Yıl: 2019 Cilt: 4 Sayı: 2 Sayfa Aralığı: 69 - 73 Metin Dili: İngilizce İndeks Tarihi: 02-11-2020

Relationship between musculoskeletal pain and Vitamin D levels in elderly women

Öz:
Introduction: Pain is a common symptom of aging. Vitamin D is an effective pre-prohormone with ubiquitous receptors in many tissues, including the musculoskeletalsystem. Vitamin D deficiency is known to cause pain, proximal muscle weakness in lower extremities, skeletal mineralization defects, balance disorders, increased riskof fall and fracture, and reduced functional capacity. This study aimed to evaluate the relationship between vitamin D levels and the musculoskeletal pain in femalepatients aged 65 years or over.Methods: This descriptive cross-sectional study included 120 female patients aged 65 years and over who were admitted to physical therapy and rehabilitation outpatientclinic. The participants were administered a questionnaire consisting of demographic data (age, education, occupation, sun exposure, physical activity levels, intake ofcalcium-rich foods), musculoskeletal pain, and location of the pain. The levels of 25(OH) vitamin D (vitamin D), calcium, phosphorus, alkaline phosphatase, andparathormon in the serum were recorded from the hospital database.Results: Of the participants, 101 (84%) had vitamin D deficiency or insufficiency, 83 (69%) had musculoskeletal pain, and 37 (31%) had no pain at all. Serum vitaminD levels were significantly lower in those who had pain (p=0.008). Sixty-two (75%) of the patients with musculoskeletal pain (n=83) had vitamin D deficiency orinsufficiency. Among those with musculoskeletal system pain and vitamin D deficiency or insufficiency (n=62), the pain was most frequently localized to the lower back(41%) and upper back (32%).Conclusion: It is important to evaluate serum 25(OH) vitamin D levels particularly in elderly female patients admitted with musculoskeletal pain. Vitamin D deficiencyshould be kept in mind for female patients suffering from the lower and upper back pain. Considering the role of vitamin D on the musculoskeletal system, assessmentof vitamin D levels and, in case of deficiency, supplementation therapy is recommended for elderly women.
Anahtar Kelime:

Yaşlı kadınlarda kas-iskelet sistemi ağrısıyla D vitamini düzeyleri arasındaki ilişki

