Department of Orthopedic and Trauma Services, Nepal Armed Police Force Hospital, Kathmandu, Bagmati, Nepal.
Department of Medical Microbiology, Shi-Gan International College of Science and Technology, Tribhuvan University, Kathmandu, Bagmati, Nepal.
JNMA J Nepal Med Assoc. 2022 Jan 15;60(245):68-71. doi: 10.31729/jnma.7268.
Young paramilitary recruits, who undergo strenuous exercise during basic training, are often presented with stress fractures, which could be due to an inadequate vitamin D (25-hydroxyvitamin D) intake. This study aimed to find the prevalence of stress fracture among young paramilitary trainees visiting the orthopedic outpatient department of a paramilitary hospital.
This was a descriptive cross-sectional study done among paramilitary trainees in a paramilitary Hospital of Nepal between April 2019 to April 2021. The study was approved by the Ethical Review Board (Reference number: 1003) of the Nepal Health Research Council. Convenience sampling was used. Anthropometric variables, serum 25-hydroxyvitamin D level, and bone mineral density of spine and hip were determined. Data analysis was performed using the Statistical Package for the Social Sciences software version 17.0. Point estimate at 95% Confidence Interval was calculated along with frequency, proportion for binary data and mean, standard deviation for continuous data.
Among 417 young paramilitary trainees, 24 (5.76%) (3.52-7.99 at 95% Confidence Interval) were found to have a stress fracture. The stress fracture patients had a serum 25-hydroxyvitamin D level of 21.47ng/mL±6.98. Similarly, the bone mineral density value of the spine and hip among the patients was -1.34g/cm2±1.37 and 0.36g/cm2±1.24, respectively.
The prevalence of stress fracture among young paramilitary trainee was high compared to previous studies. Additionally, average Vitamin D and the bone mineral density value of the spine and the total hip among stressed fractured patients were also low.
在基础训练中经历高强度运动的年轻准军事新兵常出现应力性骨折，这可能是由于维生素 D（25-羟维生素 D）摄入不足。本研究旨在调查某准军事医院骨科门诊年轻准军事新兵应力性骨折的患病率。
这是尼泊尔一家准军事医院 2019 年 4 月至 2021 年 4 月期间进行的一项描述性横断面研究。该研究获得了尼泊尔健康研究委员会伦理审查委员会的批准（编号：1003）。采用便利抽样法。测定人体测量学变量、血清 25-羟维生素 D 水平、脊柱和髋部骨密度。使用统计软件包 17.0 版进行数据分析。计算了 95%置信区间的点估计值，以及二进制数据的频率、比例和连续数据的均值、标准差。
在 417 名年轻准军事新兵中，24 名（5.76%）（95%置信区间为 3.52-7.99）被发现患有应力性骨折。应激性骨折患者的血清 25-羟维生素 D 水平为 21.47ng/ml±6.98。同样，患者的脊柱和髋部骨密度值分别为-1.34g/cm2±1.37 和 0.36g/cm2±1.24。
与以往研究相比，年轻准军事新兵应力性骨折的患病率较高。此外，应激性骨折患者的平均维生素 D 和脊柱及全髋骨密度值也较低。
