DOI QR코드

DOI QR Code

폐경 여성의 비타민 D 섭취량, 옥외활동시간, 혈청 25-OH 비타민 D 수준과 계절 및 연령과의 관련성

Vitamin D intake, Outdoor Activity Time and Serum 25-OH Vitamin D Concentrations of Korean Postmenopausal Women by Season and by Age

  • 투고 : 2015.03.24
  • 심사 : 2015.04.28
  • 발행 : 2015.04.30

초록

Objectives: The purpose of this study was to examine the relative impact of seasonal differences and age on dietary vitamin D intakes, outdoor activity time and serum vitamin D status among Korean postmenopausal women. Methods: A cross-sectional study was conducted with 164 free-living postmenopausal women (mean age=55.4 years) in Daegu, Korea. Dietary intake, daily physical activity patterns and fasting blood samples were collected during summer and winter. We compared the results from 75 women during summer and 89 women during winter. Dietary intake of vitamin D was assessed by 24-hour recall method. Daily outdoor activity time was derived from physical activity diary. Results: The average dietary intake of vitamin D of the participants was $3.7{\mu}g$ during summer, $3.3{\mu}g$ during winter, showing no significant difference between the two seasons. The average time spent on outdoor activities was not significantly different between summer ($=35.1{\pm}75.0min/d$) and winter ($=48.5{\pm}76.8min/d$). The average serum 25-(OH) vitamin D concentrations of participants was $17.5{\pm}7.5ng/mL$ in the summer and $13.4{\pm}4.3ng/mL$ in the winter, showing no significant differences by season. Dietary intake of vitamin D was not related to age. When total subjects were divided into two groups by age, the average serum 25-(OH) vitamin D concentration was significantly higher in older group (p=0.047) and time spent on outdoor activities was also (p=0.018) significantly higher in the older group. Conclusions: In order to improve the current vitamin D status of Korean postmenopausal women, nutrition education programs should focus more on adequate intake of vitamin D, while maintaining enough outdoor activities over the season.

