Department of Nutrition, Graduate School of Human Life and Ecology, Osaka Metropolitan University, Habikino.
Department of Nutritional Epidemiology and Shokuiku.
Curr Opin Clin Nutr Metab Care. 2024 Nov 1;27(6):499-506. doi: 10.1097/MCO.0000000000001071. Epub 2024 Sep 4.
The purpose of this review is to critically evaluate the effects of vitamin D on muscle mass and physical/muscle function in middle-aged and older adults, based on recent human studies, including cross-sectional, observational, and intervention studies. Vitamin D, beyond its well established role in bone health, has shown potential in influencing muscle physiology, making it a nutrient of interest in the context of sarcopenia and related chronic conditions.
The review states how vitamin D affects muscle function, emphasizing its role in muscle cell proliferation, differentiation, and key signaling pathways. Additionally, the review of recent human studies revealed an inconsistent relationship between vitamin D and sarcopenia and related indices, with mixed results regarding muscle mass and strength. Variability in supplementation dose, duration, and baseline 25-hydroxyvitamin D levels may contribute to these inconsistencies.
While animal studies indicate vitamin D's effectiveness in muscle growth, cross-sectional, observational, and intervention studies do not show clear benefits of maintaining efficient vitamin D levels on muscle mass or function in humans. Although vitamin D impacts muscle health, it is insufficient alone, emphasizing the need for a multifaceted approach to sarcopenia prevention and management.
本综述旨在根据最近的人体研究,包括横断面研究、观察性研究和干预性研究,批判性地评估维生素 D 对中年及以上成年人肌肉量和身体/肌肉功能的影响。除了在骨骼健康方面的明确作用外,维生素 D 已显示出在影响肌肉生理学方面的潜力,使其成为与肌肉减少症和相关慢性疾病相关的营养素。
综述指出了维生素 D 如何影响肌肉功能,强调了它在肌肉细胞增殖、分化和关键信号通路中的作用。此外,对最近的人体研究的综述表明,维生素 D 与肌肉减少症和相关指标之间的关系不一致,关于肌肉量和力量的结果也不一致。补充剂量、持续时间和基线 25-羟维生素 D 水平的差异可能导致了这些不一致。
尽管动物研究表明维生素 D 对肌肉生长有效,但横断面研究、观察性研究和干预性研究并未表明在人体中维持有效的维生素 D 水平对肌肉量或功能有明显的益处。虽然维生素 D 对肌肉健康有影响,但它本身是不够的,这强调了需要采取多方面的方法来预防和管理肌肉减少症。