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论文摘要

成年女性维生素D水平与握力、平衡能力的相关性分析

Association of Serum Vitamin D with Hand-grip Strength and Balance Ability: a Cross-sectional Study on Community-dwelling Women in Sichuan, China

作者:黄媛媛, 王覃, 卢春燕, 徐勇, 曹洪义, 谢小华, 吴雪艳, 陈德才

Author:HUANG Yuan-yuan, WANG Qin, LU Chun-yan, XU Yong, CAO Hong-yi, XIE Xiao-hua, WU Xue-yan, CHEN De-cai

收稿日期:2018-02-11          年卷(期)页码:2018,49(4):665-669

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:维生素D, 握力, 平衡能力, 简易躯体能力测试(SPPB测试)

Key words:Vitamin D, Hand-grip strength, Balance ability, Short physical performance battery (SPPB)

基金项目:

中文摘要

目的 探讨中国四川地区成年女性血清25(OH)D、1,25(OH)2D水平与握力、平衡能力的关系。 方法 采用横断面调查研究,2012年11月至2013年2月期间,以整群随机抽样法调查了四川地区成都、广元、泸州和西昌共1 095名29~95岁女性。采用手持式测力仪和简易躯体能力测试(简称SPPB测试)评估握力和平衡能力。根据血清25(OH)D水平分为4组:>75 nmol/L为充足,51~75 nmol/L为不足,25~50 nmol/L为缺乏,2D与握力、平衡能力的关系。 结果 该人群维生素D缺乏占70.9%,维生素D缺乏或不足的人群多生活在纬度较高的地区(PP=0.013),且食物中未额外补充维生素D制剂(PP=0.001),≥ 65岁女性血清25(OH)D ≤ 50 nmol/L的比例高于P=0.046),但两个年龄组血清1,25(OH)2D浓度差异无统计学意义(P=0.610)。按照全年龄段或年龄段分层分析,各维生素D水平分组比较,握力、SPPB总分的差异均无统计学意义。Logistic回归分析提示,随着年龄增长,肌力、平衡能力下降[比值比(OR)=1.066,POR=1.111,POR=0.958,POR=0.896,P=0.001)和增加步行时间(OR=0.799,P=0.001)可保持正常平衡能力。 结论 四川地区成年女性血清25(OH)D、1,25(OH)2D水平与握力、平衡能力没有相关性。基于维生素D缺乏现状加强维生素D补充的建议能否改善肌力和平衡能力,还有待进一步研究。

英文摘要

ObjectiveTo determine the relationship between serum levels of 25(OH)D and 1,25(OH)2D and the hand-grip strength and balance ability of women in Sichuan, China.MethodsA cross-sectional study on a representative sample of 1 095 women aged 29-95 yr. in Sichuan Province was undertaken. Their hand-grip strength and balance ability were assessed using a hand-held dynamometer and the short physical performance battery (SPPB), respectively. The participants were divided into four groups according to the level of serum 25(OH)D:sufficient (>75 nmol/L), insufficient (51-75 nmol/L), deficiency (25-50 nmol/L), and serious deficiency (2D with hand-grip strength and physical performance.ResultsAbout 70.9% of the participants had vitamin D deficiency. Those with vitamin D insufficiency or deficiency were more likely to reside in a higher latitudinal area (PP=0.013), and take less vitamin D supplements (PP=0.001) and were more likely to have ≤ 50 nmol/L 25(OH)D than their younger counterparts (74.6% vs. 68.9%,P=0.046). However, no significant age differences were found in serum 1,25(OH)2D. Serum levels of 25(OH)D and 1,25(OH)2D were not found to be associated with hand-grip strength and balance ability after adjusting for confounding factors. Hand-grip strength and balance ability decreased with age (OR=1.066,POR=1.111,POR=0.958,POR=0.896,P=0.001) and longer walking time (OR=0.799,P=0.001) were associated with higher balance ability.ConclusionSerum levels of 25(OH)D and 1,25(OH)2D are not associated with hand-grip strength and balance ability.

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