키워드

참고문헌

  1. Adams JS, Clemens TL, Parrish JA, Holick MF (1982): Vitamin-D synthesis and metabolism after ultraviolet irradiation of normal and vitamin-D-deficient subjects. N Engl J Med 306(12): 722-725 https://doi.org/10.1056/NEJM198203253061206
  2. Baker MR, Peacock M, Nordin BE (1980): The decline in vitamin D status with age. Age Ageing 9(4): 249-252 https://doi.org/10.1093/ageing/9.4.249
  3. Binkley N, Krueger D, Drezner MK (2007): Low vitamin D status: time to recognize and correct a Wisconsin epidemic. WMJ 106(8): 466-472
  4. Buchanan JR, Santen R, Cauffman S, Cavaliere A, Greer RB, Demers LM (1986): The effect of endogenous estrogen fluctuation on metabolism of 25-hydroxyvitamin D. Calcif Tissue Int 39(3): 139-144 https://doi.org/10.1007/BF02555109
  5. Cinar N, Harmanci A, Yildiz BO, Bayraktar M (2014): Vitamin D status and seasonal changes in plasma concentrations of 25-hydroxyvitamin D in office workers in Ankara, Turkey. Eur J Intern Med 25(2): 197-201 https://doi.org/10.1016/j.ejim.2013.11.004
  6. Chapuy MC, Preziosi P, Maamer M, Arnaud S, Galan P, Hercberg S, Meunier PJ (1997): Prevalence of vitamin D insufficiency in an adult normal population. Osteoporos Int 7(5): 439-443 https://doi.org/10.1007/s001980050030
  7. Choi EY (2012): 25(OH)D status and demographic and lifestyle determinants of 25(OH)D among Korean adults. Asia Pac J Clin Nutr 21(4): 526-535
  8. Choi SH, Lee DJ, Kim KM, Kim BT (2011): Association between seasonal changes in vitamin D and Bone mineral density. J Korean Soc Menopause 17(2): 88-93 https://doi.org/10.1258/mi.2011.011027
  9. Darling AL, Hart KH, Gibbs MA, Gossiel F, Kantermann T, Horton K, Johnsen S, Berry JL, Skene DJ, Eastell R, Vieth R, Lanham-New SA (2014): Greater seasonal cycling of 25-hydroxyvitamin D is associated with increased parathyroid hormone and bone resorption. Osteoporos Int 25(3): 933-941 https://doi.org/10.1007/s00198-013-2493-4
  10. Dattani JT, Exton-Smith AN, Stephen JM (1984): Vitamin D status of the elderly in relation to age and exposure to sunlight. Hum Nutr Clin Nutr 38(2): 131-137
  11. Dawson-Hughes B (2004): Racial/ethnic considerations in making recommendations for vitamin D for adult and elderly men and women. Am J Clin Nutr 80(6): 1763S-1766S https://doi.org/10.1093/ajcn/80.6.1763S
  12. Devgun MS, Paterson CR, Johnson BE, Cohen C (1981): Vitamin D nutrition in relation to season and occupation. Am J Clin Nutr 34(8): 1501-1504 https://doi.org/10.1093/ajcn/34.8.1501
  13. Holick MF (1994): Mccollum award lecture, 1994: vitamin D-new horizons for the 21st century. Am J Clin Nutr 60(4): 619-630 https://doi.org/10.1093/ajcn/60.4.619
  14. Holick MF (2007): Vitamin D deficiency. N Engl J Med 357(3): 266-281 https://doi.org/10.1056/NEJMra070553
  15. Kim HB, Park JG (1987): A study on the solar UVA and UVB doses at Kongju. Korean J Dermatol 25(1): 16-24
  16. Kluczynski MA, Lamonte MJ, Mares JA, Wactawski-Wende J, Smith AW, Engelman CD, Andrews CA, Snetselaar LG, Sarto GE, Millen AE (2011) Duration of physical activity and serum 25-hydroxyvitamin D status of postmenopausal women. Ann Epidemiol 21(6): 440-449 https://doi.org/10.1016/j.annepidem.2010.11.011
  17. Korean Nutrition Society (2010): Dietary reference intakes for Koreans, Seoul, Korea pp. 590-592
  18. Lamberg-Allardt C (1984): Vitamin D intake, sunlight exposure and 25-hydroxyvitamin D levels in the elderly during one year. Ann Nutr Metab 28(3): 144-150 https://doi.org/10.1159/000176796
  19. Lee MK, Yoon BK, Chung HY, Park HM (2011): The serum vitamin D nutritional status and its relationship with skeletal status in Korean postmenopausal women. Korean J Obstet Gynecol 54(5): 241-246 https://doi.org/10.5468/KJOG.2011.54.5.241
  20. Lim HJ, Kim JI (2006): Serum 25-hydroxyvitamin D status in wintertime in premenopausal working women. Korean J Nutr 39(7): 649-660
