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Evaluation of the Relationship Between Vitamin D Levels and Anxiety and Depression in Patients with Chronic Pain 慢性疼痛患者维生素D水平与焦虑、抑郁关系的评价
IF 0.1 Q4 Medicine Pub Date : 2021-08-01 DOI: 10.4274/tod.galenos.2020.47855
Senem Şaş, Fatmanur Aybala Koçak, B. Büyükturan, Ö. Büyükturan
Objective: This study aimed to determine the relationship between vitamin D levels and anxiety and depression in patients with chronic pain. Materials and Methods: A total of 160 patients, including 125 female and 35 male patients, who were >18 years old and capable of answering study questions were included in this study. Age, gender, height, weight, duration of disease, diagnosis and comorbid status of the patients were recorded. Body mass index (BMI) (kg/m 2 ) was calculated for each patient. Pain was evaluated using the visual analogue scale (VAS), which ranges from 0 to 10. Hospital anxiety and depression scale (HADS) scores were recorded. The patients were divided into two groups (group 1 vitamin D: 0-19, group 2 vitamin D: 20-60 ng/mL) according to vitamin D levels. Also vitamin D levels were noted. Results: The mean age of the patients included in this study was 58.72±8.21 years. Vitamin D deficiency was found in 42.8% of the patients, of which 80.7% were female patients.In patients with chronic pain, there was no correlation between vitamin D levels and age (r=0.185, p=0.026); BMI (r=0.084, p=0.316); disease duration (r=0.067, p=0.420); VAS (r=0.038, p=0.648); HADS scores for anxiety (r=0.020, p=0.808) and HADS scores for depression (r=0.048, p=0.569). No relationship was noted between BMI and vitamin D levels (r =-0.117, p=0.165) in patients with chronic pain; however, a positive correlation was noted between BMI and VAS (r=0.305, p=0.000) and HADS scores for anxiety (r=0.185, p=0.001) and HADS scores for depression (r=0.0240, p=0.002). Abstract Conclusion: In the present study, we found no relationship between vitamin D levels and anxiety and depression in patients with chronic pain. However, we found a correlation between obesity and pain severity. Also we report that obesity is associated with anxiety and depression. Implementing lifestyle changes, such as weight loss and reduction of vitamin D deficiency, can improve anxiety and depression in patients with chronic pain.
目的:研究慢性疼痛患者维生素D水平与焦虑、抑郁的关系。材料与方法:本研究共纳入160例患者,其中女性125例,男性35例,年龄>18岁,能够回答研究问题。记录患者的年龄、性别、身高、体重、病程、诊断及合并症情况。计算每位患者的身体质量指数(BMI) (kg/ m2)。采用视觉模拟评分(VAS)对疼痛进行评分,评分范围从0到10。记录医院焦虑抑郁量表(HADS)评分。根据维生素D水平将患者分为两组(1组维生素D: 0 ~ 19 ng/mL, 2组维生素D: 20 ~ 60 ng/mL)。同时也记录了维生素D水平。结果:本组患者平均年龄58.72±8.21岁。42.8%的患者存在维生素D缺乏症,其中80.7%为女性。在慢性疼痛患者中,维生素D水平与年龄无相关性(r=0.185, p=0.026);BMI (r=0.084, p=0.316);病程(r=0.067, p=0.420);VAS (r=0.038, p=0.648);焦虑总分(r=0.020, p=0.808)和抑郁总分(r=0.048, p=0.569)。慢性疼痛患者的BMI与维生素D水平无相关性(r =-0.117, p=0.165);然而,BMI和VAS评分(r=0.305, p=0.000)与HADS焦虑评分(r=0.185, p=0.001)和HADS抑郁评分(r=0.0240, p=0.002)呈正相关。结论:在本研究中,我们发现维生素D水平与慢性疼痛患者的焦虑和抑郁之间没有关系。然而,我们发现肥胖和疼痛严重程度之间存在相关性。我们还报道肥胖与焦虑和抑郁有关。改变生活方式,如减肥和减少维生素D缺乏症,可以改善慢性疼痛患者的焦虑和抑郁。
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引用次数: 0
Did Wearing Mask and Lockdowns Affect Vitamin D Levels During the Coronavirus Disease-2019 Pandemic? 冠状病毒-2019大流行期间戴口罩和封锁会影响维生素D水平吗?
