Yıl: 2022 Cilt: 13 Sayı: 1 Sayfa Aralığı: 119 - 125 Metin Dili: İngilizce DOI: 10.31067/acusaglik.948574 İndeks Tarihi: 28-02-2022

Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels

Öz:
Objective: Studies investigating the effect of vitamin D and parathyroid hormone (PTH) in frailty syndrome are limited. Therefore, we aimed to evaluate the relationship between frailty and serum vitamin D and PTH levels. Material and Methods: This is a cross-sectional study conducted on individuals aged >65 years. In this cross-sectional study, data were collected using sociodemographic data sheet, Fatigue, Resistance, Ambulation, Illnesses, & Loss of Weight (FRAIL) scale and Study of Osteoporotic Fracture (SOF) index via face-to-face interview. The study included data from 513 subjects. Chi-square test was used in analyses. A p value<0.05 was considered as statistically significant. Results: The mean age was 71.9±6.4 years in the study population. The prevalence of frailty elder was found as 46.8% by FRAIL scale and 51.3% by SOF index while pre-fail elder prevalence was found as 45.2% by FRAIL scale and 33.3% by SOF index. Conclusion: In our study it was found that frail elder prevalence was increased by advancing age, female gender and presence of comorbidity and that low serum vitamin D and elevated PTH levels were closely associated with prevalence of frail elder.
Anahtar Kelime:

Kırılganlığın Serum D Vitamini Ve Paratiroid Hormon Düzeyleriyle İlişkisi

Öz:
Amaç: Kırılgan yaşlı sendromunun patobiyolojisi ile ilgili bilgiler kısıtlıdır. Kırılgan yaşlı sendromunun biyolojik yaşlanmaya bağlı oluşan hematolojik, immünolojik, endokrin ve metabolik sistemdeki değişiklikler ile birlikte çevresel faktörlerin sorumlu olabileceği düşünülmektedir. Bu araştırmanın amacı 65 yaş ve üzeri bireylerde kan bazlı biyobelirteçler ve kırılganlık arasındaki ilişkinin iki farklı kırılganlık indeksine göre değerlendirilmesidir. Gereç ve Yöntemler: Bu çalışma 65 yaş ve üzeri bireylerde kan bazlı biyobelirteçler ve kırılganlık arasındaki ilişkinin belirlenmesi amacıyla yapılmış kesitsel bir çalışmadır. Veriler; sosyodemografik anket formu, FRAİL Kırılganlık Ölçeği ve Osteoporotik Kırık Çalışma İndeksi kullanılarak toplanmıştır. Veriler yüz yüze görüşme yöntemiyle toplanmış ve 513 kişiye ait veriler değerlendirilmiştir. Analizlerde Pearson’s Ki kare testi kullanılmış olup, p<0.05 değeri anlamlı kabul edilmiştir. Bulgular: Araştırma grubumuzun yaş ortalaması 71.9 ± 6.4 yıl idi. Kırılgan yaşlı prevalansı FRAİL İndekse göre %46.8 iken SOF İndeksine göre %51.3; pre-frail olanların prevalansı ise FRAİL İndeksine göre %45.2 iken SOF İndeksine göre %33.3 bulundu. Sonuç: Çalışmamızda, kırılgan yaşlı prevalansının, yaşın ilerlemesi, kadın cinsiyet ve komorbidite ile artış gösterdiği, ayrıca serumda düşük D vit düzeyi ile yüksek PTH düzeylerinin de KYS ile yakından ilişkili olduğu bulunmuştur.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Rockwood K, Song X, MacKnight C et al. A global clinical measure of fitness and frailty in elderly people. CMAJ 2005; 173: 489–95.
  • 2. Topinkova E. Aging, disability and frailty. Ann Nutr Metab 2008; 52(Suppl 1): 6–11.
  • 3. Walston J, Hadley EC, Ferrucci L, et al. Research agenda for frailty in older adults. toward a better understanding of physiology and etiology: Summary from the American Geriatrics Society/ National Institute on Ageing Research Conference on Frailty in Older Adults. J Am Geriat Soc 2006; 54(6):991-1001.
  • 4. Fried LP, Ferrucci L, Darer J, Williamson JD, Anderson G. Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. J Gerontol A Biol Sci Med Sci 2004;59(3):255-63.
  • 5. Rose M, Pan H, Levinson MR, Staples M. Can frailty predict complicated care needs and length of stay? Intern Med J 2014; 44(8),800-5.
  • 6. Byard RW. Frailty syndrome–medicolegal considerations. Journal of forensic and legal medicine. 2015;30:34-8.
