Nutrition
Volume 24, Issue 5 , Pages 414-420 , May 2008

Seemingly paradoxical seasonal influences on vitamin D status in nursing-home elderly people from a Mediterranean area

  • Francisca Pérez-Llamas, Ph.D.

      Affiliations

    • Department of Physiology, University of Murcia, Murcia, Spain
    • Corresponding Author InformationCorresponding author. Tel.: +968-364-942; fax: +968-363-963.
  • ,
  • María José López-Contreras, Ph.D.

      Affiliations

    • Department of Physiology, University of Murcia, Murcia, Spain
  • ,
  • María José Blanco, Ph.D.

      Affiliations

    • Social Action Institute of Murcia, Murcia, Spain
  • ,
  • Fernando López-Azorín, Ph.D.

      Affiliations

    • Clinical Analysis Service, University Hospital “Virgen de la Arrixaca”, Murcia, Spain
  • ,
  • Salvador Zamora, Ph.D.

      Affiliations

    • Department of Physiology, University of Murcia, Murcia, Spain
  • ,
  • Olga Moreiras, Ph.D.

      Affiliations

    • Department of Nutrition, University Complutense of Madrid, Madrid, Spain

Received 1 August 2007 ,Accepted 4 January 2008.

References 

  1. Van der Wielen RPJ, Löwik MRH, van den Berg H, de Groot LCPGM, Haller J, Moreiras O, et al. Serum vitamin D concentrations among elderly people in Europe. Lancet. 1995;346:207–210
  2. Andersen R, Molgaard C, Skovgaard LT, Brot C, Cashman KD, Chabros E, et al. Teenage girls and elderly women living in northern Europe have low winter vitamin D status. Eur J Clin Nutr. 2005;59:533–541
  3. Hanley DA, Davinson KS. Vitamin D insufficiency in North America. J Nutr. 2005;135:332–337
  4. 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
  5. Papapetrou PD, Triantaphyllopoulou M, Karga H, Zagarelos P, Aloumanis K, Kostakioti E, et al. Vitamin D deficiency in the elderly in Athens, Greece. J Bone Miner Metab. 2007;25:198–203
  6. Lips P. Vitamin D status and nutrition in Europe and Asia. J Steroid Biochem Mol Biol. 2007;103:620–625
  7. Euronut-SENECA Investigators. SENECA: nutrition and elderly in Europe. Eur J Clin Nutr 1996;50(suppl 2).
  8. Liu BA, Gordon M, Labranche JM, Murray TM, Vieth R, Shear NH. Seasonal prevalence of vitamin D deficiency in institutionalized alder adults. J Am Geriatr Soc. 1997;45:598–603
  9. Lips P, Duong T, Oleksik AM, Black D, Cumming S, Cox D, et al. MORE Study Group A global study of vitamin D status and parathyroid function in postmenopausal women with osteoporosis: baseline data from the multiple outcomes of raloxifene evaluation clinical trial. J Clin Endocrinol Metab. 2001;86:1212–1221
  10. Pérez-Llamas F, Cuadrado C, Moreiras O, Zamora S. Malnutrición en personas mayores de Europa: situación en España. In:  Marcos A editors. Malnutrición en el mundo. Como encontrar soluciones en el siglo XXI. Madrid: Editec Red; 2003;p. 123–140
  11. Scientific Advisory Committee on Nutrition. Update on vitamin D. Norwich UK: TSO (The Stationery Office); 2007.
  12. Mckenna MJ. Differences in vitamin D status between countries in young adults and the elderly. Am J Med. 1992;93:69–77
  13. Holick MF. Environmental factors that influence the cutaneous production of vitamin D. Am J Clin Nutr. 1995;61:638S–45
  14. Dawson-Hughes B, Dallal GE, Krall EA, Harris S, Sokoll LJ, Falconer G. Effect of vitamin D supplementation on wintertime and overall bone loss in healthy postmenopausal women. Ann Intern Med. 1991;115:502–512
  15. Salamone LM, Dallal GE, Zantos D, Makrauer F, Dawson-Hughes B. Contributions of vitamin D and sunlight exposure to plasma 25-hydroxyvitamin D concentration in elderly women. Am J Clin Nutr. 1994;58:80–86
  16. Mowé M, Bøhmer T, Haug E. Serum calcidiol and calcitriol concentrations in elderly people: variations with age, sex, season and disease. Clin Nutr. 1996;15:201–206
  17. Rapuri PB, Gallagher JC, Haynatzki G. Effect of vitamin D2 and D3 supplement use on serum 25OHD concentration in elderly women in summer and winter. Calcif Tissue Int. 2004;74:150–156
  18. Ainsleigh HG. Beneficial effects of sun exposure on cancer mortality. Prev Med. 1993;22:132–140
  19. Lefkowitz ES, Garland CF. Sunlight, vitamin D, and ovarian cancer mortality rates in US women. Int J Epidemiol. 1994;23:1133–1136
  20. Garland CF, Garland CF, Gorham ED. Calcium and vitamin D (Their potential roles in colon and breast cancer prevention). Ann N Y Acad Sci. 1999;889:107–119
  21. Janssen HCJP, Samson MM, Verhaar HJJ. Vitamin D deficiency, muscle function, and falls in elderly people. Am J Clin Nutr. 2002;75:611–615
  22. Holick MF. Vitamin D: importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. Am J Clin Nutr. 2004;79:362–371
  23. Park SY, Murphy SP, Wilkens LR, Nomura AMY, Henderson BE, Kolonel LN. Calcium and vitamin D intake and risk of colorectal cancer: the multiethnic cohort study. Am J Epidemiol. 2007;165:784–793
