Bone geometry is correlated with arterial stiffness in overweight older adults with vitamin D insufficiency

2018 ◽  
Author(s):  
Alexander Rodriguez ◽  
Cecilia Xu ◽  
Lachlan McMillan ◽  
Velandai Srikanth ◽  
David Scott ◽  
...  
2019 ◽  
Vol 16 (11) ◽  
pp. 1063-1071 ◽  
Author(s):  
Gonzague Foucault ◽  
Guillaume T Duval ◽  
Romain Simon ◽  
Olivier Beauchet ◽  
Mickael Dinomais ◽  
...  

Background: Vitamin D insufficiency is associated with brain changes, and cognitive and mobility declines in older adults. Method: Two hundred and fifteen Caucasian older community-dwellers (mean±SD, 72.1±5.5years; 40% female) received a blood test and brain MRI. The thickness of perigenual anterior cingulate cortex, midcingulate cortex and posterior cingulate cortex was measured using FreeSurfer from T1-weighted MR images. Age, gender, education, BMI, mean arterial pressure, comorbidities, use of vitamin D supplements or anti-vascular drugs, MMSE, GDS, IADL, serum calcium and vitamin B9 concentrations, creatinine clearance were used as covariables. Results: Participants with vitamin D insufficiency (n=80) had thinner total cingulate thickness than the others (24.6±1.9mm versus 25.3±1.4mm, P=0.001); a significant difference found for all 3 regions. Vitamin D insufficiency was cross-sectionally associated with a decreased total cingulate thickness (β=- 0.49, P=0.028). Serum 25OHD concentration correlated positively with the thickness of perigenual anterior (P=0.011), midcingulate (P=0.013) and posterior cingulate cortex (P=0.021). Conclusion: Vitamin D insufficiency was associated with thinner cingulate cortex in the studied sample of older adults. These findings provide insight into the pathophysiology of cognitive and mobility declines in older adults with vitamin D insufficiency.


2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 469-469
Author(s):  
G.A. Laughlin ◽  
D. Kritz-Silverstein ◽  
J. Bergstrom ◽  
E. Reas ◽  
S. Jassal ◽  
...  

2017 ◽  
Vol 58 (3) ◽  
pp. 871-883 ◽  
Author(s):  
Gail A. Laughlin ◽  
Donna Kritz-Silverstein ◽  
Jaclyn Bergstrom ◽  
Emilie T. Reas ◽  
Simerjot K. Jassal ◽  
...  

2012 ◽  
Vol 60 (10) ◽  
pp. 1990-1991
Author(s):  
David E. Smolar ◽  
Gabriella A. Engstrom ◽  
Sanya Diaz ◽  
Ruth Tappen ◽  
Joseph G. Ouslander

2019 ◽  
Vol 75 (6) ◽  
pp. 1161-1166
Author(s):  
Jatupol Kositsawat ◽  
Chia-Ling Kuo ◽  
Lisa C Barry ◽  
David Melzer ◽  
Stefania Bandinelli ◽  
...  

Abstract Background Whereas the independent effects of biomarkers, including 25-hydroxy vitamin D (25(OH)D), insulin-like growth factor 1, C-reactive protein, and interleukin 6 (IL-6), on gait speed in older adults have been evaluated, their joint effects on gait speed are not well understood. Methods Study subjects aged at least 65 at baseline (N = 970) were enrolled in the population-based Invecchiare in Chianti (InCHIANTI) study from 1998 to 2000 and were followed up at 3 and 6 years. All above biomarkers and gait speed data were measured at each of the three time points. Using a generalized estimating equation approach, we determined if slow gait speed (<0.8 m/s) was associated with the biomarkers. Further investigation was conducted for interactions between high IL-6 (≥.87 pg/mL) and other biomarkers focusing on low 25(OH)D (<20 ng/mL). Results After controlling for other biomarkers and potential confounders, IL-6 emerged as the only biomarker independently associated with gait speed. The association between high IL-6 and slow gait speed was enhanced by low 25(OH)D, with significant interaction between high IL-6 and low 25(OH)D (p = .038). The odds ratio of slow gait speed for low 25(OH)D and high IL-6 was 1.63 (95% confidence interval [CI]: 1.15, 2.32) compared with the reference groups with both biomarker levels at the other ends. Conclusion The association of low vitamin D with slow gait speed statistically interacts with high IL-6. Coexisting vitamin D insufficiency and inflammation may provide a better biomarker for identifying those at risk of developing impairments in gait speed than either factor alone.


