维生素 D 与肌肉健康:近期研究的启示。

IF 3 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM Current Opinion in Clinical Nutrition and Metabolic Care Pub Date : 2024-11-01 Epub Date: 2024-09-04 DOI:10.1097/MCO.0000000000001071
Akiko Kuwabara, Mai Matsumoto, Yoichi Hatamoto, Satoshi Fujita
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引用次数: 0

摘要

综述目的:本综述的目的是根据最近的人类研究,包括横断面研究、观察性研究和干预性研究,批判性地评估维生素 D 对中老年人肌肉质量和身体/肌肉功能的影响。维生素 D 除了在骨骼健康方面具有公认的作用外,还在影响肌肉生理学方面显示出潜力,使其成为肌肉疏松症及相关慢性疾病中值得关注的营养素:综述阐述了维生素 D 如何影响肌肉功能,强调了它在肌肉细胞增殖、分化和关键信号通路中的作用。此外,对近期人体研究的综述显示,维生素 D 与肌肉疏松症及相关指数之间的关系并不一致,在肌肉质量和力量方面的结果也不尽相同。总结:虽然动物研究表明维生素 D 对肌肉生长有效,但横断面、观察性和干预性研究并未显示维持有效的维生素 D 水平对人体肌肉质量或功能有明显益处。虽然维生素 D 会影响肌肉健康,但仅靠维生素 D 是不够的,因此需要采取多方面的方法来预防和管理肌肉疏松症。
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Vitamin D and muscle health: insights from recent studies.

Purpose of review: The purpose of this review is to critically evaluate the effects of vitamin D on muscle mass and physical/muscle function in middle-aged and older adults, based on recent human studies, including cross-sectional, observational, and intervention studies. Vitamin D, beyond its well established role in bone health, has shown potential in influencing muscle physiology, making it a nutrient of interest in the context of sarcopenia and related chronic conditions.

Recent findings: The review states how vitamin D affects muscle function, emphasizing its role in muscle cell proliferation, differentiation, and key signaling pathways. Additionally, the review of recent human studies revealed an inconsistent relationship between vitamin D and sarcopenia and related indices, with mixed results regarding muscle mass and strength. Variability in supplementation dose, duration, and baseline 25-hydroxyvitamin D levels may contribute to these inconsistencies.

Summary: While animal studies indicate vitamin D's effectiveness in muscle growth, cross-sectional, observational, and intervention studies do not show clear benefits of maintaining efficient vitamin D levels on muscle mass or function in humans. Although vitamin D impacts muscle health, it is insufficient alone, emphasizing the need for a multifaceted approach to sarcopenia prevention and management.

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来源期刊
CiteScore
5.30
自引率
6.50%
发文量
116
审稿时长
6-12 weeks
期刊介绍: A high impact review journal which boasts an international readership, Current Opinion in Clinical Nutrition and Metabolic Care offers a broad-based perspective on the most recent and exciting developments within the field of clinical nutrition and metabolic care. Published bimonthly, each issue features insightful editorials and high quality invited reviews covering two or three key disciplines which include protein, amino acid metabolism and therapy, lipid metabolism and therapy, nutrition and the intensive care unit and carbohydrates. Each discipline introduces world renowned guest editors to ensure the journal is at the forefront of knowledge development and delivers balanced, expert assessments of advances from the previous year.
期刊最新文献
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