Vitamin D profile of patients with spinal cord injury and post-stroke hemiplegia: All in the same boat.
J Back Musculoskelet Rehabil
; 29(2): 205-210, 2016 Apr 27.
Article
en En
| MEDLINE
| ID: mdl-26406185
ABSTRACT
BACKGROUND:
Patients with spinal cord injury (SCI) and hemiplegia are at risk of fractures partly due to decreased bone mineral density with relation to the low levels of vitamin D.OBJECTIVE:
The objective of this study is to evaluate the vitamin D profile of patients with SCI and post-stroke hemiplegia.METHODS:
25(OH)D levels of patients with SCI and hemiplegia were obtained from the electronic medical record database and compared with age- and sex-matched non-disabled controls. Furthermore, the effect of Functional Ambulation Category (FAC), American Spinal Injury Association (ASIA) level and Brunnstrom's recovery stage, on vitamin D insufficiency, was studied.RESULTS:
The study sample consisted of 173 individuals (118 patients and 55 controls). Vitamin D levels and sufficiency rates of the neurologically disabled patients was significantly lower than that of controls (p= 0.000 and p= 0.000, respectively). However, there was no difference between patients with SCI and hemiplegia regarding the 25(OH)D levels and vitamin D insufficiency (p= 0.303 and p= 0.952, respectively). There were no statistically significant differences in vitamin D status by American Spinal Injury Association (ASIA) level and Brunnstrom's score. However, regression analysis revealed that vitamin D insufficiency rate of non-functionally ambulatory (FAC = 0-2) patients was higher than that of functionally ambulatory (FAC = 3-5) ones (p= 0.044).CONCLUSIONS:
Vitamin D status of patients with neurological disabilities was lower than that of controls. Non-functionally ambulatory patients had higher vitamin D insufficiency rate than functionally ambulatory patients. Preventative measures including adequate supplementation of vitamin D should be directed to neurologically disabled subjects, particularly those with non-functional ambulation.Palabras clave
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Traumatismos de la Médula Espinal
/
Vitamina D
/
Deficiencia de Vitamina D
/
Accidente Cerebrovascular
/
Hemiplejía
Tipo de estudio:
Etiology_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Back Musculoskelet Rehabil
Asunto de la revista:
FISIOLOGIA
/
REABILITACAO
Año:
2016
Tipo del documento:
Article
País de afiliación:
Turquía