Better functional mobility in community-dwelling elderly is related to D-hormone serum levels and to daily calcium intake

J Nutr Health Aging. 2005 Sep-Oct;9(5):347-51.

Abstract

The influence of calcitropic hormones on functional mobility has been studied in vitamin D (calcidiol) deficient elderly or elderly with a history of falls, however, data in community-dwelling independent vitamin D replete elderly are missing. We therefore assessed in an observational survey the association of calcidiol (25(OH)D3) and calcitriol (D-hormone / 1,25(OH)2D3) status as well as of daily calcium intake on functional mobility in older subjects We evaluated 192 women and 188 men, aged superior 70 years and living independently. Average Timed-up and go test (TUG-test) in seconds was taken as measure of functional mobility. Calcidiol and D-hormone serum concentrations and daily calcium intake were studied in multivariate controlled linear regression models with TUG-test performance as the dependent variable and/or as dichotomous variables (deficient vs. non-deficient, above vs. below the median, respectively). Subjects with low D-hormone serum concentrations took significantly more time to perform the TUG-test (low = 7.70s +/- 2.52 SD ; high = 6.70s +/- 1.29 SD; p = 0.004). In the linear multivariate controlled regression model increased D-hormone serum concentrations predicted better TUG-test performance (estimate -0.0007, p = 0.044). Participants with a calcium intake of > or =512 mg/day were significantly faster to perform the TUG-test than participants with a daily calcium intake of <512 mg/day (estimate:-0.43, p = 0.007). Other significant predictors of better TUG-test performance in both models were: male gender, less comorbid conditions, younger age, lower BMI, iPTH serum levels and creatinine clearance. Calcidiol serum levels were not associated with TUG-test performance. Higher D-hormone status and a calcium intake of > or =512 mg/day in community-dwelling independent older persons are significant determinants of better functional mobility. Therefore, to ensure optimal functional mobility, the care of older persons should address correction of D-hormone deficiency and increasing daily calcium intake.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Analysis of Variance
  • Bone Density Conservation Agents / blood*
  • Calcifediol / blood*
  • Calcitriol / blood*
  • Calcium, Dietary / administration & dosage*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Linear Models
  • Locomotion*
  • Male
  • Sex Factors
  • Vitamin D Deficiency / blood
  • Vitamin D Deficiency / prevention & control

Substances

  • Bone Density Conservation Agents
  • Calcium, Dietary
  • Calcitriol
  • Calcifediol