The Effects Of Vitamin D On Muscle Strength And Functional Status Of The Elderly Patients With Knee Osteoarthritis

Yıl 2020, , 46 - 53, 18.08.2020

Serap Erkeç Alkan , Burcu Duyur Çakıt , Ender Salbaş , Hakan Genç

https://doi.org/10.33713/egetbd.748584

Cited By: 2

Öz

Introductıon: The aim of this study was to evaluate the effects of vitamin D levels on pain intensity, muscle strength and functional status of elderly patients with osteoarthritis of the knee.
Methods: Eighty one patients with osteoarthritis of the knee were enrolled in this study. The pain was measured with visual analogue scale (VAS). Western Ontario and McMaster University Arthritis Index (WOMAC) was used to evaluate pain, stiffness, and physical function. The maximum isokinetic muscle strength and the peak torque/body weight values were measured.
Results: The patients were divided into two groups according to their 25 (OH) vitamin D levels: Group 1 consisted of patients whose 25 (OH) vitamin D levels were below 20 ng/ml and Group 2 comprised those with levels above 20 ng/ml. The VAS scores, the mean WOMAC pain, function and total scores were higher in Group 1 than Group 2. The maximal isokinetic muscle strength of extensor and flexor muscles of the knee and the peak torque/body weight values were significantly lower in Group 1 than in Group 2 (p<0.001 for all values).
Conclusion: vitamin D deficiency seems to be a factor contributing to pain, muscle weakness, and disability in patients with knee osteoarthritis.

Anahtar Kelimeler

elderly, function, isokinetic, knee, muscle, osteoarthritis, pain, strength, vitamin D

Gonartrozlu Yaşlı Hastada D Vitamininin Kas Gücü ve Fonksiyonel Durum Üzerine Etkisi

Öz

Giriş: Bu çalışmanın amacı, diz osteoartriti olan yaşlı hastaların D vitamini düzeylerinin ağrı şiddeti, kas gücü ve fonksiyonel durumu üzerindeki etkilerini değerlendirmektir.
Gereç ve Yöntem: Çalışmaya diz osteoartritli seksen bir hasta dahil edildi. Ağrı görsel analog skala (VAS) ile ölçüldü. Ağrı, eklem sertliği ve fiziksel fonksiyonu değerlendirmek için Western Ontario ve McMaster Üniversitesi Artrit İndeksi (WOMAC) kullanıldı. Maksimum izokinetik kas kuvveti ve pik tork/vücut ağırlığı değerleri ölçüldü.
Bulgular: Hastalar 25 (OH) D vitamini seviyelerine göre iki gruba ayrıldı: Grup 1, 25 (OH) D vitamini seviyeleri 20 ng / ml'nin altında ve Grup 2 20 ng / ml'nin üstünde olanlardan oluşuyordu. VAS skorları, ortalama WOMAC ağrısı, fonksiyon ve toplam skorlar Grup 1'de Grup 2'ye göre daha yüksekti. Dizdeki ekstansör ve fleksör kasların maksimum izokinetik kas kuvveti ve pik tork/vücut ağırlığı değerleri Grup 1'de Grup 2'ye göre anlamlı olarak daha düşüktü (tüm değerler için p <0.001).
Sonuç: D vitamini eksikliği, diz osteoartriti olan hastalarda ağrı, kas güçsüzlüğü ve sakatlığa katkıda bulunan bir faktör gibi görünmektedir.

Anahtar Kelimeler

yaşlı, fonksiyon, izokinetik, diz, kas, osteoartrit, ağrı, güç, D vitamini

Kaynakça

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