The relationship between idiopathic chest pain, Vitamin D deficiency and insufficiency in school children and adolescents
Journal Title: Dicle Tıp Dergisi - Year 2014, Vol 41, Issue 1
Abstract
Objective: The aim of this study is to determine an association between vitamin D status and idiopathic chest pain in school children and adolescents. Methods: Included in the study were a control group of 60 healthy children for comparison with 120 school children and adolescents referred to our pediatric cardiology department, after being diagnosed with idiopathic chest pain. A patient’s examination included taking a history and doing a physical examination, chest radiograph, electrocardiogram, echocardiogram complete blood count, and 25-hydroxyvitamin D and troponin I levels. Results: Age, gender distribution, and body mass index were not statistically different between the control and study groups (p=0.7, p=0.2 and p=0.3, respectively). Histories of the patients with idiopathic chest pain revealed 22% with heart disease and 6% with recent death in the family. Chest pain was present for 1 month in 19.2%, and for <1 month in 79.2% of the patients. Location of the patients’ chest pain was in the left precordium (64%), right precordium (32%) and midsternal area (18%). Frequency and duration of the pain were variable. Serum vitamin D levels were significantly lower in the study group than in the controls (p<0.0001), but except for alkaline phosphatase, other biochemical parameters did not differ to a statistically significantly degree. The duration of symptoms and episodes increased as vitamin D levels decreased (r= 0.621, p=0.002 and r=0.213, p=0.02, respectively). Conclusion: In pediatric patients, there is a significant association between vitamin D deficiency/ insufficiency and the duration and frequency of idiopathic chest pain in pediatric patients. Key words: Idiopathic chest pain, vitamin D deficiency child
Authors and Affiliations
Emel Torun, Türkay Sarıtaş, Feyza Kahraman, Nurcan Osmanoğlu, Faruk Öktem
Keywords
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- EP ID EP131369
- DOI 10.5798/diclemedj.0921.2014.01.0370
- Views 77
- Downloads 0
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