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维生素D与肉症:对肌肉健康的影响
Héctor Fuentes-Barría1,2, Raúl Aguilera-Eguía3, Lissé Angarita-Davila4
1Vicerrectoría de Investigación e Innovación, Universidad Arturo Prat, Iquique 1100000, Chile.
Biomedicines
|August 28, 2025
概括
维生素D (Vit D) 缺乏与老年人肌肉衰竭症有关. 尤其是运动和蛋白质, 但需要更多的研究.
科学领域:
- 老年学
- 营养科学
- 肌肉骨健康
背景情况:
- 肉症是一种渐进的,与年龄相关的肌肉骨疾病,导致肌肉损失和功能衰退.
- 维生素D (Vit D) 越来越多地被认为对骨肌肉生理的作用超越了骨健康.
研究的目的:
- 在老年人中批判性地分析血清维生素D水平与肉症之间的关系.
- 审查病理生理机制,诊断标准,临床证据和预防策略.
主要方法:
- 对观察性研究,RCT和元分析 (过去十年) 的综合性叙述性审查.
- 纳入了国际肉病诊断标准 (EWGSOP2,AWGS,FNIH,IWGS).
- 检查了维生素D足够性指南和肌肉中的VDR信号.
主要成果:
- 血清25- 维生素D的低水平与肌肉强度和性能的降低以及较高的肉症患病率有关.
- 维生素D的补充具有不同的益处,在缺乏维生素的人群中更为明显,并且与运动/蛋白质相结合.
- 维生素D通过基因组/非基因组途径影响肌肉,调节,线粒体,氧化应激和炎症.
结论:
- 在老年人中,维生素D缺乏是肉症和功能障碍的可改变的危险因素.
- 证据支持维生素D在肌肉健康中的作用,但最佳值和剂量需要进一步研究.
- 个性化,多模式的方法 (补充,运动,营养) 是最有希望的预防和治疗.
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