Download PDF
CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2019; 54(01): 069-072
DOI: 10.1016/j.rbo.2017.10.005
Original Article | Artigo Original
Sociedade Brasileira de Ortopedia e Traumatologia. Published by Thieme Revnter Publicações Ltda Rio de Janeiro, Brazil

Prevalence of Vitamin D Deficiency in Patients with Minimal Trauma Fractures[*]

Article in several languages: português | English
Nilo Devigili Júnior
1   Universidade do Sul de Santa Catarina, Tubarão, SC, Brasil
,
Luiza Botega
1   Universidade do Sul de Santa Catarina, Tubarão, SC, Brasil
,
Simony dos Reis Segovia da Silva Back
2   Laboratório Santé, Tubarão, SC, Brasil
,
Willian Nandi Stipp
3   Hospital Nossa Senhora da Conceição, Tubarão, SC, Brasil
,
Martins Back Netto 
3   Hospital Nossa Senhora da Conceição, Tubarão, SC, Brasil
› Author Affiliations
Further Information

Publication History

25 August 2017

19 October 2017

Publication Date:
01 March 2019 (online)

   Permissions and Reprints

Abstract

Objective

To analyze the serum 25-hidroxyvitamin D [25(OH)D] in patients with minimal trauma fractures, and to verify the profile of these patients and their main fractures.

Methods

Cross-sectional study in which blood samples were obtained from 40 patients with minimal trauma fracture to evaluate their 25(OH)D levels. Variables analyzed: fracture type; age; sex; Vitamin D supplementation; smoking habits; exercise; sunscreen use.

Results

A total of 29 (72.5%) patients presented with 25(OH)D deficiency, 10 (25%) had insufficiency, and only 1 (2.5%) had sufficient levels. The patients who used vitamin D supplementation had 25(OH)D levels (24.8 ± 12.75) that were significantly (p = 0.048) higher than those who did not use it. In addition, patients who practiced exercise 2 to 3 times a week obtained a medium concentration of 25(OH)D (22.5 ± 6.08 ng/mL) significantly (p = 0.042) higher compared with those who did not exercise (15.5 ± 7.25 ng/mL).

Conclusion

The prevalence of vitamin D deficiency was 72.5%; those patients who exercised 2 to 3 times a week and those who used vitamin D supplementation had higher levels of vitamin D.

Keywords

bone fractures - vitamin D deficiency - exercise

* Work developed at the Universidade de Santa Catarina e Hospital Nossa Senhora da Conceição, Tubarão, SC, Brazil.


 

  • Referências

  • 1 Marinho BC, Guerra LP, Drummond JB, Silva BC, Soares MM. O ônus da osteoporose no Brasil. Arq Bras Endocrinol Amp Metabol 2014; 58 (05) 434-43
    Google Scholar
  • 2 Hernlund E, Svedbom A, Ivergård M, Compston J, Cooper C, Stenmark J. , et al. Osteoporosis in the European Union: medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos 2013; 8: 136 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3880487/ 10.1007/s11657-013-0136-1
    CrossrefPubMedGoogle Scholar
  • 3 Ricci G, Longaray MP, Gonçalves RZ, Neto AdaS, Manente M, Barbosa LB. Evaluation of the mortality rate one year after hip fracture and factors relating to diminished survival among elderly people. Rev Bras Ortop 2015; 47 (03) 304-9
    Google Scholar
  • 4 Neto JS, Dias CR, de Almeida JD. Epidemiological characteristics and causes of proximal femoral fractures among the elderly. Rev Bras Ortop 2015; 46 (06) 660-7
    Google Scholar
  • 5 Gerland P, Raftery AE, Sevčíková H, Li N, Gu D, Spoorenberg T. , et al. World population stabilization unlikely this century. Science 2014; 346 (6206): 234-7
    CrossrefPubMedGoogle Scholar
  • 6 Johnell O, Kanis J. Epidemiology of osteoporotic fractures. Osteoporos Int 2005; 16 (Suppl. 02) S3-7
    CrossrefPubMedGoogle Scholar
  • 7 Brown SE. Vitamin D and fracture reduction: an evaluation of the existing research. Altern Med Rev 2008; 13 (01) 21-33
    PubMedGoogle Scholar
  • 8 Holick MF. Optimal vitamin D status for the prevention and treatment of osteoporosis. Drugs Aging 2007; 24 (12) 1017-29
    CrossrefPubMedGoogle Scholar
  • 9 de Souza MP. Osteoporosis diagnosis and treatment. Rev Bras Ortop 2015; 45 (03) 220-9
    Google Scholar
  • 10 Holick MF, Chen TC. Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr 2008; 87 (04) 1080S-6
    CrossrefPubMedGoogle Scholar
  • 11 Khashayar P, Aghaei Meybodi HR, Rezai Hemami M, Keshtkar A, Dimai HP, Larijani B. Vitamin D status and its relationship with bone mineral density in a healthy Iranian population. Rev Bras Ortop 2016; 51 (04) 454-8
    Google Scholar
  • 12 World Health Organization scientific group on the assessment of osteoporosis at primary health care level summary meeting report Brussels Belgium. 2004 [Internet]. [acessado em 14 de maio de 2017]. Disponível em: http://www.who.int/chp/topics/Osteoporosis.pdf
    Google Scholar
  • 13 Holick MF. Vitamin D status: measurement, interpretation, and clinical application. Ann Epidemiol 2009; 19 (02) 73-8
    CrossrefPubMedGoogle Scholar
  • 14 Schweitzer D, Amenábar PP, Botello E, López M, Saavedra Y, Klaber I. [Vitamin D levels among Chilean older subjects with low energy hip fracture]. Rev Med Chil 2016; 144 (02) 175-80
    CrossrefPubMedGoogle Scholar
  • 15 Guerra MT, Feron ET, Viana RD, Maboni J, Pastore SI, Castro CC. Elderly with proximal hip fracture present significantly lower levels of 25-hydroxyvitamin D. Rev Bras Ortop 2016; 51 (05) 583-8
    Google Scholar
  • 16 Gumieiro DN, Pereira GJ, Minicucci MF, Ricciardi CE, Damasceno ER, Funayama BS. Associations of vitamin D deficiency with postoperative gait and mortality among patients with fractures of the proximal femur. Rev Bras Ortop 2015; 50 (02) 153-8
    Google Scholar
  • 17 Simonelli C, Weiss TW, Morancey J, Swanson L, Chen YT. Prevalence of vitamin D inadequacy in a minimal trauma fracture population. Curr Med Res Opin 2005; 21 (07) 1069-74
    CrossrefPubMedGoogle Scholar