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Vitamin D deficiency, functional status, and balance in older adults with osteoarthritis

Montemor Cláudia N, Fernandes Marcos Tadeu P, Marquez Audrey S, Poli-Frederico Regina Célia, da Silva Rubens Alexandre et Fernandes Karen B P. (2021). Vitamin D deficiency, functional status, and balance in older adults with osteoarthritis. World Journal of Clinical Cases, 9, (31), p. 9491-9499.

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URL officielle: https://doi.org/10.12998/wjcc.v9.i31.9491

Résumé

ACKGROUND Low vitamin D levels are associated with a more severe case of knee osteoarthritis (OA). However, there are few published reports concerning an association between vitamin D deficiency and functional status of individuals with OA and no reports about postural balance in this population.

AIM To analyze the relationship between vitamin D deficiency and severity, functional status, and balance in elderly patients with OA.

METHODS In this cross-sectional study, 105 elderly patients with hip and knee OA were included. The severity was assessed by the Kellgren-Lawrence criteria. The functional status was assessed with the Lequesne index. Postural balance was assessed using a force platform, and center-of-pressure parameters (velocity at anteroposterior and mediolateral axis) were used as the balance outcomes. Serum 25(OH) vitamin D levels were measured using a chemiluminescence method.

RESULTS Most of the patients (mean age: 70.6 ± 6.5 years) were female (n = 78, 74.3%). In the group with vitamin D deficiency, 43 patients (56.6%) had severe OA, while 33 patients (43.4%) had mild or moderate OA (χ2 test, P = 0.04). Patients with vitamin D deficiency showed a higher Lequesne index score (Mann-Whitney test, P = 0.04), indicating a worse functional impairment when compared to individuals with normal vitamin D levels. Additionally, patients with vitamin D deficiency had worse postural balance according to the Mann-Whitney test (P = 0.03).

CONCLUSION Vitamin D deficiency is associated with worse severity, functional status, and postural balance in patients with OA.

Type de document:Article publié dans une revue avec comité d'évaluation
ISSN:2307-8960
Volume:9
Numéro:31
Pages:p. 9491-9499
Version évaluée par les pairs:Oui
Date:2021
Identifiant unique:10.12998/wjcc.v9.i31.9491
Sujets:Sciences de la santé
Sciences de la santé > Sciences de l'activité physique et réadaptation
Sciences de la santé > Sciences de l'activité physique et réadaptation > Physiothérapie
Sciences de la santé > Sciences médicales
Sciences de la santé > Sciences médicales > Gériatrie-gérontologie
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Unité d'enseignement en physiothérapie
Mots-clés:balance; disability, elderly, osteoarthritis, severity, vitamin D, équilibre, handicap, personnes âgées, arthrose, gravité, vitamine D.
Déposé le:26 nov. 2022 19:43
Dernière modification:26 nov. 2022 19:43
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