Research Article
BibTex RIS Cite

Evde Bakım Hastalarında D Vitamini Düzeylerinin Değerlendirilmesi

Year 2021, Volume: 13 Issue: 3, 530 - 535, 18.10.2021
https://doi.org/10.18521/ktd.880070

Abstract

Amaç: D vitamini eksikliği tüm dünyada bütün yaş grupları için bir salgın haline gelmiştir. Bu araştırmanın amacı evde bakım hastalarında D vitamini eksikliğini ve buna bağlı yaşam tarzı nedenlerini değerlendirmektir.
Metod: Bu araştırma, Ocak 2015 - Şubat 2016 tarihleri arasında İstanbul Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesine kayıtlı Evde Bakım hastalarında yapılmıştır. Hastaların D vitamini kayıtları retrospektif olarak toplandıktan sonra, hastalara düzenli güneş ışığına maruz kalıp kalmadıkları, kırık veya osteoporoz öyküsü olup olmadığı ve diğer ilgili yaşam tarzı özellikleri sorgulandı. D vitamini eksikliği şu şekilde gruplandırıldı; normal (> 30ng / ml), yetersizlik (20-30ng / ml), eksiklik (20ng / ml'den az) ve ciddi eksiklik (<10ng / ml'den az). Veriler SPSS 20.0 versiyonunda frekans, ki-kare ve T testi kullanılarak değerlendirildi.
Bulgular: Çalışmaya evde bakım hizmeti verilen 232 hasta dahil edildi. Hastaların %69’u (n=160) kadın; %31’i (n=72) erkekti. % 11.2’sinde (n=26) D vitamini yetersizliği; %70.3’ünde (n=163) D vitamini eksikliği saptandı. Soruları yanıtlayan 137 hastanın %70.1’i (n=96) kadın, %29.9’u (n=41) erkekti. Bunların %86.1’i (n=118) güneş ışığından faydalanmıyordu, %63.5’i (n=87) daha önce D vitamin tedavisi almamıştı. D vitamini tedavisi almayanların% 79,3'ünde (n = 69) D vitamini eksikliği tespit edildi ve aralarında anlamlı bir ilişki bulundu.
Sonuç: Çalışmamızda, evde bakım hastalarının çoğunun düşük D vitamini seviyelerine sahip olduğunu, düzenli olarak güneş ışığından faydalanmadıklarını, düzenli egzersiz yapmadıklarını bulduk. D vitamini eksikliği, osteoporoz, düşme ve kırık riskini arttırdığı için, evde bakım hastalarında D vitamininin replasmanı önemlidir.

References

  • Referans 1. Holick MF. Optimal vitamin D status for the prevention and treatment of osteoporosis. Drugs Aging 2007;24:1017-29.
  • Referans 2. Dawson-Hughes B, Heaney RP, Holick MF, Lips P, Meunier PJ, Vieth R. Estimates of optimal vitamin D status. Osteoporos Int 2005;16:713-6.
  • Referans 3. Wacker M, Holick MF. Vitamin D-Effects on skeletal and extraskeletal health and the need for supplementation. Nutrients 2013;5:111-48.
  • Referans 4. Akpınar P, İçağasıoğlu A. The relation between vitamin D and quality of life. Turkish Journal of Osteoporosis 2012;18:13-8.
  • Referans 5. Bischoff-Ferrari HA. Relevance of vitamin D in muscle health. Rev Endocr Metab Disord 2012;13:71-7.
  • Referans 6. Bischoff-Ferrari HA, Dietrich T, Orav EJ, Hu FB, Zhang Y, Karlson EW, et al. Higher 25-hydroxyvitamin D concentrations are associated with better lower-extremity function in both active and inactive persons aged≥60 y. Am J Clin Nutr 2004;80:752-8.
  • Referans 7. Mosekilde L. Vitamin D and the elderly. Clin Endocrinol (Oxf) 2005;62:265-81.
  • Referans 8. Khaw, K.T., Sneyd, M.J., and Coınpston, J. Bone density pa-rathyroid hormone and 25-hydroxyvitamin D concentrations in middle aged women BMJ 1992; 305: 273-7.
  • Referans 9. Martinez, M.E., del Campo, M.T., Sanchez-Cabezudo, M.J., Garcia, J.A., Sanchez Calvin, M.T., Torrijos, A., Coya, J., and Munuera, L. Relations between calcidiol serum levels and bone mineral density in postmenopausal women with low bone density Calcified Tissue International 1994; 55: 253-6.
  • Referans 10. Turkish Endocrinology And Metabolism Society (TEMD) Osteoporosis and Metabolic Bone Diseases Diagnosis and Treatment Guide-2020
  • Referans 11. Bartl R, Frisch B. Osteoporosis: diagnosis, prevention, therapy: Springer Science & Business Media. 2009; 63-67.
  • Referans 12- Sindel D, Gula G. Assessment of bone mineral density in osteoporosis .Turkish Journal Of Osteoporosis 2015; 21(1): 23-29
  • Referans 13. Akpolat VA. Osteoporoz tanısında kullanılan kemik mineral yoğunluğu ölçüm yöntemleri. Dicle Tıp Dergisi. 2008;35(3).
  • Referans 14.Karadavut K.İ, Başaran A, Çakçı A. Vitamin D supplemantation in osteoporosis. Turkish Journal of Geriatrics. Geriatri 5(3): 115-122, 2002
  • Referans 15. Sindel D. Osteoporozda tanı yöntemleri. Türkiye Klinikleri Fiziksel Tıp ve Rehabilitasyon Dergisi 2002; 2: 1: 17-27.
  • Referans 16. Melton JL, Atkinson EJ, O’Fallon WM et al. Long term fracture prediction by bone mineral assessed at different skeletal sites. J Bone Miner Res 1993; 8:1227-33.
  • Referans 17. Küçükardalı Y, Solmazgül E, Kaplan M, ve ark. Huzurevinde yaşayan yaşlı popülasyonda osteoporoz taraması. Turkish Journal of Geriatrics 2006; 9: 25-9.
  • Referans 18. Erkin G, Akınbingöl M, Gülşen ED ve ark. Osteoporoz ünitemizde kemik mineral yoğunluğu ölçümü yapılmış olan geriatrik olguların özellikleri. Turkish Journal of Geriatrics 2004; 7: 84-8.

