The Association Between Vitamin D Status and Parameters for Bone Density and Quality is Modified by Body Mass Index

Verfasser / Beitragende:
[E. Sohl, R. de Jongh, K. Swart, A. Enneman, J. van Wijngaarden, S. van Dijk, A. Ham, N. van der Zwaluw, E. Brouwer-Brolsma, N. van der Velde, C. de Groot, S. te Velde, P. Lips, N. van Schoor]
Ort, Verlag, Jahr:
2015
Enthalten in:
Calcified Tissue International, 96/2(2015-02-01), 113-122
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00223-014-9943-7  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00223-014-9943-7 
245 0 4 |a The Association Between Vitamin D Status and Parameters for Bone Density and Quality is Modified by Body Mass Index  |h [Elektronische Daten]  |c [E. Sohl, R. de Jongh, K. Swart, A. Enneman, J. van Wijngaarden, S. van Dijk, A. Ham, N. van der Zwaluw, E. Brouwer-Brolsma, N. van der Velde, C. de Groot, S. te Velde, P. Lips, N. van Schoor] 
520 3 |a The association of vitamin D status with bone mineral density (BMD) and Quantitative Ultrasound measurements (QUS) has been inconsistent in previous studies, probably caused by moderating effects. This study explored (1) the association of vitamin D status with QUS and BMD, and (2) whether these associations were modified by body mass index (BMI), age, gender, or physical activity. Two-independent cohorts of the Longitudinal Aging Study Amsterdam (LASA-I, 1995/1996, aged ≥65; LASA-II, 2008/2009, aged 61-71) and baseline measurement of the B-vitamins for the prevention of osteoporotic fractures (B-PROOF) study (2008-2011, aged 65+) were used. QUS measurements [broadband ultrasound attenuation (BUA) and speed of sound (SOS)] were performed at the calcaneus in all three cohorts (N=1,235, N=365, N=1319); BMD was measured by Dual X-ray absorptiometry (DXA) in B-PROOF (N=1,162 and 1,192 for specific sites) and LASA-I (N=492 and 503). The associations of vitamin D status with BUA and BMD were modified by BMI. Only in persons with low-to-normal BMI (<25kg/m2) and serum 25(OH)D <25nmol/L was associated with lower BUA as compared to the reference group (≥50nmol/L) in LASA-I and B-PROOF. Furthermore, in LASA-I, these individuals had lower BMD at the hip and lumbar spine. In LASA-II, no associations with BUA were observed. Vitamin D status was not associated with SOS, and these associations were not modified by the effect modifiers tested. The association between vitamin D status and BUA and BMD was modified by BMI in the older-aged cohorts: there was only an association in individuals with BMI <25kg/m2. 
540 |a Springer Science+Business Media New York, 2014 
690 7 |a Bone mineral density  |2 nationallicence 
690 7 |a Quantitative ultrasound  |2 nationallicence 
690 7 |a Vitamin D  |2 nationallicence 
690 7 |a Older individuals  |2 nationallicence 
690 7 |a Body mass index  |2 nationallicence 
700 1 |a Sohl  |D E.  |u Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, Room A517, 1081 BT, Amsterdam, The Netherlands  |4 aut 
700 1 |a de Jongh  |D R.  |u Department of Internal Medicine and Endocrinology, VU University Medical Center, Amsterdam, The Netherlands  |4 aut 
700 1 |a Swart  |D K.  |u Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, Room A517, 1081 BT, Amsterdam, The Netherlands  |4 aut 
700 1 |a Enneman  |D A.  |u Department of Internal Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands  |4 aut 
700 1 |a van Wijngaarden  |D J.  |u Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands  |4 aut 
700 1 |a van Dijk  |D S.  |u Department of Internal Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands  |4 aut 
700 1 |a Ham  |D A.  |u Department of Internal Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands  |4 aut 
700 1 |a van der Zwaluw  |D N.  |u Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands  |4 aut 
700 1 |a Brouwer-Brolsma  |D E.  |u Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands  |4 aut 
700 1 |a van der Velde  |D N.  |u Department of Internal Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands  |4 aut 
700 1 |a de Groot  |D C.  |u Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands  |4 aut 
700 1 |a te Velde  |D S.  |u Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, Room A517, 1081 BT, Amsterdam, The Netherlands  |4 aut 
700 1 |a Lips  |D P.  |u Department of Internal Medicine and Endocrinology, VU University Medical Center, Amsterdam, The Netherlands  |4 aut 
700 1 |a van Schoor  |D N.  |u Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, Room A517, 1081 BT, Amsterdam, The Netherlands  |4 aut 
773 0 |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 96/2(2015-02-01), 113-122  |x 0171-967X  |q 96:2<113  |1 2015  |2 96  |o 223 
856 4 0 |u https://doi.org/10.1007/s00223-014-9943-7  |q text/html  |z Onlinezugriff via DOI 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sohl  |D E.  |u Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, Room A517, 1081 BT, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a de Jongh  |D R.  |u Department of Internal Medicine and Endocrinology, VU University Medical Center, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Swart  |D K.  |u Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, Room A517, 1081 BT, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Enneman  |D A.  |u Department of Internal Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a van Wijngaarden  |D J.  |u Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a van Dijk  |D S.  |u Department of Internal Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ham  |D A.  |u Department of Internal Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a van der Zwaluw  |D N.  |u Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Brouwer-Brolsma  |D E.  |u Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a van der Velde  |D N.  |u Department of Internal Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a de Groot  |D C.  |u Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a te Velde  |D S.  |u Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, Room A517, 1081 BT, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lips  |D P.  |u Department of Internal Medicine and Endocrinology, VU University Medical Center, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a van Schoor  |D N.  |u Department of Epidemiology and Biostatistics, EMGO Institute for Health and Care Research, VU University Medical Center, Van der Boechorststraat 7, Room A517, 1081 BT, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 96/2(2015-02-01), 113-122  |x 0171-967X  |q 96:2<113  |1 2015  |2 96  |o 223