Evaluation of Serum 25‐Hydroxyvitamin D 3 and Bone Mineral Density in 268 Patients with Hip Fractures
| Autor: | Jiacheng Zang, Chen Li, Shujun Yu, Yang Yang, Yumin Wang, Jingbo Wang |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Urology Parathyroid hormone Lumbar vertebrae vitamin D deficiency 03 medical and health sciences 0302 clinical medicine Vitamin D and neurology parathyroid hormone Medicine Orthopedics and Sports Medicine Femoral neck Orthopedic surgery Bone mineral 030222 orthopedics Hip fracture business.industry 25‐hydroxyvitamin D3 medicine.disease medicine.anatomical_structure hip fracture Surgery bone mineral density business Body mass index RD701-811 030217 neurology & neurosurgery |
| Zdroj: | Orthopaedic Surgery, Vol 13, Iss 3, Pp 892-899 (2021) |
| ISSN: | 1757-7861 1757-7853 |
| DOI: | 10.1111/os.12920 |
| Popis: | OBJECTIVE The aim of the present study was to evaluate the relationship among vitamin D nutritional status, bone mineral density, and other factors in elderly patients with brittle hip fractures. METHODS The present study was a retrospective analysis of 268 patients, 102 men (38.06%) and 166 women (61.94%), with brittle hip fractures admitted to the Hip Joint Center of Tianjin Hospital from February 2016 to June 2018. The median age of the patients was 74 years (range, 50-93 years). The patients were divided into three groups based on age: ≤69 years, 70-79 years, and ≥80 years. Serum 25-hydroxyvitamin D3 (25(OH) D3 ), parathyroid hormone (PTH), body mass index (BMI), and bone mineral density (BMD) of the lumbar spine, femoral neck, and hip were measured and statistically analyzed. RESULTS The median serum 25(OH)D3 level of patients was 9.90 (range, 2.60-42.70) ng/mL; the proportion of deficiency was 89.18% and the deficiency was severe in 136 cases (49.25%). The proportion of vitamin D deficiency was significantly lower in men than in women (P = 0.013). With the increase of age, 25(OH)D3 levels gradually decreased (P = 0.044) and PTH levels gradually increased (P |
| Databáze: | OpenAIRE |
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