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绝经后女性血清 25(OH)D 浓度、肌肉量和力量与季节之间无显著关联:来自 D-FINES 纵向研究。

Lack of significant seasonal association between serum 25(OH)D concentration, muscle mass and strength in postmenopausal women from the D-FINES longitudinal study.

机构信息

School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Edgbaston, Birmingham B15 2TT, UK.

Leicester Diabetes Centre, University of Leicester, Leicester General Hospital, Leicester LE5 4PW, UK.

出版信息

J Nutr Sci. 2022 Dec 13;11:e107. doi: 10.1017/jns.2022.106. eCollection 2022.

Abstract

The aim of the present study was to assess the seasonal relationship between serum 25(OH)D concentration, lean mass and muscle strength. This was a secondary data analysis of a subgroup of 102 postmenopausal women participating in the 2006-2007 D-FINES (Vitamin D, Food Intake, Nutrition and Exposure to Sunlight in Southern England) study. The cohort was assessed as two age subgroups: <65 years (=80) and ≥65 years (=22). Outcome measures included lean mass (DXA), muscle strength (handgrip dynamometry) and serum 25(OH)D concentration (enzymeimmunoassay). Derived outcomes included appendicular skeletal muscle mass (ASM) and relative appendicular skeletal muscle index (RASM). Sarcopenia status was assessed using the European Working Group on Sarcopenia in Older People 2018 criteria. Non-parametric partial correlation using BMI as a covariate was used to evaluate the study aims. There were no statistically significant associations between total lean mass, ASM or RASM and 25(OH)D in any group at any season. There was a trend for handgrip strength to be positively associated with serum 25(OH)D concentration. There was a trend showing a higher prevalence of sarcopenia in women ≥65 years. Sarcopenia status appeared transient for five women. In conclusion, the present study found no significant association between vitamin D status and functional indicators of musculoskeletal health, which were additionally not affected by season.

摘要

本研究旨在评估血清 25(OH)D 浓度、瘦体重和肌肉力量之间的季节性关系。这是对参加 2006-2007 年 D-FINES(英国南部维生素 D、饮食、营养和日光暴露)研究的 102 名绝经后妇女亚组的二次数据分析。该队列分为两个年龄亚组评估:<65 岁(=80)和≥65 岁(=22)。结局指标包括瘦体重(DXA)、肌肉力量(手握测力)和血清 25(OH)D 浓度(酶联免疫测定)。衍生结局包括四肢骨骼肌质量(ASM)和相对四肢骨骼肌指数(RASM)。使用欧洲老年人肌少症工作组 2018 标准评估肌少症状态。使用 BMI 作为协变量的非参数部分相关用于评估研究目的。在任何季节,任何组的总瘦体重、ASM 或 RASM 与 25(OH)D 之间均无统计学显著关联。握力与血清 25(OH)D 浓度呈正相关趋势。≥65 岁的女性中肌少症的患病率呈上升趋势。五位女性的肌少症状态似乎是短暂的。总之,本研究未发现维生素 D 状态与肌肉骨骼健康的功能指标之间存在显著关联,且季节也无影响。

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