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Minerals, trace elements, Vit. D and bone health

Cross-sectional study on different characteristics of physical activity as determinants of vitamin D status; inadequate in half of the population

Abstract

Background/Objectives:

Physical activity (PA) may have an impact on vitamin D status. The aim of the present study is to assess the contribution of different characteristics of PA (duration, intensity as estimated by energy expenditure, location) to vitamin D status.

Subjects/Methods:

The study was conducted in 1255 community-dwelling older men and women of the Longitudinal Aging Study Amsterdam (LASA). Cross-sectional relationships between PA and serum 25-hydroxyvitamin D (25(OH)D) concentrations were examined.

Results:

Total PA, both indoor and outdoor PA, expressed in kcal/d was positively associated with 25(OH)D in women (P<0.05) but not in men. The total time spent on these activities was not associated. As compared with the lowest tertile, both men and women in the highest tertile of cycling activity (6.4 min/d or 34.7 kcal/d) had a 6 nmol/l higher 25(OH)D (P<0.05). For men and women in the highest tertile of gardening (8.6 min/d or 87.6 kcal/d), these levels were 14.2 nmol/l (P<0.001) and 5.8 nmol/l 25(OH)D (P<0.05), respectively. Walking showed no association.

Conclusions:

Daily time spent on total PA is often included when studying the association between sum of PA and 25(OH)D, while our study showed that energy expenditure might be a better unit. Individual types of outdoor PA with a high intensity, such as gardening and cycling, were associated with 25(OH)D.

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References

  1. Pfeifer M, Begerow B, Minne HW . Vitamin D and muscle function. Osteoporos Int 2002; 13: 187–194.

    Article  CAS  Google Scholar 

  2. Nelson ME, Meredith CN, Dawson-Hughes B, Evans WJ . Hormone and bone mineral status in endurance-trained and sedentary postmenopausal women. J Clin Endocrinol Metab 1988; 66: 927–933.

    Article  CAS  Google Scholar 

  3. Scott D, Blizzard L, Fell J, Ding C, Winzenberg T, Jones G . A prospective study of the associations between 25-hydroxy-vitamin D, sarcopenia progression and physical activity in older adults. Clin Endocrinol 2010; 73: 581–587.

    Article  CAS  Google Scholar 

  4. Yeh JK, Aloia JF, Yasumura S . Effect of physical activity on calcium and phosphorus metabolism in the rat. Am J Physiol Endocrinol Metab 1989; 256: 19–21.

    Article  Google Scholar 

  5. Zittermann A, Sabatschus O, Jantzen S, Platen P, Danz A, Dimitriou T et al. Exercise-trained young men have higher calcium absorption rates and plasma calcitriol levels compared with age-matched sedentary controls. Calcif Tissue Int 2000; 67: 215–219.

    Article  CAS  Google Scholar 

  6. Barnes BBE, Chang-Claude J, Flesch-Janys D, Kinscherf R, Schmidt M, Slanger T et al. Cancer risk factors associated with insulin-like growth factor (IGF)-I and IGF-binding protein-3 levels in healthy women: effect modification by menopausal status. Cancer Causes Control 2009; 20: 1985–1996.

    Article  Google Scholar 

  7. Gomez J . The role of insulin-like growth factor I components in the regulation of vitamin D. Curr Pharm Biotechnol 2006; 7: 125–132.

    Article  CAS  Google Scholar 

  8. Maimoun L, Sultan C . Effect of physical activity on calcium homeostasis and calciotropic hormones: A review. Calcif Tissue Int 2009; 85: 277–286.

    Article  CAS  Google Scholar 

  9. Lips P, van Ginkel FC, Jongen MJ, Rubertus F, van der Vijgh WJ, Netelenbos JC . Determinants of vitamin D status in patients with hip fracture and in elderly control subjects. Am J Clin Nutr 1987; 46: 1005–1010.

    Article  CAS  Google Scholar 

  10. Tzotzas T, Papadopoulou FG, Tziomalos K, Karras S, Gastaris K, Perros P et al. Rising serum 25-hydroxy-vitamin D levels after weight loss in obese women correlate with improvement in insulin resistance. J Clin Endocrinol Metab 2010; 95: 4251–4257.

    Article  CAS  Google Scholar 

  11. Lips P . Worldwide status of vitamin D nutrition. J Steroid Biochem Mol Biol 2010; 121: 297–300.

    Article  CAS  Google Scholar 

  12. Huisman M, Poppelaars J, van der Horst M, Beekman ATF, Brug J, van Tilburg TG et al. Cohort profile: the Longitudinal Aging Study Amsterdam. Int J Epidemiol 2011; 40: 868–876.

    Article  Google Scholar 

  13. Stel VS, Smit JH, Pluijm SMF, Visser M, Deeg DJH, Lips P . Comparison of the LASA Physical Activity Questionnaire with a 7-day diary and pedometer. J Clin Epidemiol 2004; 57: 252–258.

    Article  Google Scholar 

  14. Ainsworth BE, Haskell WL, Leon AS, Jacobs DR, Montoye HJ, Sallis JF et al. Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc 1993; 25: 71–80.

    Article  CAS  Google Scholar 

  15. Caspersen CJ, Bloemberg BPM, Saris WHM, Merritt RK, Kromhout D . The prevalence of selected physical activities and their relation with coronary heart disease risk factors in elderly men: the Zutphen Study, 1985. Am J Epidemiol 1991; 133: 1078–1092.

