CORRELATION OF VITAMIN D LEVELS WITH HIP FRACTURES IN PATIENTS ABOVE THE AGE OF SIXTY YEARS – A CLINICAL STUDY-Reference-Cited by-同舟云学术

CORRELATION OF VITAMIN D LEVELS WITH HIP FRACTURES IN PATIENTS ABOVE THE AGE OF SIXTY YEARS – A CLINICAL STUDY

Published:2021-06-01 Issue: Volume: Page:40-42
ISSN:
Container-title:INDIAN JOURNAL OF APPLIED RESEARCH
language:en
Short-container-title:IJAR

Author:

Kapila Rajesh¹,Arora Kamal²,Kapila Sarika³,Kumar Batta Anil⁴,Kamat Ajay⁵,Singh Gurtej⁵

Affiliation:

1. Professor, Department of Orthopedics, Government Medical College, Amritsar, Punjab, India.

2. Assistant Professor, Department of Orthopedics, Government Medical College, Amritsar, Punjab, India.

3. Associate Professor, Department of Oral & Maxillofacial Surgery, SGRD Institute of Dental Sciences and Research, Amritsar, Punjab, India

4. Professor, Department of Biochemistry, Government Medical College, Amritsar, Punjab, India.

5. Junior Resident, Department of Orthopedics, Government Medical College, Amritsar, Punjab, India.

Abstract

Hip fractures are common in elderly population and pose great social and economic burden on the society. The role of low levels of Vitamin D, factors responsible for hypovitaminosis D, alteration in the levels of biochemical parameters and their correlation with hip fractures in 50 patients above 60 years was evaluated. Serum vitamin D2, Bone Mineral Density (BMD) and related biochemical parameters were evaluated. Mean age for hip fractures was 69.36 ± 5.13 years. Females (62.00%) outnumbered males (38.00%) with fall at home being the commonest mode of injury (62.00%). Malnutrition (36.00%), Alcoholism (24.00%), Drug intake (14.00%), Smoking (12.00%), Diabetes Mellitus (38.00%), deranged liver function (22.00%) and renal function (12.00%) were the risk factors associated with hypovitaminosis D. Secondary hyperparathyroidism (64.00%) also came out to be an important marker for geriatric hip fractures. Osteopenia (38.00%) and Osteoporosis (28.00%) as measured by BMD was another important association. Higher age group, urban living, inactive lifestyle, various risk factors and comorbidities contribute to hypovitaminosis D.

Publisher

World Wide Journals

Reference27 articles.

1. Cooper, C., Campion, G., & Melton, L. 3. (1992). Hip fractures in the elderly: a world-wide projection. Osteoporosis international, 2(6), 285-289.

2. Shearer, M. J. (1997). The roles of vitamins D and K in bone health and osteoporosis prevention. Proceedings of the Nutrition Society, 56(3), 915-937.

3. MacLaughlin, J., & Holick, M. F. (1985). Aging decreases the capacity of human skin to produce vitamin D3. The Journal of clinical investigation, 76(4), 1536-1538.

4. World Health Organization. (1994). Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: report of a WHO study group [‎‎‎ meeting held in Rome from 22 to 25 June 1992]‎‎‎. World Health Organization.

5. Bischoff-Ferrari, H. A., Dawson-Hughes, B., Staehelin, H. B., Orav, J. E., Stuck, A. E., Theiler, R., ... & Henschkowski, J. (2009). Fall prevention with supplemental and active forms of vitamin D: a meta-analysis of randomised controlled trials. Bmj, 339.