  • 7. Zaslavsky O, Cochrane BB, Thompson HJ, Woods NF, Herting JR, LaCroix AA. Frailty: A Review Of The First Decade Of Research. Biological Research For Nursing 2012; 15(4):422-432.
  • 8. Shardell M, Hicks GE, Miller RR et al. Association of low vitamin D levels with the frailty syndrome in men and women. J Gerontol A Biol Sci Med Sci 2009; 64: 69–75.
  • 9. Wilhelm-Leen ER, Hall YN, Deboer IH, Chertow GM. Vitamin D deficiency and frailty in older Americans. J Intern Med 2010; 268: 171–80.
  • 10. Ensrud KE, Ewing SK, Fredman L et al. Circulating 25-hydroxyvitamin D levels and frailty status in older women. J Clin Endocrinol Metab 2010; 95: 5266–73.
  • 11. Chang CI, Chan DC, Kuo KN, Hsiung CA, Chen CY. Vitamin D insufficiency and frailty syndrome in older adults living in a Northern Taiwan community. Arch Gerontol Geriatr 2010; 50(Suppl 1): S17–21.
  • 12. 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.
  • 13. Visser M, Deeg DJ, Lips P. Low vitamin D and high parathyroid hormone levels as determinants of loss of muscle strength and muscle mass (sarcopenia): the Longitudinal Aging Study Amsterdam. J Clin Endocrinol Metab 2003; 88: 5766–72.
  • 14. Houston DK, Cesari M, Ferrucci L et al. Association between vitamin D status and physical performance: the InCHIANTI study. J Gerontol A Biol Sci Med Sci 2007; 62: 440–6.
  • 15. Fried L P, Tangen C M, Walston J.et al Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 200156M146–M157. [PubMed] [Google Scholar]
  • 16. Mitnitski A, Song X, Skoog I.et al Relative fitness and frailty of elderly men and women in developed countries and their relationship with mortality. J Am Geriatr Soc 2005531069–1070. [PubMed] [Google Scholar]
  • 17. Akın S, Mazıcıoglu MM, Mucuk S, Gocer S, Deniz Şafak E, Arguvanlı S, et al. The prevalence of frailty and related factors in communitydwelling Turkish elderly according to modified Fried Frailty Index and FRAIL scales. Aging Clin Exp Res 2015; 27(5): 703–9.
  • 18. Eyigor S, Kutsal YG, Duran E, Huner B, Paker N, Durmus B, et al. Frailty prevalence and related factors in the older adult—FrailTURK Project. Age (Omaha) 2015; 37(3): 50.
  • 19. Morley JE, Malmstrom TK, Miller DK (2012) A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging 16(7):601–608.
  • 20. Ensrud KE, Ewing SK, Taylor BC, et al. Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women. Arch Intern Med 2008; 168(4):382-9.
  • 21. Jung HW, Yoo HJ, Park SY, Kim SW, Choi JY, Yoon SJ, et al. The Korean version of the FRAIL scale: clinical feasibility and validity of assessing the frailty status of Korean elderly. Korean J Intern Med. 2016;31(3):594-600.
  • 22. Diaz de Leon Gonzalez E, Gutierrez Hermosillo H, Martinez Beltran JA, Chavez JH, Palacios Corona R, Salinas Garza DP, et al. Validation of the FRAIL scale in Mexican elderly: results from the Mexican Health and Aging Study. Aging Clin Exp Res. 2016;28(5):901-8.
  • 23. Dong L, Qiao X, Tian X, Liu N, Jin Y, Si H, et al. Cross-Cultural Adaptation and Validation of the FRAIL Scale in Chinese Community-Dwelling Older Adults. J Am Med Dir Assoc. 2017. 60
  • 24. Gardiner PA, Mishra GD, Dobson AJ. Validity and responsiveness of the FRAIL scale in a longitudinal cohort study of older Australian women. J Am Med Dir Assoc. 2015;16(9):781-3.
  • 25. Lopez D, Flicker L, Dobson A. Validation of the frail scale in a cohort of older Australian women. J Am Geriatr Soc. 2012;60(1):171-3.
  • 26. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M et al (1982–1983) Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 17:37–49.
  • 27. Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab. 2011 Jul;96(7):1911-30.
  • 28. Lally F, Crome P. Understanding frailty. Postgrad Med J 2007; ;83(975);16–20.
  • 29. Akın S, Mazıcıoglu MM, Mucuk S, Gocer S, Deniz Şafak E, Arguvanlı S, et al. The prevalence of frailty and related factors in communitydwelling Turkish elderly according to modified Fried Frailty Index and FRAIL scales. Aging Clin Exp Res 2015; 27(5): 703–9. Strandberg T. E, Pitkala K. H, Tilvis R.S. Frailty in older people. European Geriatric Medicine, 2011; 2(6): 344–355.