IF 0.1 Q4 Medicine Pub Date : 2021-08-01 DOI: 10.4274/tod.galenos.2021.09815
S. Satış, A. Yetişgin
Objective: To investigate the effects of wearing mask and lockdowns during the coronavirus disease-2019 (COVID-19) pandemic on the vitamin D levels in females. Materials and Methods: This retrospective study included female adults aged 18-64 years who underwent vitamin D evaluation at our hospital in April and May from 2017 to 2020. Vitamin D levels were categorized as follows: 30 ng/mL (normal). Results: A total of 835 (90.8%) out of 920 females had vitamin D deficiency, and among them 463 (50.3%) had vitamin D severe deficiency. In April and May of 2020 (during the national lockdown period), 74 (89.2%) out of 83 subjects had vitamin D deficiency. Vitamin D levels were found to be higher in 2017 than the other years (p 0.05). Conclusion: Our findings indicate that there is a serious and urgent public health problem regarding with vitamin D deficiency (>90%) in our population;and about 50% of them had severe deficiency. This problem was not different during the lockdown period compared with the previous two years. (English) [ABSTRACT FROM AUTHOR] Amac: Koronavirus hastaligi-2019 (COVID-19) pandemisi sirasinda maske takmanin ve sokaga cikma yasaginin kadinlarda D vitamini duzeyleri uzerindeki etkilerini arastirmaktir. Gerec ve Yontem: Bu retrospektif calismaya 2017-2020 yillari arasinda Nisan ve Mayis aylarinda hastanemizde D vitamini degerlendirmesi yapilan 18-64 yas arasi eriskin kadinlar dahil edildi. D vitamini duzeyleri su sekilde kategorize edildi: 30 ng/mL (normal). Bulgular: Dokuz yuz yirmi kadindan toplam 835'inde (%90,8) D vitamini eksikligi, 463'unde (%50,3) ciddi D vitamini eksikligi vardi. 2020 yilinin Nisan ve Mayis aylarinda (ulusal karantina doneminde), 83 kisiden 74'unde (%89,2) D vitamini eksikligi vardi. 2017 yilinda D vitamini duzeyleri diger yillara gore daha yuksek bulundu (p 0,05). Sonuc: Bulgularimiz toplumumuzda D vitamini eksikligi (>%90) ile ilgili ciddi ve acil bir halk sagligi sorunu oldugunu gostermektedir;ve yaklasik %50'sinde ciddi eksiklik vardir. Bu sorun, karantina doneminde onceki iki yila kiyasla farkli degildir. (Turkish) [ABSTRACT FROM AUTHOR] Copyright of Turkish Journal of Osteoporosis / Turk Osteoporoz Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
目的:探讨冠状病毒病(COVID-19)大流行期间戴口罩和封锁对女性维生素D水平的影响。材料与方法:本回顾性研究纳入2017 - 2020年4 - 5月在我院进行维生素D评估的18-64岁女性成年人。维生素D水平分类如下:30纳克/毫升(正常)。结果:920名女性中有835人(90.8%)存在维生素D缺乏症,其中重度维生素D缺乏症463人(50.3%)。在2020年4月和5月(全国封锁期间),83名受试者中有74人(89.2%)缺乏维生素D。2017年的维生素D水平高于其他年份(p < 0.05)。结论:我们的研究结果表明,在我国人口中,维生素D缺乏症是一个严重而紧迫的公共卫生问题(约90%),其中约50%的人严重缺乏维生素D。这一问题在封锁期间与前两年没有什么不同。摘要/ ABSTRACT摘要/作者简介:2019冠状病毒(COVID-19)大流行的sirasinda口罩takmanin ve sokaga cikma yasaginin kadinlarda D维生素duzeyleri uzerindeki etkilerini arasirmaktir。研究项目:回顾性分析2017-2020年枸杞枸杞中维生素D的含量,分析枸杞枸杞中维生素D的含量,分析枸杞枸杞中维生素D的含量。维生素D: 30 ng/mL(正常)。品种:Dokuz yuz yirmi kadindan toplam 835' index (%90,8) D vitamini eksikligi, 463' index (%50,3) ciddi D vitamini eksikligi vardi。2020年1月1日,1年1月1日,1年2月1日,1年3月1日,1年3月1日,1年3月1日,1年3月1日。2017 yilinda D维生素duzeyleri, diger, yillara, yillara, yillara, yillard . [p];[关键词]bulgulariziz - plumumuzda D vitaminiekkkligi (b> %90), ilgili - cidive, halk sagligi sorunu, oldugunu gostermektedir, yyaklasik %50' in cididekklik vardir。但是,卡兰蒂娜doneminde onceki iki yila kiyasla farkli degildir。[摘要]土耳其骨质疏松症杂志版权所有/ Turk骨质疏松症Dergisi是Galenos Yayinevi Tic的财产。有限公司未经版权所有者的明确书面许可,STI及其内容不得复制或通过电子邮件发送到多个网站或发布到listserv。但是,用户可以打印、下载或通过电子邮件发送文章供个人使用。这篇摘要可以删节。对副本的准确性不作任何保证。用户应参考资料的原始出版版本以获取完整摘要。(版权适用于所有摘要。)
