論文

査読有り 国際誌
2020年5月7日

Predictors of decline in vitamin D status in middle-aged and elderly individuals: a 5-year follow-up study.

The British journal of nutrition
  • Kazutoshi Nakamura
  • Kaori Kitamura
  • Yumi Watanabe
  • Toshiko Saito
  • Akemi Takahashi
  • Ryosaku Kobayashi
  • Rieko Oshiki
  • Keiko Kabasawa
  • Ribeka Takachi
  • Shoichiro Tsugane
  • Masayuki Iki
  • Ayako Sasaki
  • Kei Watanabe
  • 全て表示

開始ページ
1
終了ページ
7
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1017/S0007114520001580

Little is known about predictors of decline in vitamin D status (vitamin D decline) over time. We aimed to determine demographic and lifestyle variables associated with vitamin D decline by sufficiently controlling for seasonal effects of vitamin D uptake in a middle-aged to elderly population. Using a longitudinal study design within the larger framework of the Murakami Cohort Study, we examined 1044 individuals aged between 40 and 74 years, who provided blood samples at baseline and at 5-year follow-up, the latter of which were taken on a date near the baseline examination (±14 d). Blood 25-hydroxyvitamin D (25(OH)D) concentrations were determined with the Liaison® 25OH Vitamin D Total Assay. A self-administered questionnaire collected demographic, body size and lifestyle information. Vitamin D decline was defined as the lowest tertile of 5-year changes in blood 25(OH)D (Δ25(OH)D) concentration (<6·7 nmol/l). Proportions of those with vitamin D decline were 182/438 (41·6 %) in men and 166/606 (27·4 %) in women (P < 0·0001). In men, risk of vitamin D decline was significantly lower in those with an outdoor occupation (P = 0·0099) and those with the highest quartile of metabolic equivalent score (OR 0·34; 95 % CI 0·14, 0·83), and higher in those with 'university or higher' levels of education (OR 2·92; 95 % CI 1·04, 8·19). In women, risk of vitamin D decline tended to be lower with higher levels of vitamin D intake (Pfor trend = 0·0651) and green tea consumption (Pfor trend = 0·0025). Predictors of vitamin D decline differ by sex, suggesting that a sex-dependent intervention may help to maintain long-term vitamin D levels.

リンク情報
DOI
https://doi.org/10.1017/S0007114520001580
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32378497
ID情報
  • DOI : 10.1017/S0007114520001580
  • PubMed ID : 32378497

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