Bruun Ella, Pätsi Pauli, Leskinen Markku, Björkman Krista, Kulmala Petri, Tulppo Mikko P, Valkama Marita, Ojaniemi Marja
Department of Pediatrics, Oulu University Hospital, University of Oulu, Wellbeing Services County of North Ostrobothnia, 90220 Oulu, Finland.
Research Unit of Clinical Medicine, University of Oulu, 90014 Oulu, Finland.
Children (Basel). 2023 Dec 7;10(12):1898. doi: 10.3390/children10121898.
Prematurity has been linked to lower muscular fitness and increased morbidity across the human lifespan. Hand grip strength is widely used as a measure of muscle strength. Previous studies have shown inconsistent results regarding the role of vitamin D in hand grip strength. Here, we investigated hand grip strength and the effects of a yearlong vitamin D supplementation in healthy preterm-born young adults. We recruited 38 young adults born preterm at either ≤32 weeks' gestation or <34 weeks' gestation and weighing <1500 g, as well as 39 gender- and age-matched controls, for this study. Anthropometric measurements, hand grip strengths, and vitamin D concentrations were recorded. These investigations were repeated after a yearlong vitamin D supplementation intervention. There was a significant difference in the age- and gender-specific hand grip strength ranks between the preterm- and full-term-born young adults: 57.9% and 30.7%, respectively, were below average ( = 0.009). In the preterm-born group, the females had significantly lower hand grip strengths compared to their full-term-born peers, with a mean difference of -3.46 kg (95% CI: -6.68 to -0.247; = 0.035). In a linear regression analysis, the preterm-born female adult height was negatively associated with hand grip strength (R = 0.24, F (1.43) = 13.61, < 0.001). The vitamin D concentrations were increased after the supplementation period, with no association with hand grip strength. According to our results, preterm-born young females are at risk for lower muscle strength, independent of their current vitamin D status.
早产与一生中较低的肌肉健康水平和发病率增加有关。握力被广泛用作肌肉力量的衡量指标。先前的研究关于维生素D在握力方面的作用得出了不一致的结果。在此,我们调查了健康早产青年成年人的握力以及为期一年的维生素D补充剂的效果。我们招募了38名在妊娠≤32周或<34周出生且体重<1500克的早产青年成年人,以及39名性别和年龄匹配的对照组参与本研究。记录了人体测量数据、握力和维生素D浓度。在为期一年的维生素D补充剂干预后重复了这些调查。早产和足月出生的青年成年人在按年龄和性别划分的握力排名上存在显著差异:分别有57.9%和30.7%低于平均水平(P = 0.009)。在早产组中,女性的握力明显低于她们足月出生的同龄人,平均差异为-3.46千克(95%置信区间:-6.68至-0.247;P = 0.035)。在一项线性回归分析中,早产成年女性的身高与握力呈负相关(R = 0.24,F(1.43)=13.61,P < 0.001)。补充期后维生素D浓度有所增加,但与握力无关。根据我们的结果,早产青年女性存在肌肉力量较低的风险,与她们当前的维生素D状态无关。