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Relation between vitamin D and geriatric syndrome
Eman Azzam1, Noha Elsabbagh1, Nany Elgayar1
1Internal Medicine, Faculty of Medicine, Alexandria, University, Egypt.
Clinical Nutrition ESPEN
|January 29, 2020
Summary
Low vitamin D levels in the elderly are linked to cognitive decline and depression. This study found a significant correlation between vitamin D deficiency and these geriatric syndromes.
Area of Science:
- Gerontology
- Nutritional Science
- Public Health
Background:
- Vitamin D deficiency is a prevalent issue among the elderly population.
- Low serum vitamin D levels are associated with reduced physical performance.
- Deficiency is linked to increased risks of cognitive impairment, depression, and anxiety in older adults.
Purpose of the Study:
- To investigate the relationship between vitamin D status and the prevalence of geriatric syndromes.
- To identify specific geriatric syndromes associated with low vitamin D levels in elderly individuals.
Main Methods:
- A prospective study involving 50 elderly participants (age > 65).
- Assessment included medical history, physical examination, serum 25-hydroxyvitamin D (OH)D levels via ELISA.
- Geriatric syndromes evaluated using Timed Up & Go test, Mini-Mental State Examination (MMSE), Geriatric Depressive Scale, Mini Nutritional Assessment, and POMA.
Main Results:
- 11 participants were vitamin D deficient (<12 ng/ml), 24 insufficient (12-20 ng/ml), and 15 sufficient (>20 ng/ml).
- Low vitamin D showed significant association with female gender, advanced age, lack of sun exposure, and nursing home residency.
- Significant positive correlations were found between low vitamin D and poorer performance on the MMSE (p=0.006) and Geriatric Depressive Scale (p=0.002).
Conclusions:
- Vitamin D deficiency is correlated with advanced age, cognitive dysfunction, and depression in the elderly.
- These findings highlight the importance of monitoring vitamin D levels in older adults.
- Further research may explore interventions to improve vitamin D status and mitigate associated geriatric syndromes.
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