Öz:
Giriş: Ağrı yaşın ilerlemesiyle sık karşılaşılan bir semptomdur. D vitamini, yaygın reseptörleri ile kas iskelet sistemi dahil olmak üzere pek çok dokuda etkili preprohormondur. D vitamini eksikliğinin, ağrı, alt ekstremite de proksimal kas güçsüzlüğü, iskelet mineralizasyon defekti, denge bozukluğu, kırık ve düşme riskinde artış ve fonksiyonel kapasitede azalmaya yol açtığı bilinmektedir. Amacımız 65 yaş ve üzeri kadın hastalarda D vitamini düzeylerini ve kas iskelet sistemi ağrısıyla D vitamini ilişkisini değerlendirmektir. Yöntem: Kesitsel tanımlayıcı çalışmaya fizik tedavi ve rehabilitasyon polikliniğine başvuran, gönüllü olur formunu imzalayan 65 yaş ve üstü,120 kadın hasta dahil edildi. Hastaların demografik verileri (yaş, eğitim, meslek, güneşle temas, fiziksel aktivite düzeyleri, kalsiyumlu gıda alımları), kas iskelet sistemine ait ağrı olup olmadığı ve ağrısı olanlarda bölgesi sorgulandı. Serum 25(OH) vitamin D(vitamin D), kalsiyum, fosfor, alkalen fosfataz, parathormon düzeyleri kaydedildi. Bulgular: Altmış beş yaş ve üzeri, 120 kadın hastanın D vitamin düzeyleri değerlendirildiğinde 101(%84)’inde eksiklik ve yetersizlik bulundu. Hastaların 83 (%69)’ünde kas iskelet sistemi ağrısı varken, 37(%31)’sinde ağrı yoktu. Kas iskelet sistemi ağrısı olanlar(n=83)ve olmayanlar(n=37) karşılaştırıldığında, ağrısı olanların serum D vitamini düzeyleri anlamlı düşük bulundu (p=0,008). Kas iskelet sistemi ağrısı olan (n=83) hastaların 62(%75)’sinde D vitamini eksikliği veya yetersizliği vardı. D vitamini düzeyinde eksiklik ve yetersizlik olanlarda (n=62), kas iskelet sistemi ağrısı değerlendirildiğinde en sıklıkla bel(%41), ikinci sıklıkta sırt ağrısı(%32) semptomu vardı. Sonuç: Özellikle polikliniklere kas iskelet sistemi ağrısı ile başvuran altmış beş ve üzeri yaş hastalarda serum 25(OH) vitamin D değerlendirilmesi önemlidir. Bel ve sırt ağrısı şikâyetiyle gelen kadın hastalarda D vitamini eksikliği de akılda tutulmalıdır. Kas iskelet sistemi üzerinde D vitamininin etkileri göz önüne alındığında, ileri yaş kadın hastalarda D vitamini düzeylerinin değerlendirilerek eksikliğinin tespiti halinde tedavisinin planlanması önerilmektedir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA SERTPOYRAZ F, Kılıç Öztürk Y, GULSEN KIRBIYIK E (2019). Relationship between musculoskeletal pain and Vitamin D levels in elderly women. , 69 - 73.
Chicago SERTPOYRAZ FİLİZ MERYEM,Kılıç Öztürk Yasemin,GULSEN KIRBIYIK EYLEM Didem Relationship between musculoskeletal pain and Vitamin D levels in elderly women. (2019): 69 - 73.
MLA SERTPOYRAZ FİLİZ MERYEM,Kılıç Öztürk Yasemin,GULSEN KIRBIYIK EYLEM Didem Relationship between musculoskeletal pain and Vitamin D levels in elderly women. , 2019, ss.69 - 73.
AMA SERTPOYRAZ F,Kılıç Öztürk Y,GULSEN KIRBIYIK E Relationship between musculoskeletal pain and Vitamin D levels in elderly women. . 2019; 69 - 73.
Vancouver SERTPOYRAZ F,Kılıç Öztürk Y,GULSEN KIRBIYIK E Relationship between musculoskeletal pain and Vitamin D levels in elderly women. . 2019; 69 - 73.
IEEE SERTPOYRAZ F,Kılıç Öztürk Y,GULSEN KIRBIYIK E "Relationship between musculoskeletal pain and Vitamin D levels in elderly women." , ss.69 - 73, 2019.
ISNAD SERTPOYRAZ, FİLİZ MERYEM vd. "Relationship between musculoskeletal pain and Vitamin D levels in elderly women". (2019), 69-73.
APA SERTPOYRAZ F, Kılıç Öztürk Y, GULSEN KIRBIYIK E (2019). Relationship between musculoskeletal pain and Vitamin D levels in elderly women. Aile Hekimliği ve Palyatif Bakım, 4(2), 69 - 73.
Chicago SERTPOYRAZ FİLİZ MERYEM,Kılıç Öztürk Yasemin,GULSEN KIRBIYIK EYLEM Didem Relationship between musculoskeletal pain and Vitamin D levels in elderly women. Aile Hekimliği ve Palyatif Bakım 4, no.2 (2019): 69 - 73.
MLA SERTPOYRAZ FİLİZ MERYEM,Kılıç Öztürk Yasemin,GULSEN KIRBIYIK EYLEM Didem Relationship between musculoskeletal pain and Vitamin D levels in elderly women. Aile Hekimliği ve Palyatif Bakım, vol.4, no.2, 2019, ss.69 - 73.
AMA SERTPOYRAZ F,Kılıç Öztürk Y,GULSEN KIRBIYIK E Relationship between musculoskeletal pain and Vitamin D levels in elderly women. Aile Hekimliği ve Palyatif Bakım. 2019; 4(2): 69 - 73.
Vancouver SERTPOYRAZ F,Kılıç Öztürk Y,GULSEN KIRBIYIK E Relationship between musculoskeletal pain and Vitamin D levels in elderly women. Aile Hekimliği ve Palyatif Bakım. 2019; 4(2): 69 - 73.
IEEE SERTPOYRAZ F,Kılıç Öztürk Y,GULSEN KIRBIYIK E "Relationship between musculoskeletal pain and Vitamin D levels in elderly women." Aile Hekimliği ve Palyatif Bakım, 4, ss.69 - 73, 2019.
ISNAD SERTPOYRAZ, FİLİZ MERYEM vd. "Relationship between musculoskeletal pain and Vitamin D levels in elderly women". Aile Hekimliği ve Palyatif Bakım 4/2 (2019), 69-73.