Heller Jenna E, Thomas Joi J, Hollis Bruce W, Larson-Meyer D Enette
Dept. of Family and Consumer Sciences, University of Wyoming, Laramie, WY.
Int J Sport Nutr Exerc Metab. 2015 Apr;25(2):128-35. doi: 10.1123/ijsnem.2013-0250. Epub 2014 Jul 14.
Excess body fat or obesity is known to increase risk of poor vitamin D status in nonathletes but it is not known if this is the case in athletes. Furthermore, the reason for this association is not understood, but is thought to be due to either sequestration of the fat-soluble vitamin within adipose tissue or the effect of volume dilution related to obese individuals' larger body size. Forty two US college athletes (24 men 18 women, 20.7 ± 1.6 years, 85.0 ± 28.7 kg, BMI = 25.7 ± 6.1 kg/m2) provided blood samples during the fall and underwent measurement of body composition via dual energy X-ray absorptiometry. Serum samples were evaluated for 25-hydroxyvitamin D (25(OH)D) concentration to assess vitamin D status using Diasorin 25(OH)D radioiodine assay. Serum 25(OH)D concentration was negatively associated with height (r = -0.45), total body mass (r = -0.57), BMI (r = -0.57), body fat percentage (r = -0.45), fat mass (r = -0.60) and fat-free mass (r = -0.51) (p < .05). These associations did not change after controlling for sex. In a linear regression mixed model, fat mass (coefficient -0.47, p = .01), but not fat-free mass (coefficient -0.18, p = .32) significantly predicted vitamin D status and explained approximately 36% of the variation in serum 25(OH)D concentration. These results suggest that athletes with a large body size and/or excess adiposity may be at higher risk for vitamin D insufficiency and deficiency. In addition, the significant association between serum 25(OH)D concentration and fat mass in the mixed model, which remained after controlling for sex, is in support of vitamin D sequestration rather than volume dilution as an explanation for such association.
众所周知,在非运动员人群中,体内脂肪过多或肥胖会增加维生素D水平低下的风险,但在运动员中是否如此尚不清楚。此外,这种关联的原因尚不清楚,但据认为这要么是由于脂溶性维生素在脂肪组织中的隔离,要么是与肥胖个体较大的体型相关的体积稀释效应。42名美国大学运动员(24名男性,18名女性,年龄20.7±1.6岁,体重85.0±28.7千克,BMI=25.7±6.1千克/平方米)在秋季提供了血样,并通过双能X线吸收法进行了身体成分测量。使用Diasorin 25(OH)D放射性碘测定法评估血清样本中25-羟基维生素D(25(OH)D)浓度,以评估维生素D状态。血清25(OH)D浓度与身高(r=-0.45)、总体重(r=-0.57)、BMI(r=-0.57)、体脂百分比(r=-0.45)、脂肪量(r=-0.60)和去脂体重(r=-0.51)呈负相关(p<0.05)。在控制性别后,这些关联没有改变。在一个线性回归混合模型中,脂肪量(系数-0.47,p=0.01)而非去脂体重(系数-0.18,p=0.32)显著预测了维生素D状态,并解释了血清25(OH)D浓度约36%的变化。这些结果表明,体型较大和/或肥胖的运动员可能维生素D不足和缺乏的风险更高。此外,在控制性别后,混合模型中血清25(OH)D浓度与脂肪量之间的显著关联支持了维生素D隔离而非体积稀释来解释这种关联。