Hubungan Kadar 25(OH)D3 dengan Lingkar Betis Pada Kelompok Lanjut Usia di Panti Santa Anna: Studi Potong-Lintang
Sari
ABSTRACT
The research on vitamin D is still developing until its role in the immune system, the absorption of phosphate from the intestine, and preventing its excretion in the kidneys are known. The prevalence of low levels of vitamin D is high, and recently, it was discovered that there was a relationship between vitamin D deficiency and the incidence of sarcopenia in the elderly. Determining vitamin D levels and the incidence of sarcopenia in the elderly at the Santa Anna Nursing Home. This study was an analytical study with a cross-sectional design conducted on elderly residents of the Santa Anna Nursing Home in July 2023 to assess vitamin D levels and calf circumference to assess sarcopenia. The data obtained were analyzed using Mann-Whitney. Result Of the 32 respondents, the average age was 72.66 years, and 22 (68.7%) respondents were women. It was found that 30 (93.8%) respondents experienced vitamin D deficiency, and 15 (46.9%) respondents experienced sarcopenia. The results of statistical tests showed that there was no difference in the mean levels of vitamin D between the sarcopenic and non-sarcopenic groups. However, the group of patients with sarcopenia had vitamin D levels that tended to be lower compared to the group without sarcopenia (18 vs. 21 ng/mL; MR 15.50 vs. 17.38). There was no statistically significant difference in mean vitamin D levels between the groups with and without sarcopenia. However, there is a tendency for groups of patients with sarcopenia to have vitamin D levels that tend to be lower than those in groups without sarcopenia.
Keywords: Vitamin D, Sarcopenia, Elderly
ABSTRAK
Hingga saat ini, penelitian terhadap vitamin D terus berkembang hingga diketahui perannya dalam sistem imun, absorpsi fosfat dari usus dan mencegah terekskresinya pada ginjal. Tingginya prevalensi kurangnya kadar vitamin D dan baru-baru ini, diketahui ada hubungan defisiensi vitamin D dengan kejadian sarkopenia pada lansia. Mengetahui kadar vitamin D dengan kejadian sarkopenia pada lansia di Panti Werda Santa Anna. Penelitian ini adalah analitik dengan desain potong lintang yang dilakukan pada lansia penghuni Panti Werdha Santa Anna pada Juli 2023 untuk menilai kadar vitamin D dan lingkar betis untuk menilai sarkopenia. Data yang didapat kemunian dianalisis menggunakan Mann-Whitney. Didapat 32 responden dengan rerata usia 72,66 tahun dan sebanyak 22 (68,7%) responden adalah perempuan. Didapat 30 (93,8%) responden mengalami defisiensi vitamin D dan 15 (46,9%) responden mengalami sarkopenia. Hasil uji statistic didapat hasil tidak terdapat perbedaan rerata kadar vitamin D antara kelompok sarkopenia dan tidak. Namun dapat terlihat bahwa kelompok pasien dengan sarkopenia memiliki kadar vitamin D yang cenderung lebih rendah dibandingan dengan kelompok tanpa sarkopenia (18 vs 21 ng/mL; MR 15,50 vs 17,38). Tidak terdapat perbedaan rerata kadar vitamin D yang bermakna secara statistik antara kelompok dengan atau tanpa sarkopenia. Namun terdapat kecenderungan kelompok pasien dengan sarkopenia memiliki kadar vitamin D yang cenderung lebih rendah dibandingan dengan kelompok tanpa sarkopenia.
