25-hydroxyvitamin D level is associated with greater grip strength across adult life span: a population-based cohort study

Objective: Maintaining muscle function throughout life is critical for healthy ageing. Although in vitro studies consistently indicate beneficial effects of 25-hydroxyvitamin D (25-OHD) on muscle function, findings from population-based studies remain inconclusive. We therefore aimed to examine the...

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Main Authors: Fabienne A U Fox, Lennart Koch, Monique M B Breteler, N Ahmad Aziz
Format: Article
Language:English
Published: Bioscientifica 2023-04-01
Series:Endocrine Connections
Subjects:
Online Access:https://ec.bioscientifica.com/view/journals/ec/12/4/EC-22-0501.xml
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author Fabienne A U Fox
Lennart Koch
Monique M B Breteler
N Ahmad Aziz
author_facet Fabienne A U Fox
Lennart Koch
Monique M B Breteler
N Ahmad Aziz
author_sort Fabienne A U Fox
collection DOAJ
description Objective: Maintaining muscle function throughout life is critical for healthy ageing. Although in vitro studies consistently indicate beneficial effects of 25-hydroxyvitamin D (25-OHD) on muscle function, findings from population-based studies remain inconclusive. We therefore aimed to examine the association between 25-OHD concentration and handgrip strength across a wide age range and assess potential modifying effects of age, sex and season. Methods: We analysed cross-sectional baseline data of 2576 eligible participants out of the first 3000 participants (recruited from March 2016 to March 2019) of the Rhineland Study, a community-based cohort study in Bonn, Germany. Multivariate linear regression models were used to assess the relation between 25-OHD levels and grip strength while adjusting for age, sex, education, smoking, season, body mass index, physical activity levels, osteoporosis and vitamin D supplementation. Results: Compared to participants with deficient 25-OHD levels (<30 nmol/L), grip strength was higher in those with inadequate (30 to <50 nmol/L) and adequate (≥50 to ≤125 nmol/L) levels (ßinadequate = 1.222, 95% CI: 0.377; 2.067, P = 0.005; ßadequate = 1.228, 95% CI: 0.437; 2.019, P = 0.002). Modelling on a continuous scale revealed grip strength to increase with higher 25-OHD levels up to ~100 nmol/L, after which the direction reversed (ßlinear = 0.505, 95% CI: 0.179; 0.830, P = 0.002; ßquadratic = –0.153, 95% CI: –0.269; -0.038, P = 0.009). Older adults showed weaker effects of 25-OHD levels on grip strength than younger adults (ß25OHDxAge = –0.309, 95% CI: –0.594; –0.024, P = 0.033). Conclusions: Our findings highlight the importance of sufficient 25-OHD levels for optimal muscle function across the adult life span. However, vitamin D supplementation should be closely monitored to avoid detrimental effects.
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spelling doaj.art-025a7b7c68d84dbb9721b4312bb518262023-04-05T10:44:10ZengBioscientificaEndocrine Connections2049-36142023-04-01124115https://doi.org/10.1530/EC-22-050125-hydroxyvitamin D level is associated with greater grip strength across adult life span: a population-based cohort studyFabienne A U Fox0Lennart Koch1Monique M B Breteler2N Ahmad Aziz3Population Health Sciences, German Center for Neurodegenerative Diseases (DZNE), Bonn, GermanyPopulation Health Sciences, German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany; University for Health Sciences, Medical Informatics and Technology (UMIT TIROL), Tirol, Austria Population Health Sciences, German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany; Institute for Medical Biometry, Informatics and Epidemiology (IMBIE), Faculty of Medicine, University of Bonn, Bonn, Germany Population Health Sciences, German Center for Neurodegenerative Diseases (DZNE), Bonn, Germany; Department of Neurology, Faculty of Medicine, University of Bonn, Bonn, Germany Objective: Maintaining muscle function throughout life is critical for healthy ageing. Although in vitro studies consistently indicate beneficial effects of 25-hydroxyvitamin D (25-OHD) on muscle function, findings from population-based studies remain inconclusive. We therefore aimed to examine the association between 25-OHD concentration and handgrip strength across a wide age range and assess potential modifying effects of age, sex and season. Methods: We analysed cross-sectional baseline data of 2576 eligible participants out of the first 3000 participants (recruited from March 2016 to March 2019) of the Rhineland Study, a community-based cohort study in Bonn, Germany. Multivariate linear regression models were used to assess the relation between 25-OHD levels and grip strength while adjusting for age, sex, education, smoking, season, body mass index, physical activity levels, osteoporosis and vitamin D supplementation. Results: Compared to participants with deficient 25-OHD levels (<30 nmol/L), grip strength was higher in those with inadequate (30 to <50 nmol/L) and adequate (≥50 to ≤125 nmol/L) levels (ßinadequate = 1.222, 95% CI: 0.377; 2.067, P = 0.005; ßadequate = 1.228, 95% CI: 0.437; 2.019, P = 0.002). Modelling on a continuous scale revealed grip strength to increase with higher 25-OHD levels up to ~100 nmol/L, after which the direction reversed (ßlinear = 0.505, 95% CI: 0.179; 0.830, P = 0.002; ßquadratic = –0.153, 95% CI: –0.269; -0.038, P = 0.009). Older adults showed weaker effects of 25-OHD levels on grip strength than younger adults (ß25OHDxAge = –0.309, 95% CI: –0.594; –0.024, P = 0.033). Conclusions: Our findings highlight the importance of sufficient 25-OHD levels for optimal muscle function across the adult life span. However, vitamin D supplementation should be closely monitored to avoid detrimental effects.https://ec.bioscientifica.com/view/journals/ec/12/4/EC-22-0501.xmlvitamin dgrip strengthsarcopeniamuscle strengthcohort studyageing
spellingShingle Fabienne A U Fox
Lennart Koch
Monique M B Breteler
N Ahmad Aziz
25-hydroxyvitamin D level is associated with greater grip strength across adult life span: a population-based cohort study
Endocrine Connections
vitamin d
grip strength
sarcopenia
muscle strength
cohort study
ageing
title 25-hydroxyvitamin D level is associated with greater grip strength across adult life span: a population-based cohort study
title_full 25-hydroxyvitamin D level is associated with greater grip strength across adult life span: a population-based cohort study
title_fullStr 25-hydroxyvitamin D level is associated with greater grip strength across adult life span: a population-based cohort study
title_full_unstemmed 25-hydroxyvitamin D level is associated with greater grip strength across adult life span: a population-based cohort study
title_short 25-hydroxyvitamin D level is associated with greater grip strength across adult life span: a population-based cohort study
title_sort 25 hydroxyvitamin d level is associated with greater grip strength across adult life span a population based cohort study
topic vitamin d
grip strength
sarcopenia
muscle strength
cohort study
ageing
url https://ec.bioscientifica.com/view/journals/ec/12/4/EC-22-0501.xml
work_keys_str_mv AT fabienneaufox 25hydroxyvitamindlevelisassociatedwithgreatergripstrengthacrossadultlifespanapopulationbasedcohortstudy
AT lennartkoch 25hydroxyvitamindlevelisassociatedwithgreatergripstrengthacrossadultlifespanapopulationbasedcohortstudy
AT moniquembbreteler 25hydroxyvitamindlevelisassociatedwithgreatergripstrengthacrossadultlifespanapopulationbasedcohortstudy
AT nahmadaziz 25hydroxyvitamindlevelisassociatedwithgreatergripstrengthacrossadultlifespanapopulationbasedcohortstudy