학술논문

The association of combined vitamin C and D deficiency with bone mineral density and vertebral fracture.
Document Type
Article
Source
Journal of Orthopaedic Surgery & Research. 8/2/2024, Vol. 19 Issue 1, p1-8. 8p.
Subject
*VITAMIN D deficiency
*RISK assessment
*BONE density
*RESEARCH funding
*LOGISTIC regression analysis
*VERTEBRAL fractures
*POSTMENOPAUSE
*DESCRIPTIVE statistics
*BONE fractures
*ORTHOPEDIC surgery
*CALCIUM
*DISEASES
*LUMBAR vertebrae
*VITAMIN C deficiency
*OSTEOPOROSIS
*DISEASE risk factors
Language
ISSN
1749-799X
Abstract
Purpose: Both vitamin C and D deficiencies are extremely common in clinical practice, especially in elderly population. Unfortunately, the role of vitamin C deficiency in osteoporosis related consequences is often neglected. The aim of the present study is to analyse if combined vitamin C and D deficiency would have an association with bone mineral density (BMD) and osteoporotic vertebral fracture (OVF). Methods: Ninety-nine post-menopausal female patients admitted in the department of spine surgery of third affiliated hospital of Sun Yat-sen University were enrolled in the study. The participants were divided into four groups; vitamin D deficiency alone (comparator group), vitamin C deficiency alone and combined vitamin C and D deficiency as experimental group. The levels of vitamin C, vitamin D, calcium, phosphorous, BMD and condition of OVF were analysed. Results: There were statistically significant differences between the groups in terms of vitamin C and D levels. In terms of lumbar BMD, significant differences were observed between vitamin D deficiency alone and combined vitamin C and D deficiency. Only the combined vitamin C and D deficiency had a significant negative association with lumbar BMD and T-score. Similarly, combined vitamin C and D deficiency had a significant positive association with lumbar osteoporosis. None of the groups had any significant association with OVF. Combined vitamin C and D deficiency was found to be significantly associated with lower lumbar BMD and osteoporosis. Conclusion: Combined vitamin C and D deficiency results in lower bone mineral density and higher risk of osteoporosis. We believe that existence of deficiencies of both vitamins could have a synergistic effect. Therefore, we recommend that vitamin C and D should be routinely measured in clinical practice. [ABSTRACT FROM AUTHOR]