Vitamin D and walking speed in older adults: Systematic review and meta-analysis.
Identifieur interne : 000056 ( Main/Exploration ); précédent : 000055; suivant : 000057Vitamin D and walking speed in older adults: Systematic review and meta-analysis.
Auteurs : Cedric Annweiler [Canada] ; Samir Henni [France] ; Stéphane Walrand [France] ; Manuel Montero-Odasso [Canada] ; Gustavo Duque [Australie] ; Guillaume T. Duval [France]Source :
- Maturitas [ 1873-4111 ] ; 2017.
Abstract
Vitamin D is involved in musculoskeletal health. There is no consensus on a possible association between circulating 25-hydroxyvitamin D (25OHD) concentrations and walking speed, a 'vital sign' in older adults. Our objective was to systematically review and quantitatively assess the association of 25OHD concentration with walking speed. A Medline search was conducted on June 2017, with no limit of date, using the MeSH terms "Vitamin D" OR "Vitamin D Deficiency" combined with "Gait" OR "Gait disorders, Neurologic" OR "Walking speed" OR "Gait velocity". Fixed-effect meta-analyses were performed to compute: i) mean differences in usual and fast walking speeds and Timed Up and Go test (TUG) between participants with severe vitamin D deficiency (≤25nmol/L) (SVDD), vitamin D deficiency (≤50nmol/L) (VDD), vitamin D insufficiency (≤75nmol/L) (VDI) and normal vitamin D (>75nmol/L) (NVD); ii) risk of slow walking speed according to vitamin D status. Of the 243 retrieved studies, 22 observational studies (17 cross-sectional, 5 longitudinal) met the selection criteria. The number of participants ranged between 54 and 4100 (0-100% female). Usual walking speed was slower among participants with hypovitaminosis D, with a clinically relevant difference compared with NVD of -0.18m/s for SVDD, -0.08m/s for VDD and -0.12m/s for VDI. We found similar results regarding the fast walking speed (mean differences -0.04m/s for VDD and VDI compared with NVD) and TUG (mean difference 0.48s for SVDD compared with NVD). A slow usual walking speed was positively associated with SVDD (summary OR=2.17[95%CI:1.52-3.10]), VDD (OR=1.38[95%CI:1.01-1.89]) and VDI (OR=1.38[95%CI:1.04-1.83]), using NVD as the reference. In conclusion, this meta-analysis provides robust evidence that 25OHD concentrations are positively associated with walking speed among adults.
DOI: 10.1016/j.maturitas.2017.07.012
PubMed: 29150169
Affiliations:
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Duval</name><affiliation wicri:level="3"><nlm:affiliation>Department of Neuroscience and Aging, Division of Geriatric Medicine and Memory Clinic, Research Centre on Autonomy and Longevity, Angers University Hospital, UPRES EA 4638, University of Angers, UNAM, Angers, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Neuroscience and Aging, Division of Geriatric Medicine and Memory Clinic, Research Centre on Autonomy and Longevity, Angers University Hospital, UPRES EA 4638, University of Angers, UNAM, Angers</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Angers</settlement></placeName></affiliation></author></analytic><series><title level="j">Maturitas</title><idno type="eISSN">1873-4111</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Vitamin D is involved in musculoskeletal health. There is no consensus on a possible association between circulating 25-hydroxyvitamin D (25OHD) concentrations and walking speed, a 'vital sign' in older adults. Our objective was to systematically review and quantitatively assess the association of 25OHD concentration with walking speed. A Medline search was conducted on June 2017, with no limit of date, using the MeSH terms "Vitamin D" OR "Vitamin D Deficiency" combined with "Gait" OR "Gait disorders, Neurologic" OR "Walking speed" OR "Gait velocity". Fixed-effect meta-analyses were performed to compute: i) mean differences in usual and fast walking speeds and Timed Up and Go test (TUG) between participants with severe vitamin D deficiency (≤25nmol/L) (SVDD), vitamin D deficiency (≤50nmol/L) (VDD), vitamin D insufficiency (≤75nmol/L) (VDI) and normal vitamin D (>75nmol/L) (NVD); ii) risk of slow walking speed according to vitamin D status. Of the 243 retrieved studies, 22 observational studies (17 cross-sectional, 5 longitudinal) met the selection criteria. The number of participants ranged between 54 and 4100 (0-100% female). Usual walking speed was slower among participants with hypovitaminosis D, with a clinically relevant difference compared with NVD of -0.18m/s for SVDD, -0.08m/s for VDD and -0.12m/s for VDI. We found similar results regarding the fast walking speed (mean differences -0.04m/s for VDD and VDI compared with NVD) and TUG (mean difference 0.48s for SVDD compared with NVD). A slow usual walking speed was positively associated with SVDD (summary OR=2.17[95%CI:1.52-3.10]), VDD (OR=1.38[95%CI:1.01-1.89]) and VDI (OR=1.38[95%CI:1.04-1.83]), using NVD as the reference. In conclusion, this meta-analysis provides robust evidence that 25OHD concentrations are positively associated with walking speed among adults.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Canada</li><li>France</li></country><region><li>Pays de la Loire</li></region><settlement><li>Angers</li></settlement></list><tree><country name="Canada"><noRegion><name sortKey="Annweiler, Cedric" sort="Annweiler, Cedric" uniqKey="Annweiler C" first="Cedric" last="Annweiler">Cedric Annweiler</name></noRegion><name sortKey="Montero Odasso, Manuel" sort="Montero Odasso, Manuel" uniqKey="Montero Odasso M" first="Manuel" last="Montero-Odasso">Manuel Montero-Odasso</name></country><country name="France"><region name="Pays de la Loire"><name sortKey="Henni, Samir" sort="Henni, Samir" uniqKey="Henni S" first="Samir" last="Henni">Samir Henni</name></region><name sortKey="Duval, Guillaume T" sort="Duval, Guillaume T" uniqKey="Duval G" first="Guillaume T" last="Duval">Guillaume T. Duval</name><name sortKey="Walrand, Stephane" sort="Walrand, Stephane" uniqKey="Walrand S" first="Stéphane" last="Walrand">Stéphane Walrand</name></country><country name="Australie"><noRegion><name sortKey="Duque, Gustavo" sort="Duque, Gustavo" uniqKey="Duque G" first="Gustavo" last="Duque">Gustavo Duque</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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