Servicio de Rehabilitación, Hospital de Sagunto, Sagunto, Valencia, España.
Servicio de Rehabilitación, Hospital de Sagunto, Sagunto, Valencia, España; Facultad de Medicina, Valencia, España.
Med Clin (Barc). 2017 Nov 22;149(10):436-438. doi: 10.1016/j.medcli.2017.04.014. Epub 2017 Jul 29.
Link low levels of vitamin D, osteoporotic fracture and falls.
Transversal observational study with the study variables of age, levels of vitamin D, osteoporotic fracture and falls. The study population was patients evaluated by the Rehabilitation Department, Hospital of Sagunto, from January 2013 to December 2014.
Of the 242 patients who underwent vitamin D analysis, 70.6% showed levels under 30ng/ml. Forty-eight percent of the patients with below normal levels of vitamin D suffered a fracture, opposed to 32.4% patients with normal levels. Thus, controlling by age, patients with low levels of vitamin D are 4.8 times more likely to suffer a fracture than those with normal levels. Regarding falls, controlling by age, there is a higher risk of falling (adjusted OR 2.68) in those patients with low levels of vitamin D.
Patients with low vitamin D levels are more likely to suffer falls and fractures.
探讨维生素 D 水平低下、骨质疏松性骨折和跌倒之间的关系。
本研究为横断观测研究,研究变量包括年龄、维生素 D 水平、骨质疏松性骨折和跌倒。研究人群为 2013 年 1 月至 2014 年 12 月在萨贡托医院康复科接受评估的患者。
在接受维生素 D 分析的 242 名患者中,70.6%的患者维生素 D 水平低于 30ng/ml。48%的维生素 D 水平低于正常值的患者发生了骨折,而正常水平的患者则为 32.4%。因此,在控制年龄的情况下,维生素 D 水平低的患者发生骨折的风险是正常水平患者的 4.8 倍。至于跌倒,在控制年龄的情况下,维生素 D 水平低的患者跌倒的风险更高(调整后的 OR 为 2.68)。
维生素 D 水平低的患者更容易发生跌倒和骨折。