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Oxford University Press, The Journal of Clinical Endocrinology & Metabolism, 9(98), p. E1483-E1490, 2013

DOI: 10.1210/jc.2013-1698

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Vitamin D Status Is Associated With Functional Limitations and Functional Decline in Older Individuals

Journal article published in 2013 by E. Sohl, N. M. van Schoor ORCID, R. T. de Jongh, M. Visser ORCID, D. J. H. Deeg, P. Lips
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Context: Vitamin D is known to influence muscle health. A reduction in muscle mass increases the risk of functional limitations among older individuals. Objective: The aim of this study was to examine the relationship between vitamin D status and functional limitations. Design, Setting, and Participants: Two independent cohorts of the Longitudinal Aging Study Amsterdam were used. Participants were aged 65 to 88 years (older cohort, n = 1237; baseline 1995) and 55 to 65 years (younger cohort, n = 725; baseline 2002). Main Outcome Measures: Questions on the ability and degree of difficulty to perform 6 functions of daily life were asked. Results: Of the participants, 56% in the older cohort and 30% in the younger cohort had ≥1 limitation. Vitamin D deficiency (25-hydroxyvitamin D level of <20 ng/mL) compared with the value in the reference group (>30 ng/mL) was related to the presence of functional limitations at baseline (odds ratio [OR] = 1.7; 95% confidence interval [CI], 1.2–2.5 and OR = 2.2; 95% CI 1.3–3.7 for the older and younger cohorts, respectively). In the older cohort, vitamin D deficiency was associated with an increase in limitations at 3 years (OR = 2.0; 95% CI, 1.1–3.5), whereas vitamin D deficiency in the younger cohort was associated with an increase in limitations at 6 years (OR = 3.3; 95% CI, 1.1–10.1). Analyses were adjusted for confounders. Conclusion: Vitamin D status is associated with functional limitations cross-sectionally and longitudinally in individuals aged 55 to 65 years and those 65 years and older. The possible association of vitamin D with functional limitations is present after a shorter follow-up time in the oldest age group compared with the younger age group.