A prospective diagnostic study evaluating the prevalence of vitamin D deficiency and insufficiency in a cohort of orthopaedic trauma patients
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 2
Abstract
Vitamin D deficiency is very common in both developed and developing countries. This study was conducted to estimate the prevalence of vitamin D deficiency and insufficiency in orthopaedic trauma patients and subsequently make recommendations about vitamin D supplementation in them. A prospective diagnostic study was conducted including orthopaedic trauma patients within the age range of 21-50 years, between January 1, 2012 and December 31, 2012. All the patients were subjected to estimation of blood 25-hydroxyvitamin D levels. Vitamin D deficiency was defined as a 25-hydroxyvitamin D level less than 20 ng/mL and insufficiency was defined as a level between 20 and 30 ng/mL. 613 patients were tested for blood 25-hydroxyvitamin D levels. It was observed that vitamin D deficiency and insufficiency had an overall prevalence of 45.5% and 35.4%, respectively, in the orthopaedic trauma patients. Overall deficiency prevalence in males and females was 44.3% and 47%, respectively. Most commonly affected patients belonged to age groups >36 years, while younger patients had lower prevalence of deficiency or insufficiency. Vitamin D deficiency and insufficiency were highly prevalent in this large population of orthopaedic trauma patients. Vitamin D is an essential component of calcium metabolism and subsequently its adequate levels are important for bone healing. Establishing the prevalence of vitamin D deficiency and insufficiency can help in making adequate supplementation of vitamin D in orthopaedic trauma patients.
Authors and Affiliations
Biswajit Sahu, Sourabh Chachan
Keywords
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