Vitamin D deficiency, functional status, and balance in older adults with osteoarthritis

被引:0
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作者
Cláudia N Montemor [1 ]
Marcos Tadeu P Fernandes [2 ]
Audrey S Marquez [3 ]
Regina Célia Poli-Frederico [4 ]
Rubens Alexandre da Silva [1 ,5 ,6 ]
Karen B P Fernandes [1 ,5 ]
机构
[1] Laboratory of Rehabilitation Research,Doctoral Program of Rehabilitation Sciences,University Pitágoras Unopar (UNOPAR)  2. Department of Anesthesiology, Irmandade da Santa Casa de Londrina 
[2] Département des Sciences de la Santé, Centre intersectoriel en santé durable, Laboratoire de recherche Bio NR, Université du Québec à Chicoutimi (UQAC)
[3] Centre intégré de santé et services sociaux du Saguenay-Lac-Saint-Jean (CIUSSS SLSJ), H?pital de La Baie-Services gériatriques spécialisés
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中图分类号
R684.3 [关节炎];
学科分类号
1002 ; 100210 ;
摘要
BACKGROUND Low vitamin D levels are associated with a more severe case of knee osteoarthritis(OA). However, there are few published reports concerning an association between vitamin D deficiency and functional status of individuals with OA and no reports about postural balance in this population.AIM To analyze the relationship between vitamin D deficiency and severity, functional status, and balance in elderly patients with OA.METHODS In this cross-sectional study, 105 elderly patients with hip and knee OA were included. The severity was assessed by the Kellgren-Lawrence criteria. The functional status was assessed with the Lequesne index. Postural balance was assessed using a force platform, and center-of-pressure parameters(velocity at anteroposterior and mediolateral axis) were used as the balance outcomes. Serum 25(OH) vitamin D levels were measured using a chemiluminescence method.RESULTS Most of the patients(mean age: 70.6 ± 6.5 years) were female(n = 78, 74.3%). In the group with vitamin D deficiency, 43 patients(56.6%) had severe OA, while 33 patients(43.4%) had mild or moderate OA(χ~2 test, P = 0.04). Patients with vitamin D deficiency showed a higher Lequesne index score(Mann-Whitney test, P = 0.04), indicating a worse functional impairment when compared to individuals with normal vitamin D levels. Additionally, patients with vitamin D deficiency had worse postural balance according to the Mann-Whitney test(P = 0.03).CONCLUSION Vitamin D deficiency is associated with worse severity, functional status, and postural balance in patients with OA.
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页码:9491 / 9499
页数:9
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