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引用次数: 1
Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia 绝经后骨质疏松和骨质减少妇女的运动恐惧症及其相关因素
IF 0.1 Q4 Medicine Pub Date : 2021-08-01 DOI: 10.4274/tod.galenos.2020.85688
Salim Mısırcı, Y. Akyol, Y. Ulus, A. Cengiz, A. Bilgici
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引用次数: 0
Role of FRAX in the Evaluation of Osteoporosis in Patients with Chronic Obstructive Pulmonary Disease FRAX在慢性阻塞性肺疾病患者骨质疏松评估中的作用
IF 0.1 Q4 Medicine Pub Date : 2021-04-09 DOI: 10.4274/tod.galenos.2021.60590
O. Yazıcı, Şenay Demir Yazıcı
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引用次数: 0
Fractures in Children with Spina Bifida 脊柱裂儿童骨折
IF 0.1 Q4 Medicine Pub Date : 2020-12-01 DOI: 10.4274/tod.galenos.2020.49379
A. H. Akgülle, F. Yücel, Evrim Karadağ Saygı
Objective: The aim of this study is to investigate the frequency of fractures and related factors in children with spina bifida who were followed up in our hospital. Materials and Methods: By retrospectively examination of the medical records of 450 patients with spina bifida, who were followed up by our clinic between 2000 and 2018, the patients were evaluated in terms of factors such as frequency of fracture, age of the first fracture, lesion level, ambulation capacity, physical therapy initiation age, fracture site and mechanism. Results: In the 450 patients examined, the fracture rate was 5.7%. While there was a relationship between low ambulatory capacity and high-level lesions and fracture risk, the early initiation of physical therapy did not protect against fracture. Conclusion: According to these data, fractures are more common in patients with spina bifida. It was concluded that the quality of mobilisation, not the duration, was the more important risk factor for fracture.
目的:探讨在我院随访的脊柱裂患儿骨折发生率及相关因素。材料与方法:回顾性分析我院2000年至2018年随访的450例脊柱裂患者的病历资料,从骨折发生频率、首次骨折年龄、病变程度、行走能力、物理治疗起始年龄、骨折部位及机制等方面对患者进行评价。结果:450例患者骨折率为5.7%。虽然低活动能力与高水平病变和骨折风险之间存在关系,但早期开始物理治疗并不能预防骨折。结论:根据这些资料,骨折在脊柱裂患者中更为常见。结论是,活动的质量,而不是持续时间,是骨折更重要的危险因素。
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引用次数: 0
Changes in Vitamin D Levels According to Age, Gender and Season in the Siirt Province 锡尔特省维生素D水平随年龄、性别和季节的变化
IF 0.1 Q4 Medicine Pub Date : 2020-12-01 DOI: 10.4274/tod.galenos.2020.37233
N. Alayunt, Osman Özüdoğru
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引用次数: 1
Morphology of Proximal Cortical Epiphysis Bone of Ovariectomized Rattus Norvegicus 去卵巢褐家鼠近端皮质骨骺的形态学研究
IF 0.1 Q4 Medicine Pub Date : 2020-12-01 DOI: 10.4274/tod.galenos.2020.36002
N. N. Mulyaningsih, A. Juwono, D. Soejoko, D. Astuti