Kata Kunci: Vitamin D, Sarkopenia, Lanjut Usia
Kata Kunci
Teks Lengkap:
Download ArtikelReferensi
Ackermans, L. L. G. C., Rabou, J., Basrai, M., Schweinlin, A., Bischoff, S. C., Cussenot, O., Cancel-Tassin, G., Renken, R. J., Gómez, E., Sánchez-González, P., Rainoldi, A., Boccia, G., Reisinger, K. W., Ten Bosch, J. A., & Blokhuis, T. J. (2022). Screening, diagnosis and monitoring of sarcopenia: When to use which tool? Clinical Nutrition ESPEN, 48, 3644.https://doi.org/10.1016/j.clnesp.2022.01.027
ALbuloshi, T., Kamel, A. M., & Spencer, J. P. E. (2022). Factors Associated with Low Vitamin D Status among Older Adults in Kuwait. Nutrients, 14(16).https://doi.org/10.3390/nu14163342
Benedik, E. (2022). Sources of vitamin D for humans. International Journal for Vitamin and Nutrition Research, 92(2), 118–125. https://doi.org/10.1024/0300-9831/a000733
Cannataro, R., Carbone, L., Petro, J. L., Cione, E., Vargas, S., Angulo, H., Forero, D. A., Odriozola-Martínez, A., Kreider, R. B., & Bonilla, D. A. (2021). Sarcopenia: Etiology, Nutritional Approaches, and miRNAs. International Journal of Molecular Sciences, 22(18), 9724.https://doi.org/10.3390/ijms22189724
Chen, L. K., Woo, J., Assantachai, P., Auyeung, T. W., Chou, M. Y., Iijima, K., Jang, H. C., Kang, L., Kim, M., Kim, S., Kojima, T., Kuzuya, M., Lee, J. S. W., Lee, S. Y., Lee, W. J., Lee, Y., Liang, C. K., Lim, J. Y., Lim, W. S., … Arai, H. (2020). Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. Journal of the American Medical Directors Association, 21(3), 300-307.e2.https://doi.org/10.1016/j.jamda.2019.12.012
Cruz-Jentoft, A. J., Bahat, G., Bauer, J., Boirie, Y., Bruyère, O., Cederholm, T., Cooper, C., Landi, F., Rolland, Y., Sayer, A. A., Schneider, S. M., Sieber, C. C., Topinkova, E., Vandewoude, M., Visser, M., Zamboni, M., Bautmans, I., Baeyens, J.-P., Cesari, M., … Schols, J. (2019). Sarcopenia: revised European consensus on definition and diagnosis. Age and Ageing, 48(1), 16–31. https://doi.org/10.1093/ageing/afy169
Cui, A., Zhang, T., Xiao, P., Fan, Z., Wang, H., & Zhuang, Y. (2023). Global and regional prevalence of vitamin D deficiency in population-based studies from 2000 to 2022: A pooled analysis of 7.9 million participants. Frontiers in Nutrition, 10. https://doi.org/10.3389/fnut.2023.1070808
Dalle, S., Rossmeislova, L., & Koppo, K. (2017). The Role of Inflammation in Age-Related Sarcopenia.FrontiersinPhysiology,8.https://doi.org/10.3389/fphys.2017.01045
Gupta, P., & Kumar, S. (2022). Sarcopenia and Endocrine Ageing: Are They Related? Cureus.https://doi.org/10.7759/cureus.28787
Kim, H. S., Jang, G., Park, J. W., Lee, Y.-K., & Koo, K.-H. (2021). Vitamin D Deficiency and Sarcopenia in Hip Fracture Patients. Journal of Bone Metabolism, 28(1), 79–83. https://doi.org/10.11005/jbm.2021.28.1.79
Kim, T. N., & Choi, K. M. (2013). Sarcopenia:Definition,Epidemiology, and Pathophysiology. Journal of Bone Metabolism, 20(1),1.https://doi.org/10.11005/jbm.2013.20.1.1
Larsson, L., Degens, H., Li, M., Salviati, L., Lee, Y. il, Thompson, W., Kirkland, J. L., & Sandri, M. (2019). Sarcopenia: Aging-Related Loss of Muscle Mass and Function. Physiological Reviews, 99(1), 427511.https://doi.org/10.1152/physrev.00061.2017
