轻微创伤性骨折患者维生素D缺乏症的患病率
Prevalence of Vitamin D Deficiency in Patients with Minimal Trauma Fractures.
作者信息
Devigili Júnior Nilo, Botega Luiza, Back Simony Dos Reis Segovia da Silva, Stipp Willian Nandi, Netto Martins Back
机构信息
Universidade do Sul de Santa Catarina, Tubarão, SC, Brasil.
Laboratório Santé, Tubarão, SC, Brasil.
出版信息
Rev Bras Ortop (Sao Paulo). 2019 Feb;54(1):69-72. doi: 10.1016/j.rbo.2017.10.005. Epub 2019 Mar 1.
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 ( = 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 ( = 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.
目的
分析轻度创伤骨折患者的血清25-羟基维生素D[25(OH)D]水平，并核实这些患者的特征及其主要骨折情况。
方法
进行横断面研究，从40例轻度创伤骨折患者中采集血样，以评估其25(OH)D水平。分析的变量包括：骨折类型；年龄；性别；维生素D补充情况；吸烟习惯；运动情况；防晒措施使用情况。
结果
共有29例（72.5%）患者存在25(OH)D缺乏，10例（25%）存在不足，只有1例（2.5%）水平充足。使用维生素D补充剂的患者25(OH)D水平（24.8±12.75）显著高于未使用者（P=0.048）。此外，每周进行2至3次运动的患者25(OH)D的中等浓度（22.5±6.08 ng/mL）显著高于不运动的患者（15.5±7.25 ng/mL）（P=0.042）。
结论
维生素D缺乏的患病率为72.5%；每周进行2至3次运动的患者以及使用维生素D补充剂的患者维生素D水平较高。
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