Overview of Vitamin K Deficiency in Older Adults

Prevalence of Vitamin K Deficiency

It is estimated that more than 60% of older men and 40% of older women do not meet their daily vitamin K requirements. Recent research has focused on the impact of low vitamin K levels on mobility limitations and disability among this demographic.

The Importance of Vitamin K

Vitamin K is a vital nutrient that must be obtained through diet or supplements. Foods rich in vitamin K include dark leafy green vegetables and various vegetable oils. Research indicates that many older adults are not consuming sufficient amounts of this essential nutrient.

Research Findings on Vitamin K and Mobility

Study Overview

A study conducted by researchers at the USDA Human Nutrition Research Center on Aging in Boston, Massachusetts, examined the relationship between vitamin K status and mobility limitations and disability in older adults. The findings were published in the Journals of Gerontology: Medical Sciences.

Study Population and Methodology

The study involved 635 older men and 688 older women, with an average age of 74.6 years. Researchers collected blood samples to measure two markers of vitamin K status: plasma phylloquinone and dephosphouncarboxylated MGP (ucMGP). Mobility assessments were conducted every six months, with mobility limitation defined as two consecutive reports of difficulty walking a quarter mile or climbing ten steps. Disability was defined similarly, but with reports of significant difficulty.

Key Results

Participants with plasma phylloquinone levels below 0.5 nanomoles per liter (nmol/L) were significantly more likely to experience mobility limitations and disabilities. Conversely, those with levels of at least 1.0 nmol/L had a reduced risk of these issues. Specifically, individuals with plasma levels below 0.5 nmol/L were nearly 1.5 times more likely to face mobility limitations and almost twice as likely to report disabilities compared to those with higher levels.

Findings on ucMGP Levels

The study also revealed that plasma ucMGP levels did not correlate with mobility limitations. However, individuals with medium ucMGP levels, ranging from 297 to 582 picomoles per liter (pmol/L), reported higher instances of disability.

Conclusion and Implications

This study is the first to assess the association between low vitamin K levels and the risk of mobility limitations and disabilities in older adults. The researchers suggest a potential link between insufficient vitamin K status and these mobility issues. While further research is needed, these findings indicate that vitamin K supplementation might aid older adults in maintaining mobility and independence.

Reference

Shea MK, Kritchevsky SB, Loeser RF, et al. Vitamin K status and mobility limitation and disability in older adults: The Health, Aging, and Body Composition Study. J Gerontol A Biol Sci Med Sci. 2019.