Lo, J. H., U, K. P., Yiu, T., Ong, M. T., & Lee, W. Y. (2020). Sarcopenia :Currenttreatments andnewregenerativetherapeutic approaches. Journal of OrthopaedicTranslation,23(March),3852.https://doi.org/10.1016/j.jot.2020.04.002
Maruotti, N., & Cantatore, F. P. (2010). Vitamin D and the immune system. Journal of Rheumatology, 37(3), 491–495. https://doi.org/10.3899/jrheum.090797
McCormick, R., & Vasilaki, A. (2018). Age-related changes in skeletal muscle: changes to life-style as a therapy. Biogerontology, 19(6),519536.https://doi.org/10.1007/s10522-018-9775-3
Mizuno, T., Hosoyama, T., Tomida, M., Yamamoto, Y., Nakamichi, Y., Kato, S., Kawai-Takaishi, M., Ishizuka, S., Nishita, Y., Tange, C., Shimokata, H., Imagama, S., & Otsuka, R. (2022). Influence of vitamin D onsarcopenia pathophysiology: A longitudinal study in humans and basic research in knockout mice. Journal of Cachexia, Sarcopenia and Muscle, 13(6), 29612973.https://doi.org/10.1002/jcsm.13102
Pedersen, B. K. (2009). Edward F. Adolph Distinguished Lecture: Muscle as an endocrine organ: IL-6 and other myokines. Journal of Applied Physiology, 107(4), 1006–1014. https://doi.org/10.1152/japplphysiol.00734.2009
Pike, J. W., Meyer, M. B., Lee, S. M., Onal, M., & Benkusky, N. A. (2017).The Vitamin D receptor: Contemporarygenomiapproaches reveal new basic and translational insights. Journal ofClinicalInvestigation,127(4), 11461154.https://doi.org/10.1172/JCI88887
Remelli, F., Vitali, A., Zurlo, A., & Volpato, S. (2019). Vitamin D Deficiency and Sarcopenia in Older Persons. Nutrients, 11(12),2861.https://doi.org/10.3390/nu11122861
Reza Vafa, M. (2017). Vitamin D and Sarcopenia. Advances in Obesity, Weight Management & Control, 6(3), 82–84. https://doi.org/10.15406/aowmc.2017.06.00155
Sayer, A. A., & Cruz-jentoft, A. (2022). Sarcopenia definition , diagnosis and treatment : consensus is growing. 1–5.
Setiati, S. (2008). Vitamin D status among Indonesian elderly women living in institutionalized care units. Acta Medica Indonesiana, 40(2), 78–83.
Wang, H., Chen, W., Li, D., Yin, X., Zhang, X., Olsen, N., & Zheng, S. G. (2017). Vitamin D and Chronic Diseases. Aging and Disease, 8(3), 346. https://doi.org/10.14336/AD.2016.1021
Wei, S., Nguyen, T. T., Zhang, Y., Ryu, D., & Gariani, K. (2023). Sarcopenicobesity:epidemiology,pathophysiology,cardiovasculardisease,mortality,andmanagement.FrontiersinEndocrinology,14.https://doi.org/10.3389/fendo.2023.1185221
Wolf, G. (2004). The discovery of vitamin D: The contribution of Adolf Windaus. Journal of Nutrition, 134(6), 1299–1302. https://doi.org/10.1093/jn/134.6.1299
Yang, A., Lv, Q., Chen, F., Wang, Y., Liu, Y., Shi, W., Liu, Y., & Wang, D. (2020). The effect of vitamin D on sarcopenia depends on the level of physical activity in older adults. Journal of Cachexia, Sarcopenia and Muscle, 11(3), 678689.https://doi.org/10.1002/jcsm.12545
Yang, C., Dai, Y., Li, Z., Peng, Y., Zhang, L., & Jia, H. (2023). Relationship of Serum 25-Hydroxyvitamin D Levels with Sarcopenia and Body Composition in Community-Dwelling Older Adults: A Paired Case-Control Study. Journal of the American Medical Directors Association, 24(8), 12131219.https://doi.org/10.1016/j.jamda.2023.06.004
DOI: https://doi.org/10.33024/mnj.v6i7.13124
Refbacks
- Saat ini tidak ada refbacks.
Penerbit: Universitas Malahayati
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License