Association between Preoperative Vitamin D Status and Short-Term Physical Performance after Total Hip Arthroplasty : A Prospective Study
| Autor: | Nicole M. de Roos, Silvia C. Endenburg, E. Oosting, Edith Visser, Jaap Dronkers |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
25-Hydroxyvitamin D3 medicine.medical_specialty Nutrition and Disease Arthroplasty Replacement Hip Urology Medicine (miscellaneous) 030209 endocrinology & metabolism Timed Up and Go test Osteoarthritis Handgrip strength Physical performance 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Blood serum Voeding en Ziekte medicine Vitamin D and neurology Humans Muscle Strength Postoperative Period Prospective Studies Vitamin D Prospective cohort study Aged Calcifediol Human Nutrition & Health Postoperative Care Original Paper 030222 orthopedics Nutrition and Dietetics Hand Strength business.industry Physical activity Humane Voeding & Gezondheid Physical Functional Performance Vitamin D Deficiency medicine.disease Hip replacement chemistry Blood chemistry Preoperative Period Total hip arthroplasty Cholecalciferol business |
| Zdroj: | Annals of Nutrition and Metabolism 73 (2018) 3 Annals of Nutrition and Metabolism, 73(3), 252-260 |
| ISSN: | 0250-6807 |
| Popis: | Background: Insufficient serum vitamin D concentrations (50–75 nmol/L) are prevalent in 40–65% of patients who require total hip arthroplasty (THA). This could impair physical recovery after surgery. This study investigated the association between preoperative vitamin D status and physical performance after THA. Additionally, postoperative changes in vitamin D concentrations were measured. Methods: We included 87 patients scheduled for elective THA and aged ≥65 years. Three groups were recruited: patients classified as vitamin D deficient (< 50 nmol/L, n = 23), insufficient (50–75 nmol/L, n = 32), or sufficient (> 75 nmol/L, n = 32). Serum 25-hydroxyvitamin D3 (25[OH]D3) concentration and physical performance were measured perioperatively. Linear mixed models were used to examine differences between groups. Results: Change in physical performance over time was not affected by preoperative vitamin D status. In contrast, for physical activity, both vitamin D (p = 0.021) and time (p < 0.001) effect was seen: from 80.2 ± 25.8 to 58.1 ± 17.8 min/day in the deficient group, 143.7 ± 19.8 to 92.9 ± 11.5 min/day in the insufficient group, and 108.1 ± 20.9 to 62.3 ± 12.9 min/day in the sufficient group. The Chair Stand Test, Timed Up and Go test, and 10-Meter Walking Test also improved significantly over time, but independent of vitamin D status. An increase in 25(OH)D3 concentration 6 weeks postoperatively was correlated with improved hip function (Pearson’s r = –0.471, p = 0.018). Overall, serum 25(OH)D3 declined with 32% one day after surgery (p < 0.001), to nearly return to baseline values 6 weeks later in all groups. Conclusion: Vitamin D status did not appear to affect physical recovery after THA. The drop in vitamin D after surgery deserves further investigation, but could possibly be explained by hemodilution. |
| Databáze: | OpenAIRE |
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