Prevalence of vitamin D inadequacy in Belfast following fragility fracture

Beringer, T. R. O.; Heyburn, G.; Finch, M B; McNally, Colette; McQuilken, Margaret; Duncan, Marion T.; Dixon, Tracy

doi:10.1185/030079906x80332

Cited by 29 publications

(35 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A review of serum vitamin D levels in the fracture population reveals that 62%-91% of hip fracture patients had unequivocal vitamin D insufficiency, with serum levels less than 50 nmol/L. 25,[35][36][37][38][39] In patients with any fragility fracture, the mean serum vitamin D level ranged from 42.5 to 63 nmol/L. 16,18,24,35,36 The higher mean serum 25-hydroxyvitamin D levels observed in our study may be due to 15% (46 of 308) of these patients having been diagnosed and treated for osteoporosis before their index fracture and some patients having vitamin D and calcium supplementation initiated before their assessment at the MBDC.…”

Section: Discussionmentioning

confidence: 99%

Secondary Causes of Osteoporosis in Fracture Patients

Bogoch

Elliot-Gibson

Wang³

et al. 2012

Journal of Orthopaedic Trauma

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Secondary Causes of Osteoporosis in Fracture Patients

Bogoch

Elliot-Gibson

Wang³

et al. 2012

Journal of Orthopaedic Trauma

View full text Add to dashboard Cite

show abstract

“…The data from Belfast 13 In the Medway audit, patients receiving supplementation had significantly higher mean 25-hydroxyvitamin D levels than those not receiving supplementation ( p < 0.0001). The Belfast group showed a similar trend, although this did not reach significance.…”

Section: Supplementationmentioning

confidence: 90%

An overview of the prevalence of 25‐hydroxy-vitamin D inadequacy amongst elderly patients with or without fragility fracture in the United Kingdom

Dixon¹,

Mitchell

Beringer

et al. 2006

Current Medical Research and Opinion

Self Cite

View full text Add to dashboard Cite

Inadequate 25-hydroxy-vitamin D levels are extremely common in the elderly and particularly so in patients with fragility fracture - specifically in those with hip fracture. Although the differing audit specifications and assay techniques used make direct comparisons difficult, the data do provide a snapshot of 25-hydroxy-vitamin D status across the UK and are consistent with those previously observed elsewhere in Europe and the rest of the world.

show abstract

“…Elderly people are at greater risk of vitamin D deficiency because of risk factors such as (1) suboptimal sunlight exposure and lower cutaneous synthesis of vitamin D, (2) reduced dietary intake of D 2 (ergocalciferol) and D 3 (cholecalciferol), (3) impaired intestinal absorption, and (4) impaired hydroxylation in the liver and kidneys 1 Vitamin D deficiency is common in elderly patients in Western countries, especially in the early spring due to reduced cutaneous synthesis during winter months, 5,6 in housebound individuals, 7 and in medical inpatients. 8 The prevalence of vitamin D deficiency is even higher in elderly patients with fragility fractures (varying from 55% to 91.6% 6,[9][10][11][12] ).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Vitamin D Deficiency in Patients With Hip Fracture Seen in an Orthogeriatric Service in Sunny Singapore

Ramason

Selvaganapathi

Ismail

et al. 2014

Geriatr Orthop Surg Rehabil

View full text Add to dashboard Cite

Background: Vitamin D deficiency is common in older adults in Western countries with seasonal winters, when the amount of sunlight is much reduced. There is a paucity of data on the prevalence of vitamin D deficiency in patients with hip fracture in countries such as Singapore where the climate is predominantly tropical. Objectives: In this study, our aims were to ascertain the prevalence of vitamin D deficiency and risk factors associated with vitamin D deficiency in hospitalized elderly patients with hip fracture in Singapore. Methods: We prospectively studied 485 patients with hip fracture admitted to the orthopedic department over a 1-year period. Nonfragility fractures and younger patients (patients <60 years and those with high-impact injuries) were excluded. Data on patient demographics, comorbidities, functional status, and serum 25-hydroxyvitamin D 3 levels were collected. Vitamin D deficiency was defined using Holick classification. Results: Vitamin D levels were available for 412 patients. Vitamin D deficiency was present in 57.5% (n ¼ 237). Prevalence of vitamin D insufficiency was 34.5%, with only 8% of patients having normal vitamin D levels. Univariate analyses showed Malay race and functional factors (being housebound, requiring bathing and dressing assistance) to be associated with vitamin D deficiency. However, only ethnicity and housebound patients were significant in the multivariate model. Conclusions: Vitamin D deficiency and insufficiency are common in patients with hip fracture in Singapore. Vitamin D deficiency was associated with being housebound and those of Malay ethnicity. Clothing habits resulting in reduced sunlight exposure may increase the risk of vitamin D deficiency.

show abstract

Prevalence of vitamin D inadequacy in Belfast following fragility fracture

Cited by 29 publications

References 14 publications

Secondary Causes of Osteoporosis in Fracture Patients

Secondary Causes of Osteoporosis in Fracture Patients

An overview of the prevalence of 25‐hydroxy-vitamin D inadequacy amongst elderly patients with or without fragility fracture in the United Kingdom

Prevalence of Vitamin D Deficiency in Patients With Hip Fracture Seen in an Orthogeriatric Service in Sunny Singapore

Contact Info

Product

Resources

About