2019 ◽  
Vol 04 (03) ◽  
pp. 142-145
Author(s):  
Chukkala Bharat Kumar Goud ◽  
Indrani Garre ◽  
S. Radhika

Abstract Background Vitamin D insufficiency is prevalent worldwide. Recently, the role of vitamin D substitution in hypertensive vitamin D deficient and insufficient patients has been studied by many investigators worldwide. In this observational study, the peripheral vascular resistance (PVR) of patients with vitamin D insufficiency or deficiency was analyzed. Objective The main purpose of this article is the assessment of PVR in vitamin D deficient subjects and in that any gender variation. Methods Subjects who were not known hypertensives, and who were free of other comorbidities, were included. Diabetic subjects were excluded. Serum vitamin D3 levels of all the subjects were recorded. Thirty-three subjects with serum vitamin D3 levels in insufficiency or deficiency range were included in our study. AGEDIO peripheral resistance calculator was used to calculate arterial stiffness indices, PVR, stroke volume, cardiac output, and cardiac index. Augmentation pressure (AG) is the contribution that wave reflection makes to systolic arterial pressure. Augmentation index (AI) is an indirect measure of arterial stiffness and is calculated as AG divided by pulse pressure ×100. Results The total number of subjects studied was 33, of whom 18 were males, and 15 were females. The mean serum vitamin D3 levels were 19.28 nanograms/mL. In this study, it was observed that the mean AI was 21.42 ± 12.6%, and mean pulse wave velocity was 6.9 ± 1.2 m/s. Among central hemodynamic measures, mean PVR was found to be 1733 ± 201.1dyn*s/cm5, mean cardiac output was 4.3 ± 0.5 L/min, and mean cardiac index was 2.56 +/– 0.33 L/mi*L/m2). Twenty-five (76%) patients showed increased PVR. Even though in patients with normal PVR, there is female preponderance, but in patients with high PVR, there was no gender difference. Conclusions This study has shown that the PVR was significantly high in vitamin D deficient and insufficient subjects (without hypertension or diabetes mellitus) with no significant gender difference for high PVR, even though AG and AI were not significantly different among subjects.


2012 ◽  
Vol 19 (10) ◽  
pp. 924-931 ◽  
Author(s):  
Matteo Pirro ◽  
Maria Rosaria Manfredelli ◽  
Rony S. Helou ◽  
Anna Maria Scarponi ◽  
Giuseppe Schillaci ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yunli Zhao ◽  
Wanyu Zhao ◽  
Qiukui Hao ◽  
Meiling Ge ◽  
Yan Zhang ◽  
...  

Abstract Backgrounds Vitamin D deficiency and insufficiency in older adults seems to be common, but the prevalence estimates are lacking in West China. Previous studies suggested that low vitamin D status was associated with obesity. However, most of them evaluated obesity based on body mass index (BMI) and there are no studies at present exploring the association between vitamin D status and different obesity markers. The present study aims to investigate the prevalence of low vitamin D status and evaluate the association between the vitamin D status and different obesity markers among older adults in West China. Methods Data was based on the baseline of West China Health and Aging Trends study (WCHAT). All of the participants were older than 60 years old in the present study. Vitamin D status was based on laboratory data, and obesity markers were assessed by bioelectrical impedance analysis (BIA) using the InBody 770 analyzer. Multiple linear regression was performed to find the association between the vitamin D status and various obesity markers. Results The study included 2661 individuals (mean age: 67.7 ± 6.0 years; males: 41 %). The mean vitamin D level was 18.8 ± 6.3 ng/ml (range: 5 to 59 ng/ml); 5.2 % of participants had a sufficient level of vitamin D, 31.8 % had vitamin D insufficiency, and 63.0 % had vitamin D deficiency. Our results showed that vitamin D status was negatively associated with fat mass index (FMI), visceral fat area (VFA), and waist-hip ratio (WHR) in both sexes. Comparing to other obesity markers, WHR had the strongest correlation with vitamin D status in both sexes (β = -6.090, P = 0.046 in males; β = -11.253, P < 0.001 in females). No significant association was found between vitamin D status and BMI in males. Conclusion The prevalence of vitamin D insufficiency and deficiency among older adults in West China was high. Among the older adults in west China, WHR showed stronger association with vitamin D status and was better for the prediction of vitamin D insufficiency or deficiency in both sexes, compared to BMI. Trial registration Chinese Clinical Trial Registry: ChiCTR1800018895.


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