AN EVALUATION OF THE RELATIVE CONTRIBUTIONS OF EXPOSURE TO SUNLIGHT AND OF DIET TO THE CIRCULATING CONCENTRATIONS OF 25-HYDROXYVITAMIN-D IN AN ELDERLY NURSING-HOME POPULATION IN BOSTON

被引:233
作者
WEBB, AR [1 ]
PILBEAM, C [1 ]
HANAFIN, N [1 ]
HOLICK, MF [1 ]
机构
[1] BOSTON UNIV,SCH MED,VITAMIN D SKIN & BONE RES LAB,80 E CONCORD ST,BOSTON,MA 02118
关键词
1,25-dihydroxycholecalciferol; 25-hydroxycholecalciferol; Diet; Elderly populations; Nursing home; Parathyroid hormone; Seasonal variation; Sunlight; Vitamin D;
D O I
10.1093/ajcn/51.6.1075
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
We investigated the vitamin D status of a Caucasian elderly population in a long-term-care facility in Boston. Comparison was made with a group of free-living elderly people. The sunlight exposure of residents was monitored and its effect on the serum concentrations of 25-hydroxyvitamin D [25(OH)D] was compared with contributions from diet and multivitamins. Seasonal changes in serum 25(OH)D concentrations caused by sunlight exposure were greatest in the free-living subjects and declined in magnitude as the mobility of the volunteers decreased. Diet failed to provide an adequate amount of vitamin D for volunteers who had minimal outdoor activity. Use of a multivitamin supplement containing 10 μg (400 IU) vitamin D maintained serum 25(OH)D concentrations > 37.5 nmol/L.
引用
收藏
页码:1075 / 1081
页数:7
相关论文
共 38 条
[1]   VITAMIN-D SYNTHESIS AND METABOLISM AFTER ULTRAVIOLET-IRRADIATION OF NORMAL AND VITAMIN-D-DEFICIENT SUBJECTS [J].
ADAMS, JS ;
CLEMENS, TL ;
PARRISH, JA ;
HOLICK, MF .
NEW ENGLAND JOURNAL OF MEDICINE, 1982, 306 (12) :722-725
[2]  
AKSENSES L, 1988, BONE MIN, V3, P351
[3]  
BEADLE PC, 1980, BRIT J DERMATOL, V102, P289
[4]  
BENER P, 1969, BIOL EFFECTS ULTRAVI
[5]   VITAMIN-D STATUS IN THE ELDERLY - SEASONAL SUBSTRATE DEFICIENCY CAUSES 1,25-DIHYDROXYCHOLECALCIFEROL DEFICIENCY [J].
BOUILLON, RA ;
AUWERX, JH ;
LISSENS, WD ;
PELEMANS, WK .
AMERICAN JOURNAL OF CLINICAL NUTRITION, 1987, 45 (04) :755-763
[6]  
Chalmers J, 1967, J Bone Joint Surg Br, V49, P403
[7]   SERUM VITAMIN-D2 AND VITAMIN-D3 METABOLITE CONCENTRATIONS AND ABSORPTION OF VITAMIN-D2 IN ELDERLY SUBJECTS [J].
CLEMENS, TL ;
ZHOU, XY ;
MYLES, M ;
ENDRES, D ;
LINDSAY, R .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1986, 63 (03) :656-660
[8]  
DATTANI JT, 1984, HUM NUTR-CLIN NUTR, V38C, P131
[9]   VITAMIN-D FROM SKIN - CONTRIBUTION TO VITAMIN-D STATUS COMPARED WITH ORAL VITAMIN-D IN NORMAL AND ANTICONVULSANT-TREATED SUBJECTS [J].
DAVIE, MWJ ;
LAWSON, DEM ;
EMBERSON, C ;
BARNES, JLC ;
ROBERTS, GE ;
BARNES, ND .
CLINICAL SCIENCE, 1982, 63 (05) :461-472
[10]   SEASONAL-CHANGES IN THE BIOCHEMICAL INDEXES OF VITAMIN-D DEFICIENCY IN THE ELDERLY - A COMPARISON OF PEOPLE IN RESIDENTIAL HOMES, LONG-STAY WARDS AND ATTENDING A DAY HOSPITAL [J].
DAVIES, M ;
MAWER, EB ;
HANN, JT ;
TAYLOR, JL .
AGE AND AGEING, 1986, 15 (02) :77-83