Evaluation of Vitamin D Levels in Home Care Patients

Year 2021, Volume: 13 Issue: 3, 530 - 535, 18.10.2021
https://doi.org/10.18521/ktd.880070

Abstract

Objective: Vitamin D deficiency has become an epidemic for all age groups in the world. The aim of this research is to evaluate the vitamin D deficiency in-home care patients and related lifestyle reasons.
Method: This research is done on Home Care patients registered to İstanbul Şişli Hamidiye Etfal Training and Research Hospital between January 2015 – February 2016. After getting the patients’ vitamin D records retrospectively, we have inquired patients if they have regular exposure to sunlight, whether they have a history of fracture or osteoporosis, and other related lifestyles.D vitamin deficiency was grouped as; normal(>30ng/ml), insufficiency(20-30ng/ml), deficiency(lower than 20ng/ml)and the severe deficiency(lower than <10ng/ml). We used the SPSS20.0 program; frequency, chi-square, and T-test were evaluated.
Results: Totally 232 patients were included in this study. There were 160(%69) women and 72 (%31) men. Vitamin D insufficiency was found in 11.2% (n=26), and vitamin D deficiency in 70.3% (n=163). 70.1% (n=96) of 137 patients who answered the questions were female and 29.9% (n=41) were male. 86.1% of them (n=118) did not benefit from sunlight, 63.5% (n=87) had not received vitamin D treatment before. Vitamin D deficiency was detected in 79.3% (n=69) of those who did not receive vitamin D treatment, and a significant relationship was found between them.
Conclusion: In our study, we have found that most homecare patients have low levels of Vitamin D, do not have regular exposure to sunlight, not do exercise regularly. Vitamin D replacement is vital in home-care patients as vitamin D deficiency increases the risk of osteoporosis, falls, and fractures.