Amaç: Osteoporoz tüm yaşlardaki kadın ve erkek bireyleri etkileyebilir. Bu çalışmanın amacı ovariektomi (OVX) proksimal kortikal epifiz kemiğinin morfolojisini, ovariektomize edilmiş sıçan modellerinde taramalı elektron mikroskobu (SEM) ve transmisyon elektron mikroskobu (TEM) kullanarak analiz etmektir. Gereç ve Yöntem: Analiz edilen kemikler ovariektomize Rattus norvegicus dişi sıçanlardan alınan kortikal femur kemikleriydi. OVX’in beşinci, yedinci ve dokuzuncu haftada devam etmesinden bu yana üçüncü haftadan itibaren karakterizasyon yapıldı. Analiz, TEM yapısından elde edilen kemik çukurunun ve nanoyapı seviyesinin şeklini ve yoğunluğunu analiz etmek için SEM görüntülerinden elde edilen 100 μm büyütmeli mikroyapı seviyesi olan iki yapı seviyesine odaklanıyordu TEM görüntülerinden elde edilen 50 nm’lik bir büyütme ile nanoyapı seviyesinin analiz edilmesi kemik analizi apatit kristalleri. Bulgular: Mikroyapı düzeyinde, OVX’ten bu yana 9 haftalık sıçanlarda ortaya çıkan boşluğun kontrol grubuna (OVX olmayan) kıyasla %68,9 arttığı tespit edildi. Nanoyapı düzeyinde, plaka, tablet ve örtüşen apatit kristallerinin hem OVX olmayan hem de OVX sıçanlarında mevcut olduğu anlaşılmaktadır. Bununla birlikte, ovariektomize edilmiş sıçanlar grubunda, apatit kristallerinin tablet boyutunun düşme eğilimi vardı. Sonuç: Rattus norvegicus beyaz sıçanlarının dişileri OVX’ten bu yana 9. haftada morfolojiye ve oyukların yüzdesine dayanan osteoporoz koşulları göstermiştir. OVX ayrıca apatit kristallerinin boyutunu da düşürdü. Anahtar kelimeler: Osteoporoz, overiektomi, kemik morfolojisi, kemik boşluğu, kemik apatit kristalleri Morphology of Proximal Cortical Epiphysis Bone of Ovariectomized Rattus Norvegicus
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引用次数: 1
Osteosarcopenia: Clinical Perspective 骨骼肌减少症:临床观点
IF 0.1 Q4 Medicine Pub Date : 2020-08-28 DOI: 10.4274/tod.galenos.2020.65477
Y. Kutsal, O. Özdemir, M. Sarıdoğan, Z. Günendi, A. Küçükdeveci, Y. Kirazlı, J. Meray
Osteosarcopenia is a geriatric syndrome characterised by the co-existence of osteoporosis and sarcopenia, two chronic musculoskeletal conditions associated with ageing. This syndrome may lead to falls and fractures, increased morbidity, mortality and disability, and reduced quality of life. The etiopathogenesis of osteosarcopenia is multifactorial; mechanical, biochemical, genetic and lifestyle factors all play important roles. Its prevalence has been reported between 5% and 37%. The varied prevalence is likely due to the heterogeneous populations or non-unified diagnostic criteria for this syndrome. Osteosarcopenia can be diagnosed by detailed clinical assessment (e.g. screening and risk calculation tools, grip strength, physical performance tests), laboratory tests and imaging methods. Dual-energy X-ray absorptiometry is the most common method used in measuring bone mineral density for the diagnosis of osteoporosis. The imaging techniques used to detect loss of skeletal muscle mass in sarcopenia are dual-energy X-ray absorptiometry, computed tomography, ultrasonography and magnetic resonance imaging. Treatment options for osteosarcopenia include exercise, nutritional supplements (protein, vitamin D, calcium and creatine), life style modifications and pharmacological therapy. With increasing understanding of the underlying mechanisms of osteosarcopenia, the development of therapeutic agents targeting both muscle and bone has become a new area of investigation. This review summarises the epidemiology, pathophysiology, diagnosis and treatment of osteosarcopenia in the light of the relevant literature.
