Korelasi Aktivitas Fisik dengan Kadar Vitamin D pada Kelompok Lanjut Usia
DOI:
https://doi.org/10.55606/jurrikes.v4i1.4880Keywords:
Elderly, International Physical Activity Questionnaire, physical activity, Vitamin DAbstract
Elderly individuals often experience physiological and health-related changes, including reduced muscle quality and decreased levels of physical activity. This decline negatively impacts overall health, increases the risk of chronic diseases, and diminishes the ability to perform daily activities. This study aimed to examine the relationship between vitamin D levels and physical activity in older adults. A cross-sectional study was conducted at the Bina Bhakti Nursing Home involving 93 participants aged 60 years and above. Physical activity was assessed using the International Physical Activity Questionnaire (IPAQ), while vitamin D levels were measured through venous blood sampling. Statistical analyses included descriptive statistics and Spearman correlation. The average age of the participants was 74.34 years, with a mean vitamin D level of 23.73 ng/mL. Based on IPAQ results, 26.9% of participants had low physical activity, 44.1% moderate, and 29% high. Spearman correlation revealed a weak but statistically significant positive correlation between vitamin D levels and physical activity (r = 0.240, p = 0.021). These findings suggest that higher physical activity levels are associated with higher vitamin D concentrations. Engaging in outdoor activities that promote sun exposure and an active lifestyle contributes to maintaining adequate vitamin D levels, which are essential for muscle function, balance, and bone health. Therefore, ensuring sufficient vitamin D status is crucial for supporting optimal physical activity and enhancing the overall health and quality of life among the elderly.
Downloads
References
Abdel Rahman, T. T., Khater, M., & Allam, M. F. (2018). Effect of vitamin D supplementation on muscle function in elderly individuals: A meta-analysis. The Egyptian Journal of Geriatrics and Gerontology. https://doi.org/10.21608/ejgg.2018.30912
Al-Eisa, E., Alghadir, A. H., & Gabr, S. A. (2016). Correlation between vitamin D levels and muscle fatigue risk factors based on physical activity in healthy older adults. Clinical Interventions in Aging, 11, 513. https://doi.org/10.2147/cia.s102892
Aspell, N., Laird, É., Healy, M., Lawlor, B. A., & O’Sullivan, M. (2019). Vitamin D deficiency is associated with impaired muscle strength and physical performance in community-dwelling older adults: Findings from the English Longitudinal Study of Ageing. Clinical Interventions in Aging, 14, 1751–1761. https://doi.org/10.2147/cia.s222143
Bhattacharya, S., & Srinivas, M. (2020). Correlation of vitamin D levels in Indian diabetic population in comparison to non-diabetic controls. Journal of Clinical and Diagnostic Research, 7(2), 35–40.
Dharmansyah, D., & Budiana, D. (2021). Indonesian adaptation of the International Physical Activity Questionnaire (IPAQ): Psychometric properties. Jurnal Pendidikan Keperawatan Indonesia, 7(2), 159–163. https://doi.org/10.17509/jpki.v7i2.39351
Goyal, M., & Kedia, A. K. (2022). Vitamin D and aging: An interplay of multiple mechanisms. Anti-Aging Eastern Europe. https://doi.org/10.56543/aaeeu.2022.1.1.08
Habibi, S. (2024). The effectiveness of multidisciplinary interventions based on Health Belief Model on musculoskeletal pain in the elderly living in nursing homes: A study protocol for a randomized controlled trial. Trials, 25(1). https://doi.org/10.1186/s13063-024-08243-1
Hassan, M. (2024). The concealed hazard: Vitamin D deficiency, awareness, and its impact on psychological wellness among elderly. Niles Journal for Geriatric and Gerontology. https://doi.org/10.21608/niles.2024.278125.1083
Hill, T., & Aspray, T. (2017). The role of vitamin D in maintaining bone health in older people. Therapeutic Advances in Musculoskeletal Disease, 9(4), 89–95. https://doi.org/10.1177/1759720x17692502
Hurtig-Wennlöf, A., Hagströmer, M., & Olsson, L. (2010). The International Physical Activity Questionnaire modified for the elderly: Aspects of validity and feasibility. Public Health Nutrition. https://doi.org/10.1017/s1368980010000157
Karthik, A., Deepak, T., & Rao, M. Y. (2017). Study of the association between serum vitamin D 25(OH)D levels, muscle strength and fall among elderly. Annals of International Medical and Dental Research. https://doi.org/10.21276/aimdr.2017.3.2.me7
Kaur, H. (2020). Prevalence of vitamin D deficiency among the urban elderly population in Jammu. Journal of Medical Science and Clinical Research. https://doi.org/10.18535/jmscr/v8i3.50
