Cross-sectional study2019Industry fundedOpen access

Funded in part by DSM Nutritional Products Ltd., R&D Human Nutrition and Health

The association between 25-hydroxyvitamin D concentration, physical performance and frailty status in older adults

Vaes AMM, Brouwer-Brolsma EM, Toussaint N, de Regt M, Tieland M, van Loon LJC, de Groot LCPGM

European journal of nutrition · 37 citations

Review labels

Industry funded

Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.

How it was studied

Design
Cross-sectional study (indexed by PubMed)
Studied in
People
Main outcome
Health markers and function

Who paid for it

Funding
Industry funded
University or hospital
Top Institute Food and Nutrition
Company
DSM Nutritional Products Ltd., R&D Human Nutrition and Health

Based on 2 listed funder(s).

Publication

Published
2018-04-24 · Eur J Nutr · vol. 58 · issue 3 · pp. 1173–1181
Publisher
Springer Science+Business Media
Cited
64 citations · more than 96% of similar papers · 5.2× the field average
Impact
Top 10% most cited in its field
References
44 works
Access
Open access (hybrid journal) · CC-BY
Research areas
Vitamin D Research Studies · Nutrition and Health in Aging · GDF15 and Related Biomarkers
Keywords
Vitamin D and neurology, Medicine, Grip strength, vitamin D deficiency, Population, Cross-sectional study, Internal medicine, Timed Up and Go test, Physical therapy, Environmental health, Pathology
MeSH
humans, vitamin d, hand strength, geriatric assessment, cross-sectional studies, aged, frail elderly, netherlands, female, male, frailty, physical functional performance

7 authors

From NL

  • Anouk M.M. Vaes · correspondingTiFN; Wageningen University & Research
  • Elske Maria Brouwer-BrolsmaWageningen University & Research
  • Nicole ToussaintWageningen University & Research
  • Margot de RegtWageningen University & Research
  • Michael TielandTiFN; Wageningen University & Research
  • Luc J. C. van LoonMaastricht University Medical Centre; Maastricht University; TiFN

Abstract

Purpose

Sufficient 25-hydroxyvitamin D (25(OH)D) concentrations might prevent a decline in physical performance, and are considered important for the prevention of frailty. This study investigates the association of serum 25(OH)D concentration with physical performance and frailty status in Dutch older adults.

Methods

This cross-sectional study included 756 men and women, aged ≥ 65 years. Serum 25(OH)D concentration and frailty status (Fried criteria) were assessed in the total population. Screening for frailty status included functional tests of gait speed and hand grip strength. In a subgroup (n = 494), the Timed Up and Go test (TUG) and knee-extension strength were measured. Associations of serum 25(OH)D status with physical performance were examined by multiple linear regression. Prevalence ratios (PR) were used to quantify associations between serum 25(OH)D deficiency (< 50 nmol/L) and frailty.

Results

In total, 45% of the participants were vitamin D deficient. Participants with vitamin D status 75 nmol/L. No significant associations with serum 25(OH)D concentrations were observed for handgrip strength or knee-extension strength. Participants with serum 25(OH)D status < 50 nmol/L were about two times more likely to be frail compared to participants with serum 25(OH)D status ≥ 50 nmol/L. No significant associations were observed between the pre-frail state and serum 25(OH)D status.

Conclusion

In this study, serum 25(OH)D concentrations were significantly associated with frailty status and measures of physical performance, including gait speed and TUG, but not with strength-related outcomes.

Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).

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