    Article  CAS  Google Scholar 

  16. Macdonald HM, Mavroeidi A, Barr RJ, Black AJ, Fraser WD, Reid DM . Vitamin D status in postmenopausal women living at higher latitudes in the UK in relation to bone health, overweight, sunlight exposure and dietary vitamin D. Bone 2008; 42: 996–1003.

    Article  CAS  Google Scholar 

  17. Davis JN, Hodges VA, Gillham MB . Physical activity compliance: differences between overweight/obese and normal-weight adults. Obesity 2006; 14: 2259–2265.

    Article  Google Scholar 

  18. Brock K, Cant R, Clemson L, Mason RS, Fraser DR . Effects of diet and exercise on plasma vitamin D (25(OH)D) levels in Vietnamese immigrant elderly in Sydney, Australia. J Steroid Biochem Mol Biol 2007; 103: 786–792.

    Article  CAS  Google Scholar 

  19. Wicherts IS, van Schoor NM, Boeke AJP, Visser M, Deeg DJH, Smit J et al. Vitamin D status predicts physical performance and its decline in older persons. J Clin Endocrinol Metab 2007; 92: 2058–2065.

    Article  CAS  Google Scholar 

  20. Den Dulk CJ, Van de Stadt H, Vliegen JM . Een nieuwe maatstaaf voor stedelijkheid: de omgevingsadressendichtheid (A new measure for degree of urbanization: the address density of the surrounding area). Maatstat Bevolking 1992; 40: 14–27.

    CAS  Google Scholar 

  21. Garretsen HFL Probleemdrinken, Prevalentiebepaling, Beinvloedende Factoren en Preventiemogelijkheden, Theoretische Overwegingen en Onderzoek in Rotterdam (Dissertation in Dutch). Swets and Zeitlinger BV: Lisse: The Netherlands, 1983.

    Google Scholar 

  22. Deeg DJH, Van Tilburg W, Knipscheer C Autonomy and Well-being in the Aging Population: Concepts and Design of the Longitudinal Aging Study Amsterdam. Nederlands Institute of Gerontology: Bunnili, The Netherlands, 1993.

    Google Scholar 

  23. Kriegsman DM, Penninx BW, van Eijk JT, Boeke AJ, Deeg DJ . Self-reports and general practitioner information on the presence of chronic diseases in community dwelling elderly. A study on the accuracy of patient’s self-reports and on determinants of inaccuracy. J Clin Epidemiol 1996; 49: 1407–1417.

    Article  CAS  Google Scholar 

  24. van Schoor NM, Visser M, Pluijm SMF, Kuchuk N, Smit JH, Lips P . Vitamin D deficiency as a risk factor for osteoporotic fractures. Bone 2008; 42: 260–266.

    Article  CAS  Google Scholar 

  25. Brock KE, Graubard BI, Fraser DR, Weinstein SJ, Stolzenberg-Solomon RZ, Lim U et al. Predictors of vitamin D biochemical status in a large sample of middle-aged male smokers in Finland. Eur J Clin Nutr 2010; 64: 280–288.

    Article  CAS  Google Scholar 

  26. Jones G, Dwyer T, Hynes KL, Parameswaran V, Greenaway TM . Vitamin D insufficiency in adolescent males in Southern Tasmania: prevalence, determinants, and relationship to bone turnover markers. Osteoporos Int 2005; 16: 636–641.

    Article  CAS  Google Scholar 

  27. Kluczynski MA, Lamonte MJ, Mares JA, Wactawski-Wende J, Smith AW, Engelman CD et al. Duration of physical activity and serum 25-hydroxyvitamin D status of postmenopausal women. Ann Epidemiol 2011; 21: 440–449.

    Article  Google Scholar 

  28. Pasco JA, Henry MJ, Nicholson GC, Brennan SL, Kotowicz MA . Behavioural and physical characteristics associated with vitamin D status in women. Bone 2009; 44: 1085–1091.

    Article  CAS  Google Scholar 

  29. Van Dam RM, Snijder MB, Dekker JM, Stehouwer CDA, Bouter LM, Heine RJ et al. Potentially modifiable determinants of vitamin D status in an older population in the Netherlands: the Hoorn Study. Am J Clin Nutr 2007; 85: 755–761.

    Article  CAS  Google Scholar 

  30. Scragg R, Camargo CA . Frequency of leisure-time physical activity and serum 25-hydroxyvitamin D levels in the US population: results from the Third National Health and Nutrition Examination Survey. Am J Epidemiol 2008; 168: 577–586.

    Article  Google Scholar 

  31. Bell NH, Godsen RN, Henry DP, Shary J, Epstein S . The effects of muscle-building exercise on vitamin D and mineral metabolism. J Bone Miner Res 1988; 3: 369–373.

    Article  CAS  Google Scholar 

  32. Jacques PF, Felson DT, Tucker KL, Mahnken B, Wilson PWF, Rosenberg IH et al. Plasma 25-hydroxyvitamin D and its determinants in an elderly population sample. Am J Clin Nutr 1997; 66: 929–936.

    Article  CAS  Google Scholar 

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Acknowledgements

This study is based on data collected in the context of the Longitudinal Aging Study Amsterdam (LASA), which is largely funded by the Ministry of Health, Welfare, and Sports of the Netherlands. We thank JL Poppelaars (VU University Medical Center) and K Swart for their input on data management and statistics.

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Correspondence to N van Schoor.

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PL served as a consultant for Merck. The remaining authors declare no conflict of interest.

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van den Heuvel, E., van Schoor, N., de Jongh, R. et al. Cross-sectional study on different characteristics of physical activity as determinants of vitamin D status; inadequate in half of the population. Eur J Clin Nutr 67, 360–365 (2013). https://doi.org/10.1038/ejcn.2013.22

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