Laboratory of Nutrition, Exercise and Health (LaNES), School of Medicine, Federal University of Uberlandia (UFU), Uberlandia, Minas Gerais, Brazil.
Eur J Clin Nutr. 2024 Oct;78(10):847-854. doi: 10.1038/s41430-024-01472-2. Epub 2024 Jul 11.
BACKGROUND: Although several studies have suggested a potential positive association between serum vitamin D levels and muscle strength in older adults, it remains unclear whether this relationship is sex-dependent. AIM: To evaluate the association between serum 25 hydroxyvitamin D [25(OH)D] levels and muscle strength in older adults and to assess whether this association is dependent on sex. METHODS: This cross-sectional study utilized data from the National Health and Nutrition Examination Survey (NHANES) conducted between 2001 and 2002. A total of 1173 individuals aged 50-85 years (630 men and 543 women) were included in the analysis. The peak isokinetic force of the knee extensor was assessed using a kinetic communicator isokinetic dynamometer. Serum 25(OH)D levels were measured using the standardized liquid chromatography-tandem mass spectrometry method. Linear regression analyses were conducted to estimate coefficients and 95% confidence intervals for muscle strength across tertiles of serum vitamin D levels, adjusting for potential confounders. RESULTS: Tertiles of serum vitamin D were positively associated with muscle strength in older men (p-trend = 0.007), whereas no association was observed in older women (p-trend = 0.140) or in the total sample (men and women together; p-trend = 0.139). CONCLUSION: Serum vitamin D levels were positively associated with muscle strength specifically in older men, whereas no association was observed in older women. These results suggest that the relationship between vitamin D and strength may be sex-dependent.
背景:尽管有几项研究表明血清维生素 D 水平与老年人肌肉力量之间存在潜在的正相关关系,但这种关系是否依赖于性别尚不清楚。
目的:评估血清 25 羟维生素 D [25(OH)D]水平与老年人肌肉力量之间的关系,并评估这种关系是否依赖于性别。
方法:本横断面研究利用了 2001 年至 2002 年进行的国家健康和营养检查调查(NHANES)的数据。共纳入 1173 名 50-85 岁的个体(630 名男性和 543 名女性)进行分析。使用动力学通讯器等速测力计评估膝关节伸肌的最大等速力量。使用标准化液相色谱-串联质谱法测量血清 25(OH)D 水平。进行线性回归分析,以估计血清维生素 D 水平三分位与肌肉力量之间的系数和 95%置信区间,同时调整潜在的混杂因素。
结果:血清维生素 D 三分位与老年男性的肌肉力量呈正相关(趋势 P 值=0.007),而老年女性(趋势 P 值=0.140)或总样本(男性和女性)中未观察到这种相关性(趋势 P 值=0.139)。
结论:血清维生素 D 水平与肌肉力量呈正相关,仅在老年男性中观察到,而在老年女性中未观察到。这些结果表明,维生素 D 与力量之间的关系可能依赖于性别。
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