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维生素 D 与肌肉健康:近期研究的新视角。

Vitamin D and muscle health: insights from recent studies.

机构信息

Department of Nutrition, Graduate School of Human Life and Ecology, Osaka Metropolitan University, Habikino.

Department of Nutritional Epidemiology and Shokuiku.

出版信息

Curr Opin Clin Nutr Metab Care. 2024 Nov 1;27(6):499-506. doi: 10.1097/MCO.0000000000001071. Epub 2024 Sep 4.

Abstract

PURPOSE OF REVIEW

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.

RECENT FINDINGS

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.

SUMMARY

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.

摘要

目的综述

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。

最新发现

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。

总结

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/576c/11486990/9264cc1d29f3/cocnm-27-499-g001.jpg

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