TY  - JOUR
TT  - Vitamin D deficiency as a probable factor in patients with lowback and back pain: A retrospective study
AU  - Aydın, Abdülkadir
AU  - Atadağ, Yıldız
AU  - Başak, Fatih
AU  - Kaya, Didem
AU  - Öksüz, Ahmet
AU  - Dilber Köşker, Hatice
PY  - 2017
DA  - December
DO  - 10.25000/acem.331806
JF  - Archives of Clinical and Experimental Medicine
JO  - Arch Clin Exp Med
PB  - Mustafa HASBAHÇECİ
WT  - DergiPark
SN  - 2564-6567
SP  - 71
EP  - 73
VL  - 2
IS  - 3
KW  - D vitamini
KW  - Sırt ağrısı
KW  - Bel ağrısı
N2  - Aim: Vitamin D is associated with many musculoskeletal system functions and its deficiency is a common health problem in the world. Lowback and back pain arealso an important health problems in terms of low quality of life, cost of labor loss, diagnosis and treatment approaches. The aim of this study was to investigate the deficiency of vitamin D in patients with complaints of lowback or back pain.Methods: The outpatients between 18-45 years of age, whose vitamin D levelsaremeasured in 2015, were scanned through the hospital information system. Serum 25-(OH) D levels below 20 ng/mL wereconsidered as vitamin D deficiency, 20 ng / mL and above were normal.Patients were divided into two groups according to the presence of pain. The patients who were with lowback or back pain were treated as group 1, and patients who did not complain pain as group 2. Group 1 and group 2 were compared in terms of the presence of vitamin D deficiency. In the analysis of the data, descriptive statistics, mean and standard deviation for continuous variables, and number and percentage for categorical data were used. Chi-square test was used for comparisons. Significance was assessed at a 95% safety interval and p <0.05 was considered as significant.Results: Vitamin D levels were measured in 28,148 of the patients between the ages of 18 and 45 who applied to our hospital during the study period. Vitamin D deficiency was 84.5% in group 1 patients whereas it was 75.7% in group 2 patients. A statistically significant difference was found in patients with lowback or back pains, with a higher incidence of vitamin D deficiency compared to the other group (p = 0.001).Conclusion: Vitamin D deficiency is often asymptomatic and may cause bone and muscle pain. In our study, we frequently observed deficiency of vitamin D in patients with lumbar or back pain. In this context, the level of vitamin D should be evaluated during the approach to lowback and back pain.
CR  - 1.       Champe PC, Harvey RA, Ferrier DR. Biyokimya. Çeviri Editörü: Ulukaya E. Lippincott’s Illustrated Reviews Serisinden. 3. Baskı. Nobel Tıp Kitapevleri; 2007.
CR  - 2.      Bringhurst FR, Demay MB, Krane SM, Kronenberg HM. Bone and Mineral Metabolism in Health and Disease. In: Kasper DL, Braunwald E, Fauci AS, Hauser SL, Longo DL, Jameson JL, editors. Harrison’s Principles of Internal Medicine. 16th edition. New York:MCGraw-Hill Companies; 2005. p. 2238-86.
CR  - 3.      Holick MF. Vitamin D: a D-lightful health perspective. Nutr Rev 2008;66:182-94.
CR  - 4.       Hyppönen E, Boucher BJ, Berry DJ, Power C. 25-hydroxyvitamin D, IGF-1, and metabolic syndrom at 45 years of age: a cross-sectional study in the 1958 British Birth Cohort. Diabetes 2008;57:298-305.
CR  - 5.       Wacker M, Holick MF. Vitamin D-Effects on Skeletal and Extraskeletal Health and the Need for Supplementation. Nutrients 2013;5:111-48.
CR  - 6.      Holick MF. Vitamin D deficiency. N Engl J Med 2007;357:266-281.
CR  - 7.      Wacker M, Holick MF. Vitamin D - effects on skeletal and extraskeletal health and the need for supplementation. Nutrients 2013;5(1):111-148.
CR  - 8.      Lips P. Vitamin D status and nutrition in Europe and Asia. J Steroid Biochem Mol Biol 2007;103:620-625.
CR  - 9.  Uçar F, Taşlıpınar MY, Soydaş AÖ, Özcan N. Ankara Etlik İhtisas Eğitim Araştırma Hastanesi’ne Başvuran Hastalarda 25-OH Vitamin D Düzeyleri. Eur J Basic Med Sci 2012;2:12-5.
CR  - 10.  Valcour A, Blocki F, Hawkins DM, Rao SD. Effects of age and serum 25-OH-vitamin D on serum parathyroid hormone levels. J Clin Endocrinol Metab 2012;97(11):3989-3995.
CR  - 11.  Garg MK, Tandon N, Marwaha RK, Menon AS, Mahalle N. The relationship between serum 25-hydroxy vitamin D, parathormone and bone mineral density in Indian population. Clin Endocrinol (Oxf) 2014;80(1):41-46.
CR  - 12. Cauley JA, Parimi N, Ensrud KE, Bauer DC, Cawthon PM, Cummings SR, Hoffman AR, Shikany JM, Barrett-Connor E, Orwoll E; OsteoporoticFractures in Men (MrOS) Research Group. Serum 25-hydroxyvitamin D and the risk of hip and nonspine fractures in older men. J Bone Miner Res 2010;25(3):545-553.
CR  - 13. Hoy D, Brooks P, Blyth F, Buchbinder R. The Epidemiology of low back pain. Best Practice & Research Clinical Rheumatology. 2010;24(6): 769-781
CR  - 14. Atadağ Y, Aydın A, Kaya D ve ark. Aile hekimliği uygulamasıyla üçüncü basamak sağlık kuruluşuna başvuru sebeplerinde olan değişiklikler. Türkiye Aile Hekimliği Dergisi 2016;20(4):141-15.
CR  - 15. Frymoyer JW, Cats-Baril WL. An overview of the incidences and costs of low back pain. Orthop Clin North Am 1991;22(2):263–71.
CR  - 16. Linton SJ, van Tulder MW. Preventive interventions for back and neck pain problems: what is the evidence? Spine (PhilaPa 1976) 2001;26(7):778–87
CR  - 17. Kelsey J.L, White A.A. Epidemiology and impact of low-back pain. Europepmc. 1980;5(2): 133-142
CR  - 18. Al Faraj S, Al Mutairi K. Vitamin D Deficiency and Chronic Low Back Pain in Saudi -Arabia. Lippincott Williams & Wilkins, Inc. 2003;28(2):177-179.
CR  - 19. Çidem M, Kara S, Sarı H, Ozkaya M, Karacan İ. Yaygın kas-iskelet ağrısı olan hastalarda D vitamini eksikliği prevalansı ve risk faktörleri. Journal of Clinical and Experimental Investigations. 2013;4(4): 488-491
CR  - 20. Badsha H, Daher M, Kong K.O. Myalgias or non-specific muscle pain in Arab or Indo-Pakistani patients may indicate vitamin D deficiency. Clinical Rheumatology Spine PhilaPa 2009;28(8): 971–97.
CR  - 21. Straube S, Derry S, Moore R.A, McQuay H.J. Vitamin D for the treatment of chronic painful conditions in adults. The Cochrane Collaboration. 2010.
CR  - 22. Türkiye Endokrinoloji ve Metabolizma Derneği. Osteoporoz ve Metabolik Kemik Hastalıkları Tanı ve Tedavi Kılavuzu. 2017
UR  - https://doi.org/10.25000/acem.331806
L1  - https://dergipark.org.tr/en/download/article-file/373855
ER  -