  • 30. Woods NF, LaCroix AZ, Gray SL, Aragaki A, Cochrane BB, Brunner RL, et al. Frailty: emergence and consequences in women aged 65 and older in the Women’s Health Initiative Observational Study. J Am Geriatr Soc. 2005;53(8):1321- 30.
  • 31. Bandeen-Roche K, Xue QL, Ferrucci L, Walston J, Guralnik JM, Chaves,P, Zeger SL, Fried LP Phenotype of frailty: characterization in the women’s health and aging studies. Journal of Gerontology: Medical Sciences 2006;61( 3); 262-266.
  • 32. Pegoran MS, Tavares DMS. Factors associated with the frailty syndrome in elderly individuals living in the urban area. Rev Lat Am Enfermagem 2014; 22(5):874-882.
  • 33. Zhou J, Huang P, Liu P, Hao Q, Chen S, Dong B, et al. Association of vitamin D deficiency and frailty: A systematic review and metaanalysis. Maturitas 2016; 94: 70–6.
  • 34. Artaza-Artabe I, Sáez-López P, Sánchez-Hernández N, FernándezGutierrez N, Malafarina V. The relationship between nutrition and frailty: Effects of protein intake, nutritional supplementation, vitamin D and exercise on muscle metabolism in the elderly. A systematic review. Maturitas 2016; 93: 89–99.
  • 35. Eyigor S., Kutsal Y. G. (2010). Kırılgan Yaslıya Yaklasım, Türk Fiz Tıp Rehab Dergisi, 56:135-40.
  • 36. Chowdhury R, Peel NM, Krosch M, Hubbard RE. Frailty and chronic kidney disease: A systematic review. Arch Gerontol Geriatr 2017;68:135-42.
  • 37. Tajar A, Lee DM, Pye SR, O’Connell MD, Ravindrarajah R, Gielen E, et al. The association of frailty with serum 25-hydroxyvitamin D and parathyroid hormone levels in older European men. Age Ageing 2013;42(3):352-9.
  • 38. Lips P. Vitamin D physiology. Prog Biophys Mol Biol 2006; 92: 4–8.
  • 39. Cesari M, Penninx BW, Pahor M et al. Inflammatory markers and physical performance in older persons: the InCHIANTI study. J Gerontol A Biol Sci Med Sci 2004; 59: 242–8.
  • 40. Deutch SR, Jensen MB, Christiansen PM, Hessov I. Muscular performance and fatigue in primary hyperparathyroidism. World J Surg 2000; 24: 102–7.
APA Göçer Ş, Balbaloglu O (2022). Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels. , 119 - 125. 10.31067/acusaglik.948574
Chicago Göçer Şemsinnur,Balbaloglu Ozlem Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels. (2022): 119 - 125. 10.31067/acusaglik.948574
MLA Göçer Şemsinnur,Balbaloglu Ozlem Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels. , 2022, ss.119 - 125. 10.31067/acusaglik.948574
AMA Göçer Ş,Balbaloglu O Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels. . 2022; 119 - 125. 10.31067/acusaglik.948574
Vancouver Göçer Ş,Balbaloglu O Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels. . 2022; 119 - 125. 10.31067/acusaglik.948574
IEEE Göçer Ş,Balbaloglu O "Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels." , ss.119 - 125, 2022. 10.31067/acusaglik.948574
ISNAD Göçer, Şemsinnur - Balbaloglu, Ozlem. "Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels". (2022), 119-125. https://doi.org/10.31067/acusaglik.948574
APA Göçer Ş, Balbaloglu O (2022). Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 13(1), 119 - 125. 10.31067/acusaglik.948574
Chicago Göçer Şemsinnur,Balbaloglu Ozlem Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13, no.1 (2022): 119 - 125. 10.31067/acusaglik.948574
MLA Göçer Şemsinnur,Balbaloglu Ozlem Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, vol.13, no.1, 2022, ss.119 - 125. 10.31067/acusaglik.948574
AMA Göçer Ş,Balbaloglu O Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2022; 13(1): 119 - 125. 10.31067/acusaglik.948574
Vancouver Göçer Ş,Balbaloglu O Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi. 2022; 13(1): 119 - 125. 10.31067/acusaglik.948574
IEEE Göçer Ş,Balbaloglu O "Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels." Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 13, ss.119 - 125, 2022. 10.31067/acusaglik.948574
ISNAD Göçer, Şemsinnur - Balbaloglu, Ozlem. "Association of Frailty with Serum Vitamin D and Parathyroid Hormone Levels". Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13/1 (2022), 119-125. https://doi.org/10.31067/acusaglik.948574