Prevalence of vitamin D deficiency in children presenting with supracondylar fractures of humerus.

Autor: Siddiqui AA; Dow University of Health Sciences, Karachi, Pakistan., Kumar J; Dow University of Health Sciences, Karachi, Pakistan., Adeel M; Dow University of Health Sciences, Karachi, Pakistan., Yaqoob U; Dow University of Health Sciences, Karachi, Pakistan., Rajput MI; Dow University of Health Sciences, Karachi, Pakistan.
Jazyk: angličtina
Zdroj: International journal of clinical practice [Int J Clin Pract] 2021 May; Vol. 75 (5), pp. e14056. Date of Electronic Publication: 2021 Feb 10.
DOI: 10.1111/ijcp.14056
Abstrakt: Objective: The purpose of the current analysis is to evaluate the predominance of vitamin D inadequacy in children with supracondylar fracture of the humerus.
Methods: This is a cross-sectional study conducted at Dr Ruth K. M. Pfau Civil, Hospital, Karachi, Pakistan, from December 2019 to July 2020. Patients aged 18 months-18 years presenting with supracondylar fractures were included in the study. Patients were divided into four groups based on their age as toddlers (18 months to 3 years), pre-school age (3-5 years), school-age (6 to 11 years) and adolescents (11-18 years).
Results: A total of 227 children presented with upper limb fractures of which 72 (31.7%) were supracondylar. The mean vitamin D level was found to be 32.5 ± 9.1 ng/mL. Of the study subjects, low vitamin D levels were found in 34.7% (n = 25), adequate in 59.7% (n = 43) and ideal in 5.5% (n = 4) of patients. The mean vitamin D levels for toddlers were 33.5 ng/mL, for preschool children was 27.66 ng/mL, for school-age children was 30.4 ng/mL and for adolescents was 37 ng/mL.
Conclusion: Vitamin D deficiency is not only restricted to Pakistan but also other parts of the world, although the reasons may vary in each of those regions. However, vitamin D supplementation in all parts of the globe can prevent a significant number of fractures. This prevalence study showed vitamin D deficiency in 35% of children with supracondylar fractures, with the lowest mean values in the preschool age group.
(© 2021 John Wiley & Sons Ltd.)
Databáze: MEDLINE