  24. Lips P. Vitamin D deficiency and secondary hyperparathyroidism in the elderly: consequences for bone loss and fractures and therapeutic implications. Endocr Rev. 2001;22:477–501
  25. Trivedi DP, Doll R, Khaw KT. Effect of four monthly oral vitamin D3 (cholecalciferol) supplementation on fractures and mortality in men and women living in the community: randomised double blind controlled trial. BMJ. 2003;326:469–475
  26. Hayashi Y. Active vitamin D metabolite and prevention of falls. Clin Calcium. 2005;15:655–660
  27. Okuizumi H, Harada A. Effect of vitamin D on bone mineral density, bone strength and fracture prevention. Clin Calcium. 2006;16:31–37
  28. Bischoff-Ferrari HA, Giovannucci E, Willett WC, Dietrich T, Dawson-Hughes B. Estimation of optimal serum concentrations of 25-hydroxyvitamin D for multiple health outcomes1. Am J Clin Nutr. 2006;84:18–28
  29. Bates CJ. Diagnosis and detection of vitamin deficiencies. Br Med Bull. 1999;55:643–657
  30. Mckenna MJ, Freaney R. Secondary hyperparathyroidism in the elderly: means to defining hypovitaminosis D. Osteoporos Int. 1998;8:3–6
  31. Malabanan A, Veronikis IE, Holick MF. Redefining vitamin D insufficiency. Lancet. 1998;351:805–806
  32. Kinyamu HK, Gallagher JC, Rafferty KA, Balhorn KE. Dietary calcium and vitamin D intake in elderly women: effect on serum parathyroid hormone and vitamin D metabolites. Am J Clin Nutr. 1998;67:342–348
  33. Need AG, Horowitz M, Morris HA, Nordin BC. Vitamin D status: effects on parathyroid hormone and 1,25-dihydroxyvitamin D in postmenopausal women. Am J Clin Nutr. 2000;71:1577–1581
  34. Guigoz Y, Vellas B, Garry PJ. Assessing the nutritional status of the elderly: the Mini Nutritional Assessment as part of the geriatric evaluation. Nutr Rev. 1996;54:59–65
  35. Pfeiffer EA. A short portable mental state questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975;50:1996–2002
  36. Mahoney FI, Barthel DW. Functional evaluation: the Barthel Index. Md State Med J. 1965;14:61–65
  37. Cid-Ruzafa J, Damián-Moreno J. Valoración de la discapacidad física; el índice de Barthel. Rev Esp Salud Publ. 1997;71:127–137
  38. Pérez-Llamas F, Garaulet M, Herrero F, Palma JT, Pérez de Heredia F, Marín R, et al. Una aplicación informática multivalente para el estudio del estado nutricional de grupos de población (Valoración de la ingesta alimentaria). Nutr Hosp. 2004;19:160–166
  39. Mataix J. Tabla de composición de alimentos. Granada: Universidad de Granada; 2003;
  40. Moreiras O, Carbajal A, Cabrera L, Cuadrado C. Tablas de composición de alimentos. Madrid: Ediciones Pirámide; 2006;
  41. Chumlea WC, Roche AF, Steinbaugh ML. Estimating stature from knee height for persons 60 to 90 years of age. J Am Geriatr Soc. 1985;33:116–120
  42. Falch JA, Oftebro H, Haug E. Early postmenopausal bone loss is not associated with a decrease in circulating levels of 25-hydroxyvitamin D, 1,25-dihydroxyvitamin D or D-vitamin binding protein. J Clin Endocrinol Metab. 1987;64:690–697
  43. Oftebro H, Falch JA, Holmberg I, Haug E. Validation of a radioreceptor assay for 1,25-dihydroxyvitamin D using selected ion monitoring GC-MS. Clin Chim Acta. 1988;176:157–168
  44. Beck AM, Ovensen L. At which body mass index and degree of weight loss should hospitalized elderly patients be considered at nutritional risk. Clin Nutr. 1998;17:195–198
  45. Dawson-Hughes B, Harris SS, Krall EA, Dallal GE, Falconer G, Green CL. Rates of bone loss in postmenopausal women randomly assigned to one of two dosages of vitamin D. Am J Clin Nutr. 1995;61:1140–1145
  46. Moreiras O, Carbajal A, Perea I, Varela-Moreiras G. The influence of dietary and sunlight exposure on the vitamin D status in and elderly Spanish group. Int J Vitam Nutr Res. 1992;62:303–307
  47. Holick MF. Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease. Am J Clin Nutr. 2004;80:1678S–88
  48. Mataix J, Urbano G. Nutrición y alimentación humana. In:  Mataix J editors. Alimentos proteicos. Madrid: Ergon; 2002;p. 349–366
  49. Drinka PJ, Krause PF, Nest LJ, Goodman BM. Determinants of vitamin D levels in nursing home residents. J Am Med Dir Assoc. 2007;8:69–70
  50. Brot C, Vestergaard P, Kolthoff N, Gram J, Hermann AP, Sørensen OH. Vitamin D status and its adequacy in healthy Danish perimenopausal women: relationships to dietary intake, sun exposure and serum parathyroid hormone. Br J Nutr. 2001;86:S97–S103
  51. Pirlich M, Lochs H. Nutrition in the elderly. Best Pract Res Clin Gastroenterol. 2001;15:869–884
  52. Wilson MM. Undernutrition in medical outpatients. Clin Geriatr Med. 2002;18:759–771

 This study was supported by the Social Action Institute of Murcia, Murcia Region Government, Spain.

PII: S0899-9007(08)00029-4

doi: 10.1016/j.nut.2008.01.006

Nutrition
Volume 24, Issue 5 , Pages 414-420 , May 2008