Associations between Vitamin D deficiency, musculoskeletal health, and cardiometabolic risk among community-living people in Taiwan: Age and sex-specific relationship

Chia Hung Chen, Li Kuo Liu, Mei Ju Chen, Wei Ju Lee, Ming Hsien Lin, Li Ning Peng, Liang Kung Chen*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

The role of serum vitamin D (Vit D) in cardiometabolic and muscle health remains unclear. The study aimed to evaluate associations of Vit D and factors of healthy aging among community-living middle-aged and older people in Taiwan. Analytic data on 1839 community-living older adults were excerpted from I-Lan Longitudinal Aging Study. All participants were collected demographic characteristics, serum Vit D, functional assessment, and cardiometabolic risk factors. The prevalence of Vit D insufficiency and deficiency in this study was 50.5% and 33.6%, respectively. Among 617 participants with Vit D deficiency, 72.3% of them were women. In multivariate logistic regression, the independent risk factors of Vit D deficiency were male gender (odds ratio [OR]: 0.266; 95% confidence interval [CI]: 0.213-0.333; P<0.001), higher BMI (OR: 1.036; 95% CI: 1.005-1.067; P=0.022), high total cholesterol (OR: 1.437; 95% CI: 1.160-1.779; P=0.001), and high triglyceride (OR: 1.865; 95% CI: 1.446-2.404; p<0.001). In multinomial logistic regression for 3-level Vit D status analysis, similar trend was found among participants with Vit D insufficiency. Insulin resistance increased in 2.31 and 1.71-folds in Vit D deficiency and insufficiency groups. Besides, association between Vit D deficiency and osteopenia was found only in women. In conclusion, Vit D deficiency was more common in women, and associated with poorer musculoskeletal health and higher cardiovascular and metabolic risk, including higher BMI, DBP, insulin resistance, total cholesterol, and triglyceride.

Original languageEnglish
Article numbere13886
JournalMedicine (United States)
Volume97
Issue number52
DOIs
StatePublished - 1 Dec 2018

Keywords

  • Cardiometabolic risk
  • Musculoskeletal health
  • Vitamin D

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