维生素D水平对老年人Sarcopenia的影响:一项重要综述

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL
S. Khan, S. Sushanth Kumar, S. Acharya, A. Wanjari
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引用次数: 0

摘要

摘要维生素D缺乏是全球范围内普遍存在的健康问题,尤其是在老年人中。维生素D控制并影响包括肌肉组织在内的几个人体系统的新陈代谢和功能。维生素D对肌肉的作用已经得到了广泛的研究,有证据表明这种维生素可以增加肌肉纤维的成骨分化,从而保持和增强肌肉力量和运动表现。由于食物摄入不足和皮肤紫外线照射减少,激素水平低在老年人中更为常见。因此,缺乏维生素D的老年人可能有患少肌症的风险,这是一种老年疾病,其特征是骨骼肌质量和力量逐渐丧失,经常伴有跌倒、丧失工作能力住院和死亡等不良事件。因此,这些活动被认为是阐明老年人潜在功能状况的关键,功能活动被用作评估跌倒风险和虚弱的技术。已经进行了几项随机对照研究,以探索老年人口服治疗预防或治疗少肌症的疗效;然而,结果仍然存在争议。在这篇叙述性综述中,我们描述了生化、临床和流行病学数据,这些数据支持维生素D缺乏与老年人肌肉减少症的较高可能性之间的因果关系。肌肉系统是身体最大的器官,占身体成分的40%左右,对运动和糖原消耗至关重要。肌肉萎缩是老年人肌肉质量、力量和功能的持续恶化,会导致环境延长、坐轮椅和生活质量下降。在人口老龄化的工业化国家,肌肉萎缩的诊断和控制对于改善健康和生活质量至关重要。维生素D是一种脂溶性维生素,近年来因其与少肌症的相关性而广受欢迎。维生素D缺乏和强化对肌肉萎缩的作用将是这篇综述的重点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of Vitamin D Level on Sarcopenia in Elderly People: A Critical Review
Abstract Vitamin D insufficiency is a widespread health issue globally, particularly among the elderly. Vitamin D controls and affects the metabolism and functionality of several human systems, including muscle tissue. The action of vitamin D on muscles has been extensively studied, with evidence indicating that this vitamin can increase the osteogenic differentiation of muscle fibers, hence preserving and enhancing muscular strength and athletic performance. Low hormone levels are more common in older people as a result of poor food intake and decreased skin ultraviolet irradiation. As a result, elderly persons who are deficient in vitamin D may be at risk of developing sarcopenia, a geriatric condition defined by gradual loss of skeletal muscle mass and strength that is frequently accompanied by adverse events such as falls, incapacity hospitalization, and mortality. As a result, these activities are seen to be crucial in illuminating the underlying functional condition of the aged, and functional mobility is employed as a technique for assessing fall risk and frailty. Several randomized controlled studies have been done to explore the efficacy of oral treatment in elderly people to prevent or cure sarcopenia; however, the results are still debatable. We describe the biochemical, clinical, and epidemiological data supporting the idea of a causal relationship between vitamin D insufficiency and a higher likelihood of sarcopenia in elderly adults in this narrative review. The muscular system, the biggest organ in the body, contributing to around 40% of body composition, is vital in exercising and glycogen depletion. Sarcopenia, a steady deterioration in muscle mass and strength, and function in the aged can result in prolonged circumstances, wheelchair confinement, and a reduction in quality of life. Diagnosis and control of muscle wasting are vital for improving health and quality of life in industrialized nations with aging populations. Vitamin D, a fat-soluble vitamin, has gained popularity in recent years because of its relevance in sarcopenia. The role of vitamin D deficiency and fortification on muscle wasting will be the focus of this review.
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来源期刊
Journal of Health and Allied Sciences NU
Journal of Health and Allied Sciences NU MEDICINE, GENERAL & INTERNAL-
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33.30%
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