骨骼肌减少症是一种以骨质疏松症和骨骼肌减少症共存为特征的老年综合征,这是两种与衰老相关的慢性肌肉骨骼疾病。这种综合征可能导致跌倒和骨折,增加发病率、死亡率和残疾,并降低生活质量。骨骼肌减少症的发病机制是多因素的;机械、生化、遗传和生活方式因素都起着重要作用。据报道,其患病率在5%至37%之间。不同的患病率可能是由于不同的人群或不统一的诊断标准,该综合征。骨骼肌减少症可通过详细的临床评估(如筛查和风险计算工具、握力、体能测试)、实验室测试和成像方法进行诊断。双能x线骨密度测量是诊断骨质疏松症最常用的方法。用于检测骨骼肌减少症骨骼肌质量损失的成像技术有双能x线吸收仪、计算机断层扫描、超声检查和磁共振成像。骨骼肌减少症的治疗方案包括运动、营养补充(蛋白质、维生素D、钙和肌酸)、改变生活方式和药物治疗。随着人们对骨骼肌减少症发病机制的认识不断加深,针对肌肉和骨骼的治疗药物的开发已成为一个新的研究领域。本文结合相关文献对骨骼肌减少症的流行病学、病理生理、诊断和治疗进行综述。
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引用次数: 0
Factors Affecting Bone Mineral Density in Male Patients with Primary Progressive Multiple Sclerosis 影响男性原发性进行性多发性硬化患者骨密度的因素
IF 0.1 Q4 Medicine Pub Date : 2020-08-28 DOI: 10.4274/tod.galenos.2020.98700
Aslı Çalışkan Arıcan, Y. Kutsal, N. P. Acar, F. Akbıyık, S. Karahan, R. Karabudak
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引用次数: 0
Sacral Stress Fracture in Pregnancy: Case Report and Review of Literature 妊娠期骶骨应力性骨折病例报告及文献回顾
IF 0.1 Q4 Medicine Pub Date : 2020-08-28 DOI: 10.4274/tod.galenos.2020.05657
H. Sucuoğlu, A. Aktürk
Sacral stress fractures (SSF) are one of the rare causes of lumbar and hip pain during pregnancy. The purpose of this report is to present a case of SSF diagnosed in the second trimester of pregnancy along with its diagnosis and treatment as wells as the type of birth. A 27-year-old primigravid patient presented with lumbar and hip pain at 25 weeks of gestation. Magnetic resonance imaging revealed SSF. The patient was followed up with conservative treatment. She gave birth by caesarean section at 38 weeks of gestation. Bone mineral density analysis revealed pregnancy-related osteoporosis in the postpartum period. Two months later, the patient’s symptoms were completely resolved. SSF should be considered in the differential diagnosis of lumbar and hip pain during pregnancy, and it should be kept in mind that these fractures may also occur in the prepartum period. Pregnancy-related osteoporosis is a risk factor for SSF. Caesarean section can be recommended as the type of birth in the women with SSF while considering the possible displacement risk for the fracture. to the best of our knowledge, only three cases are reported during the prepartum period (1,4,8). SSF diagnosis can be delayed due to its rarity and unknown etiology and is included in the differential diagnosis of lumbar and hip pain in pregnant women. It is diagnosed via a vertical fracture line in the sacrum and edema in the surrounding bone as revealed by magnetic resonance imaging (MRI) (4,9). Difficulties may be experienced in prepartum SSF treatment due to pregnancy; the question of which type of birth should be performed in these patients remains controversial (1,4). Herein, we present a case of prepartum SSF and discuss these patients with their treatment and type of birth. Abstract
骶骨应力性骨折(SSF)是妊娠期间腰椎和髋关节疼痛的罕见原因之一。本报告的目的是介绍一个在妊娠中期诊断的SSF病例,以及其诊断和治疗以及出生类型。一个27岁的原偏头痛患者在妊娠25周时出现腰和髋部疼痛。磁共振成像显示SSF。患者接受保守治疗。她在怀孕38周时通过剖腹产生下了孩子。骨密度分析显示妊娠相关骨质疏松症在产后。两个月后,患者的症状完全消失。妊娠期腰髋部疼痛的鉴别诊断应考虑SSF,并应记住,这些骨折也可能发生在妊娠前期。妊娠相关性骨质疏松症是SSF的危险因素。考虑到骨折可能发生移位的风险,可以推荐剖宫产作为SSF的分娩方式。据我们所知,在准备期间仅报告了3例(1、4、8)。由于其罕见和病因不明,SSF的诊断可能会延迟,并被纳入孕妇腰髋部疼痛的鉴别诊断。通过骶骨垂直骨折线和周围骨水肿进行诊断,磁共振成像(MRI)显示(4,9)。由于怀孕,SSF的治疗可能会遇到困难;在这些患者中应该进行哪种分娩的问题仍然存在争议(1,4)。在此,我们提出了一个病例的准备SSF和讨论这些患者与他们的治疗和出生类型。摘要
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引用次数: 0
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Turk Osteoporoz Dergisi-Turkish Journal of Osteoporosis
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