognitive decline and accelerated brain aging in later life.
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A common habit resulted in severe #vision impairment in a young woman

1. 30-year old Manju had severe disabling vision symptoms for one and half years. This included seeing floaters, bright flashes of light, dark zig zag lines and at times inability to see or focus on objects.
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She was referred to rule out neurological causes.
3. I reviewed the history. Symptoms had started after she quit her job of a beautician in order to take care of her specially abled child.
She picked up a new habit of browsing through her smartphone for several hours daily, including >2 hours at nights with lights switched off.
Read 13 tweets

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