Is there a difference in 25-hydroxyvitamin D levels between female university students with and without joint hypermobility?
Abstract
Objectives: Individuals with joint hypermobility (JH) constitute a sensitive group with regard to musculoskeletal problems. This study aimed to investigate whether females with generalized joint hypermobility (GJH) are at risk of hypovitaminosis D compared with non-GJH female participants and whether there is a relationship between vitamin D levels, Beighton score and musculoskeletal complaints.
Methods: In this cross-sectional, descriptive and case-control study, 76 female participants aged 18-25 years were included. The Beighton score with a cut-off of 4/9 was applied for defining GJH. In addition, serum biochemical (the enzymatic colorimetric method) and hormonal (the electrochemiluminescence method) parameters were evaluated.
Results: The mean serum 25-hydroxyvitamin D (25[OH]D) levels of GJH (n = 38) and non-GJH (n = 38) groups were 15.70 ± 7.96 ng/mL and 16.80 ± 5.45 ng/mL, respectively. There was no statistically significant difference between the groups in terms of biochemical and hormonal parameters. We found vitamin D deficiency in 89.5% of participants with GJH, and 84.2% of controls. There was no correlation between vitamin D, Brighton criteria, and musculoskeletal complaints.
Conclusion: The female participants with GJH showed similar frequency of musculoskeletal complaints and similar low level of 25(OH)D in relation to controls.
Keywords
References
- [1] Beighton P, De Paepe A, Steinmann B, Tsipouras P, Wenstrup RJ. Ehlers-Danlos syndromes: revised nosology. Villefranche, 1997. Ehlers-Danlos National Foundation (USA) and Ehlers-Danlos Support Group (UK). Am J Med Genet 1988;77:31-7.
- [2] Castori M, Tinkle B, Levy H, Grahame R, Malfait F, Hakim A. A framework for the classification of joint hypermobility and related conditions. Am J Med Genet C Semin Med Genet C Semin Med Genet 2017;175:148-57.
- [3] Malfait F, Francomano C, Byers P, Belmont J, Berglund B, Black J, et al. The 2017 international classification of the Ehlers-Danlos syndromes. Am J Med Genet 2017;175:8-26.
- [4] Wintermeyer E, Ihle C, Ehnert S, Stöckle U, Ochs G, de Zwart P, et al. Crucial role of vitamin D in the musculoskeletal system. Nutrients 2016;8. pii:E319.
- [5] Rombaut L, Scheper M, De Wandele I, De Vries J, Meeus M, Malfait F, et al. Chronic pain in patients with the hypermobility type of Ehlers–Danlos syndrome: evidence for generalized hyperalgesia. Clin Rheumatol 2015;34:1121-9.
- [6] Eller-Vainicher C, Bassotti A, Imeraj A, Cairoli E, Ulivieri FM, Cortini F, et al. Bone involvement in adult patients affected with Ehlers-Danlos syndrome. Osteoporosis Int 2016;27:2525-31.
- [7] Gulbahar S, Sahin E, Baydar M, Bircan C, Kizil R, Manisali M, et al. Hypermobility syndrome increases the risk for low bone mass. Clin Rheumatol 2006;25:511-4.
- [8] Scheper MC, de Vries JE, de Vos R, Verbunt J, Nollet F, Engelbert RH. Generalized joint hypermobility in professional dancers: a sign of talent or vulnerability? Rheumatology 2013;52:651-8.
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Authors
Filiz Tuna
*
0000-0002-9563-8028
Türkiye
Hande Özdemir
This is me
0000-0002-1717-9604
Türkiye
Publication Date
July 4, 2019
Submission Date
March 30, 2018
Acceptance Date
May 19, 2018
Published in Issue
Year 2019 Volume: 5 Number: 4
Cited By
The impact of generalized joint hypermobility on eating behavior of students: A case-control study
Journal of American College Health
https://doi.org/10.1080/07448481.2022.2037613