References

  • Referans 1. Holick MF. Optimal vitamin D status for the prevention and treatment of osteoporosis. Drugs Aging 2007;24:1017-29.
  • Referans 2. Dawson-Hughes B, Heaney RP, Holick MF, Lips P, Meunier PJ, Vieth R. Estimates of optimal vitamin D status. Osteoporos Int 2005;16:713-6.
  • Referans 3. Wacker M, Holick MF. Vitamin D-Effects on skeletal and extraskeletal health and the need for supplementation. Nutrients 2013;5:111-48.
  • Referans 4. Akpınar P, İçağasıoğlu A. The relation between vitamin D and quality of life. Turkish Journal of Osteoporosis 2012;18:13-8.
  • Referans 5. Bischoff-Ferrari HA. Relevance of vitamin D in muscle health. Rev Endocr Metab Disord 2012;13:71-7.
  • Referans 6. Bischoff-Ferrari HA, Dietrich T, Orav EJ, Hu FB, Zhang Y, Karlson EW, et al. Higher 25-hydroxyvitamin D concentrations are associated with better lower-extremity function in both active and inactive persons aged≥60 y. Am J Clin Nutr 2004;80:752-8.
  • Referans 7. Mosekilde L. Vitamin D and the elderly. Clin Endocrinol (Oxf) 2005;62:265-81.
  • Referans 8. Khaw, K.T., Sneyd, M.J., and Coınpston, J. Bone density pa-rathyroid hormone and 25-hydroxyvitamin D concentrations in middle aged women BMJ 1992; 305: 273-7.
  • Referans 9. Martinez, M.E., del Campo, M.T., Sanchez-Cabezudo, M.J., Garcia, J.A., Sanchez Calvin, M.T., Torrijos, A., Coya, J., and Munuera, L. Relations between calcidiol serum levels and bone mineral density in postmenopausal women with low bone density Calcified Tissue International 1994; 55: 253-6.
  • Referans 10. Turkish Endocrinology And Metabolism Society (TEMD) Osteoporosis and Metabolic Bone Diseases Diagnosis and Treatment Guide-2020
  • Referans 11. Bartl R, Frisch B. Osteoporosis: diagnosis, prevention, therapy: Springer Science & Business Media. 2009; 63-67.
  • Referans 12- Sindel D, Gula G. Assessment of bone mineral density in osteoporosis .Turkish Journal Of Osteoporosis 2015; 21(1): 23-29
  • Referans 13. Akpolat VA. Osteoporoz tanısında kullanılan kemik mineral yoğunluğu ölçüm yöntemleri. Dicle Tıp Dergisi. 2008;35(3).
  • Referans 14.Karadavut K.İ, Başaran A, Çakçı A. Vitamin D supplemantation in osteoporosis. Turkish Journal of Geriatrics. Geriatri 5(3): 115-122, 2002
  • Referans 15. Sindel D. Osteoporozda tanı yöntemleri. Türkiye Klinikleri Fiziksel Tıp ve Rehabilitasyon Dergisi 2002; 2: 1: 17-27.
  • Referans 16. Melton JL, Atkinson EJ, O’Fallon WM et al. Long term fracture prediction by bone mineral assessed at different skeletal sites. J Bone Miner Res 1993; 8:1227-33.
  • Referans 17. Küçükardalı Y, Solmazgül E, Kaplan M, ve ark. Huzurevinde yaşayan yaşlı popülasyonda osteoporoz taraması. Turkish Journal of Geriatrics 2006; 9: 25-9.
  • Referans 18. Erkin G, Akınbingöl M, Gülşen ED ve ark. Osteoporoz ünitemizde kemik mineral yoğunluğu ölçümü yapılmış olan geriatrik olguların özellikleri. Turkish Journal of Geriatrics 2004; 7: 84-8.
There are 18 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Demet Yılmaz 0000-0003-4195-4057

Dilek Toprak 0000-0001-5119-9089

Publication Date October 18, 2021
Acceptance Date June 25, 2021
Published in Issue Year 2021 Volume: 13 Issue: 3

Cite

APA Yılmaz, D., & Toprak, D. (2021). Evaluation of Vitamin D Levels in Home Care Patients. Konuralp Medical Journal, 13(3), 530-535. https://doi.org/10.18521/ktd.880070
AMA Yılmaz D, Toprak D. Evaluation of Vitamin D Levels in Home Care Patients. Konuralp Medical Journal. October 2021;13(3):530-535. doi:10.18521/ktd.880070
Chicago Yılmaz, Demet, and Dilek Toprak. “Evaluation of Vitamin D Levels in Home Care Patients”. Konuralp Medical Journal 13, no. 3 (October 2021): 530-35. https://doi.org/10.18521/ktd.880070.
EndNote Yılmaz D, Toprak D (October 1, 2021) Evaluation of Vitamin D Levels in Home Care Patients. Konuralp Medical Journal 13 3 530–535.
IEEE D. Yılmaz and D. Toprak, “Evaluation of Vitamin D Levels in Home Care Patients”, Konuralp Medical Journal, vol. 13, no. 3, pp. 530–535, 2021, doi: 10.18521/ktd.880070.
ISNAD Yılmaz, Demet - Toprak, Dilek. “Evaluation of Vitamin D Levels in Home Care Patients”. Konuralp Medical Journal 13/3 (October 2021), 530-535. https://doi.org/10.18521/ktd.880070.
JAMA Yılmaz D, Toprak D. Evaluation of Vitamin D Levels in Home Care Patients. Konuralp Medical Journal. 2021;13:530–535.
MLA Yılmaz, Demet and Dilek Toprak. “Evaluation of Vitamin D Levels in Home Care Patients”. Konuralp Medical Journal, vol. 13, no. 3, 2021, pp. 530-5, doi:10.18521/ktd.880070.
Vancouver Yılmaz D, Toprak D. Evaluation of Vitamin D Levels in Home Care Patients. Konuralp Medical Journal. 2021;13(3):530-5.