  21. Lim HJ (2005): Serum 25-hydroxyvitamin D status and associated factors in premenopausal working women. Korean J Community Nutr 10(1): 79-90
  22. Lips P, Chapuy MC, Dawson-Hughes B, Pols HAP, Holick MF (1999): An international comparison of serum 25-hydroxyvitamin D measurements. Osteoporos Int 9(5): 394-397 https://doi.org/10.1007/s001980050162
  23. Lund B, Sorensen OH (1979): Measurement of 25-hydroxyvitamin D in serum and its relation to sunshine, age and vitamin D intake in the Danish population. Scand J Clin Lab Invest 39(1): 23-30 https://doi.org/10.3109/00365517909104935
  24. MacLaughlin J, Holick MF (1985): Aging decreases the capacity of human skin to produce vitamin D3. J Clin Invest 76(4): 1536-1538 https://doi.org/10.1172/JCI112134
  25. Matsuoka LY, Wortsman J, Dannenberg MJ, Hollis BW, Lu Z, Holick MF (1992): Clothing prevents ultraviolet-B radiationdependent photosynthesis of vitamin D3. J Clin Endocrinol Metab 75(4): 1099-1103 https://doi.org/10.1210/jc.75.4.1099
  26. Matsuoka LY, Wortsman J, Hollis BW (1990): Use of topical sunscreen for the evaluation of regional synthesis of vitamin $D_3$. J Am Acad Dermatol 22(5 Pt 1): 772-775 https://doi.org/10.1016/0190-9622(90)70107-S
  27. Ministy of Health and Welfare & Korea Center for Disease Control and Prevention (2012): Korea health statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1), Korea Center for Disease Control and Prevention, Seoul, pp.341-434
  28. Moon SJ, Kim JH (1998): The effects of vitamin D status on bone mineral density of Korean adults. Korean J Nutr 31(1): 46-61
  29. Park HM, Kim JG, Choi WH, Lim SK, Kim GS (2003): The vitamin D nutritional status of postmenopausal women in Korea. Korean J Bone Metab 10(1): 47-55
  30. Park SY, Yim CH, Kim SH, Han KO, Yoon HK (2008): Changes of serum parathyroid hormone and bone turnover status according to serum vitamin D levels in Korean postmenopausal women. Korean J Bone Metab 15(1): 17-24
  31. Scragg R, Camargo CA (2008): Frequency of leisure-time physical activity and serum 25-hydroxyvitamin D levels in the US population: results from the Third National Health and Nutrition Examination Survey. Am J Epidemiol 168(6): 577-586 https://doi.org/10.1093/aje/kwn163
  32. Thuesen B, Husemoen L, Fenger M, Jakobsen J, Schwarz P, Toft U, Ovesen L, Jorgensen T, Linneberg A (2012): Determinants of vitamin D status in a general population of Danish adults. Bone 50(3): 605-610 https://doi.org/10.1016/j.bone.2011.12.016
  33. Van Dam RM, Snijder MB, Dekker JM, Stehouwer CD, Bouter LM, Heine RJ, Lips P (2007): Potentially modifiable determinants of vitamin D status in an older population in the Netherlands: the Hoorn Study. Am J Clin Nutr 85(3): 755-761 https://doi.org/10.1093/ajcn/85.3.755
  34. Webb AR, Kline L, Holick MF (1988): Influence of season and latitude on the cutaneous synthesis of vitamin D3: Exposure to winter sunlight in Boston and Edmonton will not promote vitamin $D_3$ synthesis in human skin. J Clin Endocrinol Metab 67(2): 373-378 https://doi.org/10.1210/jcem-67-2-373
  35. Webb AR, Pilbeam C, Hanafin N, Holick MF (1990): 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. Am J Clin Nutr 51(6): 1075-1081 https://doi.org/10.1093/ajcn/51.6.1075
  36. World Health Organization (1994): Assessment of fracture risk and its application to screening for postmenopausal osteoporosis (WHO Technical Report Series 843), Geneva, Switzerland, pp.5-6
  37. Yoon JS, Song MK (2014) Seasonal differences in outdoor activity time and serum 25-(OH) vitamin D status of Korean young women. Korean J Community Nutr 19(3): 231-240 https://doi.org/10.5720/kjcn.2014.19.3.231

피인용 문헌

  1. 50세 이상 한국인의 성·연령군별 우유류와 두류 섭취량과 골 건강과의 관련성 : 2008~2011 국민건강영양조사 자료를 이용하여 vol.49, pp.3, 2015, https://doi.org/10.4163/jnh.2016.49.3.165
  2. 여자 청소년 및 젊은 여성의 비타민 D 결핍과 빈혈과의 연관성 분석 vol.52, pp.6, 2019, https://doi.org/10.4163/jnh.2019.52.6.552
  3. 비만과 고도비만 한국 여성의 혈청 페리틴과 비타민 D 수준의 비교 vol.53, pp.4, 2015, https://doi.org/10.4163/jnh.2020.53.4.381