論文

国際誌
2021年10月14日

Serum vitamin D status inversely associates with a prevalence of severe sarcopenia among female patients with rheumatoid arthritis.

Scientific reports
  • Hiroto Minamino
  • Masao Katsushima
  • Mie Torii
  • Wataru Yamamoto
  • Yoshihito Fujita
  • Kaori Ikeda
  • Emi Okamura
  • Kosaku Murakami
  • Ryu Watanabe
  • Koichi Murata
  • Hiromu Ito
  • Masao Tanaka
  • Hidenori Arai
  • Shuichi Matsuda
  • Akio Morinobu
  • Nobuya Inagaki
  • Motomu Hashimoto
  • 全て表示

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1
開始ページ
20485
終了ページ
20485
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1038/s41598-021-99894-6

Sarcopenia is an age-related disease with an increased risk of mortality. It is emerging that low serum 25-hydroxyvitamin D [25(OH)D] affects the sarcopenic state in general, but in rheumatoid arthritis (RA), these associations are not understood although the prevalence of vitamin D insufficiency is high in RA. We conducted a cross-sectional study of older female outpatients from our cohort (KURAMA) database. We measured skeletal muscle mass, handgrip strength, and gait-speed to diagnose severe sarcopenia. The serum 25(OH)D concentration was measured using electrochemiluminescence immunoassay. A total of 156 female patients with RA (sarcopenia:44.9%, severe sarcopenia: 29.5%, and without sarcopenia: 25.6%) were enrolled. Classification of vitamin D status at a cutoff point of median 25(OH)D concentration revealed that low 25(OH)D status was associated with a high prevalence of severe sarcopenia and with low measured values of muscle mass, handgrip, and gait speed. Furthermore, multivariable logistic regression analysis identified that low 25(OH)D status was associated with a high prevalence of severe sarcopenia (OR 6.00; 95% CI 1.99-18.08).The same association was observed when the cut-off value was set at 20 ng/ml. In components of sarcopenia, both low physical performance and muscle mass were associated with low 25(OH)D status. In conclusion, vitamin D status was inversely associated with severe sarcopenia, low physical performance, and low skeletal muscle mass. Modification of vitamin D status including vitamin D supplementation should be investigated as a therapeutic strategy for sarcopenic patients with RA.

リンク情報
DOI
https://doi.org/10.1038/s41598-021-99894-6
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34650186
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8516961
ID情報
  • DOI : 10.1038/s41598-021-99894-6
  • PubMed ID : 34650186
  • PubMed Central 記事ID : PMC8516961

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