血清25-基维生素D水平对四头肌强度的影响:系统性审查和元分析
Michael Tim-Yun Ong1, Kitson Chun-Kit Tsang2, Victor Yan Zhe Lu3
1Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China. michael.ong@cuhk.edu.hk.
BMC sports science, medicine & rehabilitation
|October 14, 2024
概括
更高的维生素D水平与更好的四头肌肌肉力量相关,特别是在老年人和运动员中. 这一发现表明,维生素D补充剂可以支持肌肉功能并降低跌倒风险.
科学领域:
- 整形外科 整形外科 整形外科
- 营养科学 营养科学
- 老年学是一门学科.
背景情况:
- 维生素D缺乏与肌肉功能障碍和骨关节炎有关.
- 之前关于维生素D和四头肌强度的研究由于研究设计和混因素而没有结论.
- 需要进行全面的审查,以澄清血清25-氧维生素D [25(OH) D]与肌肉力量之间的关系.
研究的目的:
- 系统地审查和对血清25(OH) D水平和四头肌强度的研究进行元分析.
- 提供对现有证据的综合理解.
主要方法:
- 在Medline,Embase,CINAHL和SPORTDiscus的系统文献搜索 (2000年后至2024年3月).
- 包括28项研究 (24项截面,4项纵向) 与5752名参与者.
- 使用AXIS和QUIPS工具评估研究质量,总体质量为GRADE.
主要成果:
- 在老年人和运动群体中,在血清25(OH) D水平和180°/s (r=0.245,p=0.004) 的异动力四头肌强度之间发现了显著的正相关性.
- 没有观察到与60°/s的同度四头肌强度或异动力强度有显著的相关性.
- 与最大自愿收缩 (MVC) 发现了微弱的负相关性.
结论:
- 血清25(OH) D水平显示出与异动力学四头肌强度的统计学上显著的正相关性.
- 较高的维生素D水平可能会降低老年人中跌倒和脆弱性骨折的发生率.
- 这些发现凸显了维持足够的维生素D水平对肌肉健康的临床重要性.
相关概念视频
Role of Vitamins in Maintaining Bone Health
3.2K
The growth and maintenance of bone are regulated by a combination of nutritional factors, including vitamins, such as vitamin A, B12, C, D, and K.
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
Vitamin A
Vitamin A is involved in the process of bone remodeling. Retinoic acid, the active metabolite of Vitamin A, has nuclear receptors in osteoblasts and osteoclasts, which are involved in bone remodeling.
Vitamin B12
Vitamin B12 acts as a cofactor during the formation of osteoblast-related proteins, such as osteocalcin. Vitamin B12 plays a role...
3.2K
Role of Skin in Vitamin D Synthesis
5.1K
The skin plays a crucial role in the synthesis of vitamin D, a vital nutrient for various physiological processes in the body. Vitamin D is unique because it can be synthesized in the skin through a series of chemical reactions triggered by exposure to ultraviolet B (UVB) radiation from sunlight.
The solar UV B rays (290-315 nm) are absorbed by the skin, and 7-dehydrocholesterol (provitamin D3) photolyzes it to previtamin D3, which undergoes a rapid transformation to vitamin...
The solar UV B rays (290-315 nm) are absorbed by the skin, and 7-dehydrocholesterol (provitamin D3) photolyzes it to previtamin D3, which undergoes a rapid transformation to vitamin...
5.1K
Skeleton and Calcium Homeostasis
4.4K
Calcium is not only the most abundant mineral in bone but also the most abundant mineral in the human body. Calcium ions are needed for bone mineralization, tooth health, heart rate regulation and strength of contraction, blood coagulation, the contraction of smooth and skeletal muscle cells, and the regulation of nerve impulse conduction. The average calcium level in the blood is about 10 mg/dL. When the body cannot maintain this level, a person will experience hypo or hypercalcemia.
4.4K
Serum Studies: Renal Function Tests
1
Renal function tests are crucial for assessing kidney health, monitoring disease progression, and evaluating the kidneys' efficiency in waste elimination, fluid balance, and electrolyte regulation. These tests offer critical insights into kidney function, even though routine measurements may appear normal until there is a significant decline in the glomerular filtration rate or GFR. Typically, signs of kidney impairment only become evident when the GFR falls to about 50% of its normal level.
1


