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You have full access to this open access article. Vitamin D status and its association with age-related decline in physical performance and strength have already been highlighted in various ways, but data on the situation in developing countries are scarce. This study aimed to investigate vitamin D status, its association with muscle mass and function, and other potential determinants such as age, sex, lifestyle factors physical activity, dietary behavior , self-perceived health status, medication intake, education and financial situation in adults from Kosovo.
This cross-sectional study included participants Serum hydroxyvitamin D 25 OH D concentration, hand grip strength and physical performance tests, body composition, vitamin D dietary intake and knowledge were assessed. The interaction between serum 25 OH D status, lifestyle factors and muscle traits was investigated. No associations were found between 25 OH D concentration and age. Daily dietary intake of vitamin D was low 1. On the other hand, age, medication intake and vitamin D level contributed significantly to the overall regression model, explaining Vitamin D deficiency is highly prevalent among community-dwelling adults in Kosovo and low serum 25 OH D has been associated with low muscle strength.
This implies an urgent need for the development of comprehensive prevention strategies, focusing on pharmacological supplementation but also on non-pharmacological strategies such as education, food fortification or lifestyle advices. Vitamin D is a topic of global interest to the scientific and clinical communities as well as the general public. Vitamin D deficiency has often been described as a growing concern for people of all ages, particularly following evidence of its potential health effects [ 1 ].
Low levels of vitamin D have been reported worldwide leading to the classification of vitamin D deficiency as a pandemic [ 2 ]. Fat-soluble vitamin D includes ergocalciferol D 2 and cholecalciferol D 3. Both forms can be obtained from either food or supplements, although vitamin D3 is mainly produced in the skin from 7-dehydrocholesterol under ultraviolet B radiation.
