Division of Cardiology, Henry Low Heart Center, Hartford Hospital, Hartford, CT 06102, USA.
Med Sci Sports Exerc. 2013 Jan;45(1):157-62. doi: 10.1249/MSS.0b013e31826c9a78.
The purpose of the study was to examine the relation between serum 25-hydroxy vitamin D (25(OH)D) levels and muscle strength in 419 healthy men and women over a broad age range (20-76 yr).
Isometric and isokinetic strength of the arms and legs was measured using computerized dynamometry, and its relation to vitamin D was tested in multivariate models controlling for age, gender, resting HR, systolic blood pressure, diastolic blood pressure, body mass index, maximal oxygen uptake (VO(2max)), physical activity counts, and season of vitamin D measurement.
Vitamin D was significantly associated with arm and leg muscle strength when controlling for age and gender. When controlling for other covariates listed previously, vitamin D remained directly related to both isometric and isokinetic arm strength but only to isometric leg strength.
These data suggest that there may be a differential effect of vitamin D on upper and lower body strength. The mechanism for this difference remains unclear but could be related to differences in androgenic effects or to differences in vitamin D receptor expression. Our study supports a direct relation between vitamin D and muscle strength and suggests that vitamin D supplementation be evaluated to determine whether it is an effective therapy to preserve muscle strength in adults.
本研究旨在探讨血清 25-羟维生素 D(25(OH)D)水平与 419 名健康男性和女性肌肉力量之间的关系,研究对象年龄范围较广(20-76 岁)。
采用计算机动态测力法测量手臂和腿部的等长和等速力量,并在多变量模型中测试其与维生素 D 的关系,该模型控制了年龄、性别、静息心率、收缩压、舒张压、体重指数、最大摄氧量(VO(2max))、体力活动计数和维生素 D 测量的季节。
在控制年龄和性别后,维生素 D 与手臂和腿部肌肉力量显著相关。在控制上述其他协变量后,维生素 D 仍然与等长和等速手臂力量直接相关,但仅与等长腿部力量相关。
这些数据表明,维生素 D 对上半身和下半身力量可能有不同的影响。这种差异的机制尚不清楚,但可能与雄激素作用的差异或维生素 D 受体表达的差异有关。我们的研究支持维生素 D 与肌肉力量之间的直接关系,并表明应评估维生素 D 补充剂是否可有效治疗成年人保持肌肉力量。