Year 2019, Volume 4 , Issue 2, Pages 69 - 73 2019-08-30

Yaşlı kadınlarda kas-iskelet sistemi ağrısıyla D vitamini düzeyleri arasındaki ilişki
Relationship between musculoskeletal pain and Vitamin D levels in elderly women

Filiz Meryem Sertpoyraz [1] , Yasemin Kilic Ozturk [2] , Eylem Gulsen Kirbiyik [3]


Giriş: Ağrı yaşın ilerlemesiyle sık karşılaşılan bir semptomdur. D vitamini, yaygın reseptörleri ile kas iskelet sistemi dahil olmak üzere pek çok dokuda etkili pre-prohormondur. 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.

Introduction: Pain is a common symptom of aging. Vitamin D is an effective pre-prohormone with ubiquitous receptors in many tissues, including the musculoskeletal system. Vitamin D deficiency is known to cause pain, proximal muscle weakness in lower extremities, skeletal mineralization defects, balance disorders, increased risk of fall and fracture, and reduced functional capacity. This study aimed to evaluate the relationship between vitamin D levels and the musculoskeletal pain in female patients 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 outpatient clinic. The participants were administered a questionnaire consisting of demographic data (age, education, occupation, sun exposure, physical activity levels, intake of calcium-rich foods), musculoskeletal pain, and location of the pain. The levels of 25(OH) vitamin D (vitamin D), calcium, phosphorus, alkaline phosphatase, and parathormon 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 vitamin D 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 or insufficiency. 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 deficiency should 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, assessment of vitamin D levels and, in case of deficiency, supplementation therapy is recommended for elderly women.

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Primary Language en
Subjects Geriatrics and Gerontology
Published Date Aug 2019
Journal Section Original Research
Authors

Orcid: 0000-0001-5247-6412
Author: Filiz Meryem Sertpoyraz (Primary Author)
Institution: Health Sciences University, Department of Physical Medicine and Rehabilitation, Izmir, Turkey
Country: Turkey


Orcid: 0000-0003-1463-6627
Author: Yasemin Kilic Ozturk
Institution: Health Sciences University, Departmant of Family Medicine, Izmir, Turkey
Country: Turkey


Orcid: 0000-0002-2328-9914
Author: Eylem Gulsen Kirbiyik
Institution: Health Sciences University, Department of Physical Medicine and Rehabilitation, Izmir, Turkey
Country: Turkey


Dates

Publication Date : August 30, 2019

Bibtex @research article { fppc456142, journal = {Family Practice and Palliative Care}, issn = {2458-8865}, eissn = {2459-1505}, address = {}, publisher = {SERNEV}, year = {2019}, volume = {4}, pages = {69 - 73}, doi = {10.22391/fppc.456142}, title = {Relationship between musculoskeletal pain and Vitamin D levels in elderly women}, key = {cite}, author = {Sertpoyraz, Filiz Meryem and Kilic Ozturk, Yasemin and Gulsen Kirbiyik, Eylem} }
APA Sertpoyraz, F , Kilic Ozturk, Y , Gulsen Kirbiyik, E . (2019). Relationship between musculoskeletal pain and Vitamin D levels in elderly women. Family Practice and Palliative Care , 4 (2) , 69-73 . DOI: 10.22391/fppc.456142
MLA Sertpoyraz, F , Kilic Ozturk, Y , Gulsen Kirbiyik, E . "Relationship between musculoskeletal pain and Vitamin D levels in elderly women". Family Practice and Palliative Care 4 (2019 ): 69-73 <http://www.fppc.com.tr/en/issue/48029/456142>
Chicago Sertpoyraz, F , Kilic Ozturk, Y , Gulsen Kirbiyik, E . "Relationship between musculoskeletal pain and Vitamin D levels in elderly women". Family Practice and Palliative Care 4 (2019 ): 69-73
RIS TY - JOUR T1 - Relationship between musculoskeletal pain and Vitamin D levels in elderly women AU - Filiz Meryem Sertpoyraz , Yasemin Kilic Ozturk , Eylem Gulsen Kirbiyik Y1 - 2019 PY - 2019 N1 - doi: 10.22391/fppc.456142 DO - 10.22391/fppc.456142 T2 - Family Practice and Palliative Care JF - Journal JO - JOR SP - 69 EP - 73 VL - 4 IS - 2 SN - 2458-8865-2459-1505 M3 - doi: 10.22391/fppc.456142 UR - https://doi.org/10.22391/fppc.456142 Y2 - 2019 ER -
EndNote %0 Family Practice and Palliative Care Relationship between musculoskeletal pain and Vitamin D levels in elderly women %A Filiz Meryem Sertpoyraz , Yasemin Kilic Ozturk , Eylem Gulsen Kirbiyik %T Relationship between musculoskeletal pain and Vitamin D levels in elderly women %D 2019 %J Family Practice and Palliative Care %P 2458-8865-2459-1505 %V 4 %N 2 %R doi: 10.22391/fppc.456142 %U 10.22391/fppc.456142
ISNAD Sertpoyraz, Filiz Meryem , Kilic Ozturk, Yasemin , Gulsen Kirbiyik, Eylem . "Relationship between musculoskeletal pain and Vitamin D levels in elderly women". Family Practice and Palliative Care 4 / 2 (August 2019): 69-73 . https://doi.org/10.22391/fppc.456142
AMA Sertpoyraz F , Kilic Ozturk Y , Gulsen Kirbiyik E . Relationship between musculoskeletal pain and Vitamin D levels in elderly women. Fam Pract Palliat Care. 2019; 4(2): 69-73.
Vancouver Sertpoyraz F , Kilic Ozturk Y , Gulsen Kirbiyik E . Relationship between musculoskeletal pain and Vitamin D levels in elderly women. Family Practice and Palliative Care. 2019; 4(2): 73-69.