University of Hertfordshire

From the same journal

By the same authors

  • Kate E Earl
  • Giorgos K Sakellariou
  • Melanie Sinclair
  • Manuel Fenech
  • Fiona Croden
  • Daniel J Owens
  • Jonathan Tang
  • Alastair Miller
  • Clare Lawton
  • Louise Dye
  • Graeme L Close
  • William D Fraser
  • Anne McArdle
  • Michael B J Beadsworth
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Original languageEnglish
Article numbere015296
JournalBMJ Open
Publication statusPublished - Nov 2017


OBJECTIVE: Severe vitamin D deficiency is a recognised cause of skeletal muscle fatigue and myopathy. The aim of this study was to examine whether chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) is associated with altered circulating vitamin D metabolites.

DESIGN: Cohort study.

SETTING: UK university hospital, recruiting from April 2014 to April 2015.

PARTICIPANTS: Ninety-two patients with CFS/ME and 94 age-matched healthy controls (HCs).

MAIN OUTCOME MEASURES: The presence of a significant association between CFS/ME, fatigue and vitamin D measures.

RESULTS: No evidence of a deficiency in serum total 25(OH) vitamin D (25(OH)D2 and 25(OH)D3 metabolites) was evident in individuals with CFS/ME. Liquid chromatography tandem mass spectrometry (LC-MS/MS) analysis revealed that total 25(OH)D was significantly higher (p=0.001) in serum of patients with CFS/ME compared with HCs (60.2 and 47.3 nmol/L, respectively). Analysis of food/supplement diaries with WinDiets revealed that the higher total 25(OH) vitamin D concentrations observed in the CFS/ME group were associated with increased vitamin D intake through use of supplements compared with the control group. Analysis of Chalder Fatigue Questionnaire data revealed no association between perceived fatigue and vitamin D levels.

CONCLUSIONS: Low serum concentrations of total 25(OH)D do not appear to be a contributing factor to the level of fatigue of CFS/ME.


© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017.

ID: 20127135