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Additive association of vitamin D insufficiency and sarcopenia with low femoral bone mineral density in noninstitutionalized elderly population: the Korea National Health and Nutrition Examination Surveys 2009-2010.

 S.-G. Lee  ;  Y.-h. Lee  ;  K. J. Kim  ;  W. Lee  ;  O. H. Kwon  ;  J.-H. Kim 
 OSTEOPOROSIS INTERNATIONAL, Vol.24(11) : 2789-2799, 2013 
Journal Title
Issue Date
Absorptiometry, Photon/methods ; Aged ; Anthropometry/methods ; Bone Density/physiology ; Cross-Sectional Studies ; Female ; Femur/physiopathology* ; Femur Neck/physiopathology ; Humans ; Male ; Middle Aged ; Nutrition Surveys ; Osteoporosis/epidemiology ; Osteoporosis/etiology* ; Osteoporosis/physiopathology ; Osteoporosis, Postmenopausal/epidemiology ; Osteoporosis, Postmenopausal/etiology ; Osteoporosis, Postmenopausal/physiopathology ; Republic of Korea/epidemiology ; Risk Factors ; Sarcopenia/complications* ; Sarcopenia/epidemiology ; Vitamin D/analogs & derivatives ; Vitamin D/blood ; Vitamin D Deficiency/complications* ; Vitamin D Deficiency/epidemiology
Bone mineral density ; Femoral bone ; Sarcopenia ; Vitamin D insufficiency
Vitamin D insufficiency and sarcopenia are crucial risk factors for osteoporosis. In a study of noninstitutionalized elderly subjects, we investigated the simultaneous effect of vitamin D and sarcopenia on bone mineral density (BMD) and found that sarcopenia was associated with low BMD in the femur, especially in those with suboptimal vitamin D levels. INTRODUCTION: Although vitamin D insufficiency and sarcopenia are prevalent in the elderly population worldwide, their possible influence on BMD has not been determined. We aimed to investigate the different effect of vitamin D insufficiency and sarcopenia on BMD in the elderly Korean population. METHODS: Individuals aged 60 or older were selected from those who participated in the Fourth and Fifth Korea National Health and Nutrition Examination Surveys conducted in 2009 and 2010; 1,596 males and 1,886 females were analyzed. Appendicular skeletal muscle mass (ASM) and BMD were assessed by dual-energy X-ray absorptiometry; serum 25-hydroxyvitamin D [25(OH)D] and a panel of clinical and laboratory parameters were also measured. RESULTS: The study population was divided into four groups according to their vitamin D and sarcopenic status. BMD in total femur and in the femoral neck but not the lumbar spine was markedly decreased in sarcopenic subjects with vitamin D insufficiency [25(OH)D < 20 ng/ml] comparing to other groups, regardless of gender. Multivariable linear regression models showed that BMD was significantly associated with ASM and high daily calcium intake as well as conventional risk factors such as age, body mass index (BMI), and history of fracture. Independent predictors for low femur BMD included sarcopenia, low daily calcium intake, low 25(OH)D levels, age, and BMI. CONCLUSIONS: These data showed that an association between vitamin D insufficiency and low BMD was more prominent in elderly subjects with sarcopenia.
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1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Oh Hun(권오헌)
Kim, Jeong Ho(김정호) ORCID logo https://orcid.org/0000-0003-2479-0548
Lee, Sang-Guk(이상국) ORCID logo https://orcid.org/0000-0003-3862-3660
Lee, Yong Ho(이용호) ORCID logo https://orcid.org/0000-0002-6219-4942
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