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Old 07-10-2019, 11:15 AM
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rss IGF - Interaction between Vitamin D and Interleukin 6 on Slow Gait Speed: 6-year Foll

Related Articles Interaction between Vitamin D and Interleukin 6 on Slow Gait Speed: 6-year Follow-up Data of Older Adults from InCHIANTI.

J Gerontol A Biol Sci Med Sci. 2019 Jul 06;:

Authors: Kositsawat J, Kuo CL, Barry L, Melzer D, Bandinelli S, Ferrucci L, Wu R, Kuchel GA

Abstract
BACKGROUND: Whereas the independent effects of biomarkers, including vitamin D (25(OH)D), insulin-like growth factor 1 (IGF-1), C-reactive protein (CRP) and interleukin 6 (IL-6), on gait speed in older adults have been evaluated, their joint effects on gait speed are not well understood.
METHODS: Study subjects aged >= 65 at baseline (N = 970) were enrolled in the population-based InCHIANTI study from 1998-2000, and were followed up at 3 and 6 years. All above biomarkers and gait speed data were measured at each of the 3 time points. Using a generalized estimating equation (GEE) approach, we determined if slow gait speed (< 0.8 meter/second) was associated with the biomarkers. Further investigation was conducted for interactions between high IL-6 (>= 2.87 pg/mL) and other biomarkers focusing on low 25(OH)D (< 20 ng/mL).
RESULTS: After controlling for other biomarkers and potential confounders, IL-6 emerged as the only biomarker independently associated with gait speed. The association between high IL-6 and slow gait speed was enhanced by low 25(OH)D, with significant interaction between high IL-6 and low 25(OH)D (p = 0.038). The odds ratio of slow gait speed for low 25(OH)D and high IL-6 was 1.63 (95% C.I.: 1.15, 2.32) compared to the reference groups with both biomarker levels at the other ends.
CONCLUSION: The association of low vitamin D with slow gait speed statistically interacts with high IL-6. Co-existing vitamin D insufficiency and inflammation may provide a better biomarker for identifying those at risk of developing impairments in gait speed than either factor alone.


PMID: 31282535 [PubMed - as supplied by publisher]



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