Assessment of Vitamin D Levels in Patients Presenting With Chronic Low Back Pain at a Tertiary Care Hospital.

Cureus Pub Date : 2020-12-03 DOI:10.7759/cureus.11867
Mukesh Kumar, Masroor Ahmed, Ghulam Hussain, Muhammad Bux, Naveed Ahmed, Sunil Kumar
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Abstract

Objective To evaluate the association of chronic low back pain with levels of vitamin D in the affected population. Methodology This observational study was carried out from August 2016 to August 2019 at Khairpur Medical College and Shaheed Mohatarma Benazir Bhutto Medical College, Karachi, Pakistan. Patients aged 18 years and above suffering from chronic low back pain with pain persisting for more than 12 weeks were the study participants after written consent and prior approval from the ethical review committee was obtained for conducting the study. Data was recorded on predesigned performa and analyzed on SPSS Version 20 (IBM Corp.). Results There were 1,152 cases with chronic lower back pain, of whom 632 (54.9%) were females and 520 (45.1%) were males. The mean age of the patients was 41.76 ± 11.18 years. The mean visual analog scale (VAS) level was 5.36 ± 1.65; 707 cases (61.4%) had moderate pain according to VAS, 292 (25.3%) had severe pain, and 153 (13.3%) had mild pain. Concerning vitamin D levels, the mean levels were 22.74 ± 13.80, with 599 (52%) of the patients having deficient levels of vitamin D, 347 (30.1%) having insufficient levels, and only 204 (17.7%) of the cases having normal vitamin D levels. Conclusions Lower back pain is one of the common presenting problems in orthopedic clinics. We found no relationship between chronic lower back pain and vitamin D levels in our study.

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三级医院慢性腰痛患者维生素D水平评估
目的探讨慢性腰痛与人群维生素D水平的关系。本观察性研究于2016年8月至2019年8月在巴基斯坦卡拉奇的凯布尔医学院和沙希德·莫哈塔玛·贝娜齐尔·布托医学院进行。18岁及以上的慢性腰痛患者,疼痛持续12周以上,经书面同意并事先获得伦理审查委员会批准进行研究,成为研究的参与者。数据记录在预先设计的性能和分析SPSS Version 20 (IBM Corp.)。结果慢性腰痛患者1152例,其中女性632例(54.9%),男性520例(45.1%)。患者平均年龄41.76±11.18岁。平均视觉模拟评分(VAS)水平为5.36±1.65;根据VAS评分,中度疼痛707例(61.4%),重度疼痛292例(25.3%),轻度疼痛153例(13.3%)。维生素D水平平均值为22.74±13.80,其中维生素D缺乏599例(52%),维生素D不足347例(30.1%),正常204例(17.7%)。结论腰痛是骨科临床常见的主诉之一。在我们的研究中,我们没有发现慢性腰痛和维生素D水平之间的关系。
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