Korea Institute of Health Environment, 87, Seongsui-ro, Seongdong-gu, Seoul 04782, Korea.
Department of Surgery, Inje University, Ilsan Paik Hospital, 170 Juhwa-ro, IlsanSeo-gu, Goyang-si 10380, Korea.
Nutrients. 2021 Oct 15;13(10):3618. doi: 10.3390/nu13103618.
This study investigated how folic acid affects muscle strength and the effects of vitamin A on quality of life in adults. Baseline data from the Korea National Health and Nutrition Examination Survey (KNHANES VII 2016-2018) was used to find 6112 adults (ages 19-80) meeting study criteria. The participants were divided into three groups: young adults (ages 19-39), middle-aged (ages 40-64), and elderly (≥65 years). Muscle strength was measured using a digital grip strength dynamometer. The EuroQol five-dimension questionnaire measured quality of life. Associations were assessed using multivariate regression and logistic regression. Vitamins and handgrip strength were divided into low and high groups based on the mean. Although vitamin A and folate levels were related to handgrip strength in all subjects, regression demonstrated a significant association between folate and handgrip strength in the elderly. The odds ratios (OR) of higher handgrip strength were statistically significant for elderly participants with high levels of folate compared to those with low levels (OR: 1.55). Vitamin A was associated with quality of life, especially in the self-care dimension for the elderly. Further longitudinal research is needed to examine the relationship between vitamins and muscle strength, as well as vitamins and quality of life.
本研究旨在探讨叶酸如何影响肌肉力量,以及维生素 A 对成年人生活质量的影响。本研究使用 2016-2018 年韩国国家健康和营养检查调查(KNHANES VII)的基线数据,纳入了符合研究标准的 6112 名成年人(年龄 19-80 岁)。参与者被分为三组:青年组(19-39 岁)、中年组(40-64 岁)和老年组(≥65 岁)。肌肉力量使用数字握力测力计进行测量。生活质量使用欧洲五维健康量表(EQ-5D)进行评估。使用多元回归和逻辑回归评估关联。根据平均值将维生素和握力分为低水平和高水平组。尽管维生素 A 和叶酸水平与所有受试者的握力均相关,但回归分析显示,在老年人中,叶酸与握力之间存在显著关联。与低叶酸水平相比,高水平叶酸的老年参与者握力更高的优势比(OR)具有统计学意义(OR:1.55)。维生素 A 与生活质量相关,特别是在老年人的自我护理维度。需要进一步的纵向研究来检验维生素与肌肉力量之间的关系,以及维生素与生活质量之间的关系。