Rodziewicz-Flis Ewa Aleksandra, Kawa Małgorzata, Flis Damian Józef, Szaro-Truchan Marzena, Skrobot Wojciech Romuald, Kaczor Jan Jacek
Department of Basic Physiotherapy, Gdansk University of Physical Education and Sport, Gdansk, Poland.
Department of Pharmaceutical Pathophysiology, Medical University of Gdansk, Gdansk, Poland.
Front Physiol. 2022 Apr 20;13:809363. doi: 10.3389/fphys.2022.809363. eCollection 2022.
The study aimed to evaluate if the 25(OH)D concentration is related to physical training responses. Moreover, to determine the association between serum 25(OH)D concentration and older women's physical performance, oxidative stress markers, inflammation, and bone metabolism. 37 older women (age 72.9 ± 5.2 years) were assigned into two groups: supplemented (SG) and non-supplemented (NSG). Then, the participants from SG and NSG were randomly assigned into exercised and non-exercised groups: exercise sufficient vitamin D group (ESD; = 10), exercise insufficient vitamin D group (EID; = 9), control sufficient vitamin D group (CSD; = 9), and control insufficient vitamin D group (CID; = 9). To assess the study aims time up and go test (TUG), 6 min walk test (6MWT), fall risk test (FRT), blood osteocalcin (OC), parathormone (PTH), calcium (Ca), sulfhydryl groups (SH), malondialdehyde (MDA), and interleukin-6 (IL-6) were performed. The results showed that a higher 25(OH)D concentration was in line with better physical performance and bone metabolism as well as lower inflammation. After 12 weeks of training we noted an improvement in 6MWT (from 374.0 ± 17.3 to 415.0 ± 18.8; = 0.001 and from 364.8 ± 32.8 to 419.4 ± 32.3; = 0.001 for EID and ESD, respectively), TUG (from 7.9 ± 0.5 to 6.8 ± 0.8; = 0.001 and from 7.3 ± 1.5 to 6.4 ± 0.9; = 0.002, for EID and ESD, respectively), reduction of fall risk (from 2.8 ± 0.8 to 1.9 ± 0.4; = 0.003 and from 2.1 ± 1.1 to 1.6 ± 0.5; = 0.047, for EID and ESD, respectively) and increase in SH groups (from 0.53 ± 0.06 to 0.58 ± 0.08; = 0.012 and from 0.54 ± 0.03 to 0.59 ± 0.04; = 0.005, for EID and ESD, respectively), regardless of the baseline 25(OH)D concentration. A decrease in PTH and OC concentration was observed only in EID group (from 57.7 ± 15.7 to 49.4 ± 12.6; = 0.013 for PTH and from 27.9 ± 17.2 to 18.0 ± 6.2; = 0.004 for OC). To conclude, vitamin D concentration among older women is associated with physical performance, fall risk, inflammation, and bone metabolism markers. Moreover, 12 weeks of training improved physical performance and antioxidant protection, regardless of baseline vitamin D concentration.
该研究旨在评估25(OH)D浓度是否与体育锻炼反应相关。此外,确定血清25(OH)D浓度与老年女性身体机能、氧化应激标志物、炎症及骨代谢之间的关联。37名老年女性(年龄72.9±5.2岁)被分为两组:补充组(SG)和非补充组(NSG)。然后,将SG组和NSG组的参与者随机分为运动组和非运动组:运动充足维生素D组(ESD;n = 10)、运动不足维生素D组(EID;n = 9)、对照充足维生素D组(CSD;n = 9)和对照不足维生素D组(CID;n = 9)。为评估研究目的,进行了计时起立行走测试(TUG)、6分钟步行测试(6MWT)、跌倒风险测试(FRT)、血液骨钙素(OC)、甲状旁腺激素(PTH)、钙(Ca)、巯基(SH)、丙二醛(MDA)和白细胞介素-6(IL-6)检测。结果显示,较高的25(OH)D浓度与较好的身体机能、骨代谢以及较低的炎症水平相关。训练12周后,我们注意到6MWT有所改善(EID组从374.0±17.3提高到415.0±18.8;P = 0.001,ESD组从364.8±32.8提高到419.4±32.3;P = 0.001),TUG也有所改善(EID组从7.9±0.5降至6.8±0.8;P = 0.001,ESD组从7.3±1.5降至6.4±0.9;P = 0.002),跌倒风险降低(EID组从2.8±0.8降至1.9±0.4;P = 0.003,ESD组从2.1±1.1降至1.6±0.5;P = 0.047),SH基团增加(EID组从0.53±0.06升至0.58±0.08;P = 0.012,ESD组从0.54±0.03升至0.59±0.04;P = 0.005),且与基线25(OH)D浓度无关。仅在EID组观察到PTH和OC浓度降低(PTH从57.7±15.7降至49.4±12.6;P = 0.013,OC从27.9±17.2降至18.0±6.2;P = 0.004)。总之,老年女性的维生素D浓度与身体机能、跌倒风险、炎症及骨代谢标志物相关。此外,无论基线维生素D浓度如何,12周的训练都能改善身体机能和抗氧化保护。