Prevalence of vitamin D deficiency in patients with spinal cord injury at admission: a single-centred study in the UK.
J Nutr Sci
; 12: e24, 2023.
Article
em En
| MEDLINE
| ID: mdl-36843972
ABSTRACT
Vitamin D deficiency is prevalent in patients with chronic spinal cord injury (SCI) and has been implicated as an aetiologic factor of osteoporosis and various skeletal and extra-skeletal issues in SCI patients. Few data were available regarding vitamin D status in patients with acute SCI or immediately assessed at hospital admission. This retrospective cross-sectional study evaluated vitamin D status in SCI patients at admission to a UK SCI centre in January-December 2017. A total of 196 eligible patients with serum 25(OH)D concentration records at admission were recruited. The results found that 24 % were vitamin D deficient (serum 25(OH)D < 25 nmol/l), 57 % of the patients had serum 25(OH)D < 50 nmol/l. The male patients, patients admitted in the winter-spring time (December-May), and patients with serum sodium < 135 mmol/l or with non-traumatic causes had a significant higher prevalence of vitamin D deficiency than their counterparts (28 % males v. 11â
8 % females, P = 0â
02; 30â
2 % in winter-spring v. 12â
9 % in summer-autumn, P = 0â
007; 32â
1 % non-traumatic v. 17â
6 % traumatic SCI, P = 0â
03; 38â
9 % low serum sodium v. 18â
8 % normal serum sodium, P = 0â
010). There was a significant inverse association of serum 25(OH)D concentration with body mass index (BMI) (r = -0â
311, P = 0â
002), serum total cholesterol (r = -0â
168, P = 0â
04) and creatinine concentrations (r = -0â
162, P = 0â
02) that were also significant predictors of serum 25(OH)D concentration. Strategies for systematic screening and efficacy of vitamin D supplementation in SCI patients need to be implemented and further investigated to prevent the vitamin D deficiency-related chronic complications.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos da Medula Espinal
/
Deficiência de Vitamina D
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
J Nutr Sci
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Reino Unido