Vitamin D affects not only bone but also muscle to prevent falls and osteoporotic fractures. However, these effects on muscle and the mechanisms of fall prevention are still unclear. The purpose of this study was to investigate the effects of alfacalcidol [1α(OH)D 3 ] on muscle strength, muscle fatigue, and bone mineral density (BMD) in ovariectomized rats. Seven-month-old female Wistar rats were orally administered 1α(OH)D 3 or its vehicle everyday for 4 weeks after ovariectomy (OVX) or sham operation. Calf muscle strength and fatigue were evaluated by electrical stimulation of the sciatic nerve under general anesthesia. 1α(OH)D 3 administration significantly increased the maximum muscle strength in the sham-operated (P < 0.01) and the OVX (P < 0.01) groups compared to their respective control groups. However, 1α(OH)D 3 administration did not significantly affect muscle fatigue in these groups. The BMD of the femur in the 1α(OH)D 3 -treated OVX group was significantly higher than that in the vehicle-treated OVX group (P = 0.04). These results suggested that 1α(OH)D 3 increases muscle strength but does not affect muscle fatigue in this rat model. The effectiveness of activated vitamin D in preventing bone fractures may be partly owing to its effect on muscle strength in addition to its known effect on bone metabolism.The active, hormonal form of vitamin D 1,25-dihydroxyvitamin D 3 [1,25(OH) 2 D 3 or calcitriol] and its prodrug 1α-hydroxyvitamin D 3 [1α(OH)D 3 or alfacalcidol] have been widely used to treat a variety of metabolic bone diseases, such as rickets/osteomalacia, renal osteodystrophy, and osteoporosis (8, 41). Activated vitamin D can prevent fractures by improving bone quality, bone metabolism, and bone mineral density (BMD) (7,22,40,45,50). However, its preventive effects on fractures were more significant than its effects on bone quality or BMD. Several recent meta-analyses have demonstrated that native or activated vitamin D has preventive effects on falls (2, 16). This preventive effect on falls contributes to a partial reduction of fractures by vitamin D in elderly osteoporotic individuals (3, 37). However, the mechanisms by which activated vitamin D prevents falls remain unknown. Several factors have been reported as physical risk factors for falls, including decreased muscle strength or function of lower extremity, impaired physical function such as single-leg standing, and postural imbalance with aging (26,28,34,36). Vitamin D may act directly on muscle tissue to exert its preventive effect on falls. It has been known that osteomalacia and rickets cause muscular atrophy and decrease muscle strength and that the muscular symptoms associated with these diseases quickly improve with vitamin D treatment (39, 43). These findings indicate a potential association between vitamin D and muscle tissue. Therefore, the effects of vitamin D on muscle tissue with regard to fall prevention have been of focus in aged and osteoporotic patients. Muscle function is defined by several factors, including mu...