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维生素 D 状况可预测生活在新西兰奥克兰的年轻成年女性的握力。

Vitamin D status predicts hand-grip strength in young adult women living in Auckland, New Zealand.

机构信息

Institute of Food, Nutrition and Human Health, Massey University, Private Bag, 102 904 North Shore Mail Centre, Auckland, New Zealand.

出版信息

J Steroid Biochem Mol Biol. 2013 Jul;136:330-2. doi: 10.1016/j.jsbmb.2012.11.015. Epub 2012 Dec 7.

DOI:10.1016/j.jsbmb.2012.11.015
PMID:23220545
Abstract

The identification of the vitamin D receptor (VDR) in skeletal muscle tissue and research in muscle strength and development in VDR-null mice confirms a role for vitamin D in muscle function. The relationship between muscle strength and vitamin D status has been explored to some degree in older populations with regard to fall prevention, but there has been very little research in younger adults. This cross-sectional study considered the predictors of muscle strength in 137 young women (19-29 years) living in New Zealand. The following measurements were taken in the latter months of winter: plasma 25OHD, dominant (HGD) and non-dominant hand-grip (HGND) strength (hand-grip dynamometer), counter measure jump, and recreational physical activity (RPA) assessed from a recent physical activity questionnaire (RPAQ). Dietary intake was measured with a four-day food diary, and body composition using air displacement plethysmography. This was a relatively inactive group of women; total RPA ranged from 0 to 3.93h per week, mean (SD) 0.86(0.74) h, approximately 50% comprised outdoor activities. Mean 25OHD was 54(28)nmol/l, HGD and HGND were significantly different (t=6.049, p<0.001) at 27.3(5.8) and 25.6(5.7)kg respectively. Total RPA and 25OHD were entered into a linear regression model with handgrip strength as the dependent variable (Model R(2)=0.11, p=0.001 non-dominant, R(2)=0.13, p<0.001 dominant). Serum 25OHD was significantly associated with HGD (B(SE)=0.05(0.02), p=0.016) and HGND (B(SE)=0.04(0.02), p=0.019), independent of recreational physical activity. Recreational activity had an association with both hand-grip strength and serum 25OHD, and when each were adjusted to remove this association, 25OHD accounted for 4.3% of HGND and 4.5% of HGD. These results suggest that vitamin D status does have a small but significant association with hand-grip strength in this group of young women. Further investigation in this age group with a randomised controlled trial is justified. This article is part of a Special Issue entitled 'Vitamin D Workshop'.

摘要

维生素 D 受体(VDR)在骨骼肌组织中的鉴定以及 VDR 基因缺失小鼠的肌肉力量和发育研究证实了维生素 D 对肌肉功能的作用。在老年人中,已经在一定程度上研究了肌肉力量与维生素 D 状态之间的关系,以预防跌倒,但在年轻人中研究甚少。本横断面研究考虑了生活在新西兰的 137 名年轻女性(19-29 岁)的肌肉力量预测因素。在冬季的最后几个月进行了以下测量:血浆 25OHD、优势手(HGD)和非优势手握力(HGND)(握力测力计)、反向距离跳跃和休闲体育活动(RPA),根据最近的体育活动问卷(RPAQ)进行评估。饮食摄入通过为期四天的食物日记进行测量,身体成分使用空气置换体描仪进行测量。这是一组相对不活跃的女性;总 RPA 每周从 0 到 3.93 小时不等,平均值(SD)为 0.86(0.74)小时,大约 50%由户外活动组成。平均 25OHD 为 54(28)nmol/L,HGD 和 HGND 差异显著(t=6.049,p<0.001),分别为 27.3(5.8)kg 和 25.6(5.7)kg。将总 RPA 和 25OHD 作为因变量输入到握力的线性回归模型中(模型 R(2)=0.11,p=0.001 非优势手,R(2)=0.13,p<0.001 优势手)。血清 25OHD 与 HGD(B(SE)=0.05(0.02),p=0.016)和 HGND(B(SE)=0.04(0.02),p=0.019)显著相关,与休闲体育活动无关。休闲活动与双手握力和血清 25OHD 均有关联,当调整每个关联以消除这种关联时,25OHD 占 HGND 的 4.3%和 HGD 的 4.5%。这些结果表明,在这群年轻女性中,维生素 D 状态与握力确实存在很小但有统计学意义的关联。在该年龄组中进行随机对照试验的进一步研究是合理的。本文是题为“维生素 D 研讨会”的特刊的一部分。

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