Kim, S. H., et al. (2018). The factors associated with vitamin D deficiency in community dwelling elderly in Korea. Nutrition Research and Practice. https://doi.org/10.4162/nrp.2018.12.5.387
Kotlarczyk, M. P., et al. (2016). Vitamin D deficiency is associated with functional decline and falls in frail elderly women despite supplementation. Osteoporosis International, 28(4), 1347–1353. https://doi.org/10.1007/s00198-016-3877-z
Lee, I., & Kang, H. (2016). Association of physical activity and body fatness with vitamin D deficiency in older adults. The Korean Journal of Obesity, 25(1), 24–30. https://doi.org/10.7570/kjo.2016.25.1.24
M, C. G., et al. (2018). Association between physical activity and vitamin D according to BMI level among Icelandic older adults. Innovation in Aging, 2(suppl_1), 310. https://doi.org/10.1093/geroni/igy023.1136
Ma, K., et al. (1999). Effect of supplementation with vitamin D3 and calcium on quantitative ultrasound of bone in elderly institutionalized women: A longitudinal study. Osteoporosis International, 9(6), 483–488. https://doi.org/10.1007/s001980050265
MA, P., & Gregersen, M. (2014). Frail elderly hip fracture patients and vitamin D. Journal of Gerontology & Geriatric Research, 3(5). https://doi.org/10.4172/2167-7182.1000180
Mahmoud, A. H. (2024). An overview on vitamin D status and associated factors in Saudi Arabia elderly population. International Journal of Life Science Research Archive. https://doi.org/10.53771/ijlsra.2024.6.1.0026
Mathus-Vliegen, E. M. H., et al. (2012). Prevalence, pathophysiology, health consequences and treatment options of obesity in the elderly: A guideline. Obesity Facts, 5(3), 460–483. https://doi.org/10.1159/000341193
Montemor, C. N., et al. (2021). Vitamin D deficiency, functional status, and balance in older adults with osteoarthritis. World Journal of Clinical Cases. https://doi.org/10.12998/wjcc.v9.i31.9491
Mortagy, A. K., & Mahmoud, A. H. (2015). Study of the relationship between vitamin D status and basic functional mobility in ambulatory elderly. Middle East Journal of Age and Ageing. https://doi.org/10.5742/mejaa.2015.92694
Nakamura, K. (2006). Vitamin D and prevention of osteoporosis: Japanese perspective. Environmental Health and Preventive Medicine, 11(6), 271–276. https://doi.org/10.1265/ehpm.11.271
Samefors, M., et al. (2014). Vitamin D deficiency in elderly people in Swedish nursing homes is associated with increased mortality. Acta Endocrinologica. https://doi.org/10.1530/eje-13-0855
Schrack, J. A., et al. (2020). Effects of daily vitamin D supplementation on objectively measured physical activity: Results from the STURDY trial. Innovation in Aging, 4(Suppl_1), 760. https://doi.org/10.1093/geroni/igaa057.2740
Smith, R., et al. (2021). Comparison of reliability, construct validity and responsiveness of the IPAQ‐SF and PASE in adults with osteoarthritis. Musculoskeletal Care. https://doi.org/10.1002/msc.1540
Terabe, Y., et al. (2012). Vitamin D deficiency in elderly women in nursing homes: Investigation with consideration of decreased activation function from the kidneys. Journal of the American Geriatrics Society, 60(2), 251–255. https://doi.org/10.1111/j.1532-5415.2011.03826.x
Tomioka, K., et al. (2011). Reliability and validity of the International Physical Activity Questionnaire (IPAQ) in elderly adults: The Fujiwara-Kyo study. Journal of Epidemiology. https://doi.org/10.2188/jea.je20110003
Venning, G. (2005). Recent developments in vitamin D deficiency and muscle weakness among elderly people. BMJ, 330(7490), 524–526. https://doi.org/10.1136/bmj.330.7490.524
Verde, Z., et al. (2019). Bone mineral metabolism status, quality of life, and muscle strength in older people. Nutrients, 11(11), 2748. https://doi.org/10.3390/nu11112748
Wang, Y., et al. (2022). Serum vitamin D status and circulating irisin levels in older adults with sarcopenia. Frontiers in Nutrition. https://doi.org/10.3389/fnut.2022.1051870
Xiong, A. (2024). Effects of active vitamin D analogues on muscle strength and falls in elderly people: An updated meta-analysis. Frontiers in Endocrinology. https://doi.org/10.3389/fendo.2024.1327623
Yang, A., et al. (2020). The effect of vitamin D on sarcopenia depends on the level of physical activity in older adults. Journal of Cachexia Sarcopenia and Muscle, 11(3), 678–689. https://doi.org/10.1002/jcsm.12545
Yao, Y., et al. (2018). Prevalence of functional dependence in Chinese centenarians and its relationship with serum vitamin D status. Clinical Interventions in Aging, 13, 2045–2053. https://doi.org/10.2147/cia.s182318
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 JURNAL RISET RUMPUN ILMU KESEHATAN
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
_001.jpg)
