老年代谢综合征患者三年内膳食维生素D摄入量与身体成分的变化

IF 4.3 3区医学 Q1 GERIATRICS & GERONTOLOGY Journal of Nutrition Health & Aging Pub Date : 2025-01-08 DOI:10.1016/j.jnha.2024.100467

Héctor Vázquez-Lorente , Jiaqi Ni , Nancy Babio , Ana García-Arellano , Dora Romaguera , J. Alfredo Martínez , Ramon Estruch , Vicente Martín Sánchez , Josep Vidal , Montserrat Fitó , Maira Bes-Rastrollo , Jadwiga Konieczna , Diego Martinez-Urbistondo , Rosa Casas , Marcos García-Fernández , Romina Paula Olbeyra , Alice Chaplin , M. Angeles Zulet , Jordi Salas-Salvadó

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引用次数: 0

摘要

背景：通过饮食摄入足够的维生素D可能对身体成分有好处。目的：我们旨在评估在减肥和生活方式行为干预的背景下，老年人膳食维生素D摄入量与身体成分变化在1年和3年之间的纵向关系。设计：纵向研究。背景:多中心。参与者：这项纵向研究包括715名超重/肥胖和代谢综合征的老年参与者（平均年龄65.3±5.0岁，女性38%）。测量方法：采用多变量调整的混合效应线性回归模型，利用基线、1年和3年的随访数据，研究膳食维生素D摄入量（暴露量）和身体成分（结果）之间的纵向关联。膳食维生素D摄入量的数据通过一份包含143个条目的食物频率问卷进行评估。通过双能x线吸收仪测量身体组成变量（总体重（kg）、总脂肪质量（%）、总瘦质量（%）、肌肉与脂肪质量比、内脏脂肪组织（kg）和雄激素与雌性激素脂肪比）。结果：较高的膳食维生素D摄入量（每μg/天）与较高的总瘦体重相关(β: 0.10%；95% CI: 0.02 ~ 0.18；P: 0.017)和肌肉脂肪质量比(β: 1.00 × 10-2；95% CI: 0.22 × 10-2 ~ 1.78 × 10-2；P: 0.011)，总体重较低(β: -0.20 kg；95% CI: -0.34 ~ -0.05；P: 0.007)，总脂肪量(β: - 0.11%；95% CI: -0.19 ~ -0.02；P: 0.015)和内脏脂肪组织(β: -1.74 × 10-2 kg；95% CI: -3.47 × 10-2 ~ -0.01 × 10-2；P: 0.048)，在多变量调整模型干预后随访一年。结论：在减肥和生活方式干预的背景下，膳食维生素D摄入与更好的身体成分变化有关，并在短期内导致身体成分的显着变化。

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Dietary vitamin D intake and changes in body composition over three years in older adults with metabolic syndrome

Background

Adequate intake of vitamin D through diet may offer benefits in terms of body composition.

Objectives

We aimed to evaluate the longitudinal relationship between dietary vitamin D intake and changes in body composition in older adults over one and three years under the context of a weight loss and lifestyle behavioral intervention.

Design

Longitudinal study.

Setting

Multicenter.

Participants

This longitudinal study included 715 aged participants (mean age 65.3 ± 5.0 years, 38% women) with overweight/obesity and metabolic syndrome.

Measurements

Multivariable-adjusted mixed-effects linear regression models were fitted to investigate the longitudinal associations between dietary vitamin D intake (exposure) and body composition (outcome) with available data at baseline, one, and three years of follow-up. Data on dietary vitamin D intake was assessed using a validated 143-item food frequency questionnaire. Body composition variables (total body weight (kg), total fat mass (%), total lean mass (%), muscle-to-fat mass ratio, visceral adipose tissue (kg), and android-to-gynoid fat ratio) were measured by dual-energy X-ray absorptiometry.

Results

Higher dietary vitamin D intake (for each μg/day) was associated with higher total lean mass (β: 0.10 %; 95% CI: 0.02 to 0.18; P: 0.017) and muscle-to-fat mass ratio (β: 1.00 × 10⁻²; 95% CI: 0.22 × 10⁻² to 1.78 × 10⁻²; P: 0.011), and lower total body weight (β: −0.20 kg; 95% CI: −0.34 to −0.05; P: 0.007), total fat mass (β: −0.11 %; 95% CI: −0.19 to −0.02; P: 0.015), and visceral adipose tissue (β: −1.74 × 10⁻² kg; 95% CI: −3.47 × 10⁻² to −0.01 × 10⁻²; P: 0.048) at one year of follow-up in the group following the intervention in the multivariable-adjusted model.

Conclusion

Dietary vitamin D intake was associated with better body composition changes in the context of a weight loss and lifestyle intervention which led to notable changes in body composition at short term.

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来源期刊

Journal of Nutrition Health & Aging 医学-老年医学

CiteScore

7.80

自引率

3.40%

发文量

136

审稿时长

4-8 weeks

期刊介绍： There is increasing scientific and clinical interest in the interactions of nutrition and health as part of the aging process. This interest is due to the important role that nutrition plays throughout the life span. This role affects the growth and development of the body during childhood, affects the risk of acute and chronic diseases, the maintenance of physiological processes and the biological process of aging. A major aim of "The Journal of Nutrition, Health & Aging" is to contribute to the improvement of knowledge regarding the relationships between nutrition and the aging process from birth to old age.