Prevalence of Vitamin D Insufficiency and Deficiency in Young, Female Patients With Lower Extremity Musculoskeletal Complaints
| Autor: | Lisa R. Callahan, Brittany Ammerman, Jo A. Hannafin, Marci Goolsby, Daphne I Ling |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Adolescent Fractures Stress Cumulative Trauma Disorders Physiology Physical Therapy Sports Therapy and Rehabilitation Comorbidity Bone health vitamin D deficiency Patellofemoral Joint Young Adult 03 medical and health sciences 0302 clinical medicine Patellofemoral pain Risk Factors Tendon Injuries Prevalence medicine Vitamin D and neurology Humans Orthopedics and Sports Medicine Prospective Studies Muscle Skeletal Young female 030222 orthopedics Ligaments High prevalence business.industry Skeletal muscle 030229 sport sciences Vitamin D Deficiency Current Research medicine.disease United States Cartilage medicine.anatomical_structure Lower Extremity Athletic Injuries Female business |
| Zdroj: | Sports Health |
| ISSN: | 1941-0921 1941-7381 |
| DOI: | 10.1177/1941738120953414 |
| Popis: | Background:Low levels of vitamin D have well-known impacts on bone health, but vitamin D also has a more global role throughout many tissues, including skeletal muscle. The high prevalence of hypovitaminosis D and the vast physiological features of vitamin D have led researchers to examine the influence of vitamin D on physical performance and injury. Because of the critical role of vitamin D in maintaining musculoskeletal health and function, a high rate of hypovitaminosis D among female patients with a variety of musculoskeletal issues could be of high clinical relevance.Hypothesis:There is a high prevalence of low vitamin D in female patients with both acute and overuse sports-related issues of both soft tissue and bone.Study Design:Prospective cohort study.Level of Evidence:Level 3.Methods:Female patients, aged 16 to 40 years, presenting with lower extremity injury diagnosed within the past 4 weeks, no use of multivitamin or vitamin D supplement, and no history of malabsorption syndrome met the inclusion criteria. Vitamin D levels were assessed and categorized as normal (≥32 ng/mL) and low, which includes insufficient (20.01-31.9 ng/mL) and deficient (≤20 ng/mL).Results:Of the 105 patients enrolled, 65.7% had low vitamin D. Within the low vitamin D cohort, 40.6% were deficient and 59.4% were insufficient. Injuries were grouped into overuse or acute with 74 overuse injuries and 31 acute injuries, exhibiting low vitamin D prevalence of 60.8% and 77.4%, respectively. Patients with ligamentous/cartilaginous injuries exhibited the highest percentage of low vitamin D (76.5%), followed by those with patellofemoral-related complaints (71.0%), muscle/tendon injuries (54.6%), and bone stress injuries (45.5%). In univariable analysis, older age, non-White race, less physical activity, less high-intensity interval training days, less endurance training days, and more rest days showed an association with low vitamin D, but none showed an independent association in multivariable analysis.Conclusion:The prevalence of low vitamin D in female patients with various musculoskeletal complaints was high. Clinicians should evaluate for low vitamin D in both acute and overuse injuries.Clinical Relevance:In addition to screening, this study suggests that clinicians should evaluate for low vitamin D levels beyond bone stress injuries in the setting of acute and overuse injuries. |
| Databáze: | OpenAIRE |
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