Postmenapozal kadınlarda kas iskelet sistemi ağrılarının D vitamini eksikliği ile ilişkisi

Amaç: Bu çalışmanın amacı postmenapozal dönemdeki kadınlarlarda görülen kas iskelet sistemi ağrılarının ortaya çıkmasında D vitamini eksikliğinin etkisini araştırmaktır
Anahtar Kelimeler:

Postmenapozal dönem, D vitamini

Relationship between vitamin D deficiency and musculoskeletal pain in postmenopausal women

Purpose: The aim of this study was to investigate the effect of vitamin D deficiency on the appearance of musculoskeletal pain seen in postmenopausal women.Material and Methods: The study consisted of 130 patients in the postmenopausal period and 50 healthy volunteers. Patients and control group were assessed with demographic information and visual analogue scale (VAS) and pain scores. Serum 25-hydroxyvitamin D (25 (OH) D), estradiol (E2) calcium, phosphorus, alkaline phosphatase (ALP) and parathormone (PTH) levels were evaluated.Results: The mean age of the subjects participating in the study was 51.03±4.22 and the control group was 48.27±5.47 years. Serum 25 (OH) D level was significantly lower in the patient group than in the control group. There was no difference between the two groups in calcium, phosphorus, ALP and PTH levels. The VAS pain score used to assess pain status was significantly higher in the patient group than in the control group (p<0.001). VAS pain scores in Postmenopausal patients were significantly higher in patients with vitamin D deficiency and inadequate than those with adequate vitamin D levels. In patients group serum 25(OH) D were negatively correlated with age, body mass index and VAS score and positively correlated with exercise and E2.Conclusion: The increase in pain intensity in postmenopausal patients is associated with a decrease in serum 25 (OH) D levels. Moreover, we believe that 25 (OH) D levels are more common in patients with lower levels of the lower extremities and that serum 25 (OH) D may play a role in determining the severity of musculoskeletal pain.

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  • 1. WHO Scientific Group on the Burden of Musculoskeletal Conditions at the Start of the New Millennium. The burden of musculoskeletal conditions at the start of the new millennium. World Health Organ Tech Rep Ser. 2003;919:1-218.
  • 2. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ. 2003;81:646-56.
  • 3. Kadi F, Karlsson C, Larsson B, Eriksson J, Larval M, Billig H et al. The effects of physical activity and estrogen treatment on rat fast and slow skeletal muscles following ovariectomy. J Muscle Res Cell Motil. 2002;23:335-9.
  • 4. Greising SM, Baltgalvis KA, Lowe DA, Warren GL. Hormone therapy and skeletal muscle strength: a meta-analysis. J Gerontol A Biol Sci Med Sci. 2009;64:1071–81.
  • 5. Nedergaard A, Henriksen K, Karsdal MA, Christiansen C. Menoupause, estrogens and frailty. Gynecol Endocrinol. 2013;29:418-23.
  • 6. Dennerstein L, Dudley EC, Hopper JL, Gurthrie JR, Burger HG. A prospective population-based study of menopausal symptoms. Obstet Gynecol. 2000; 96: 351–8.
  • 7. Bischoff-Ferrari HA, Willett WC, Wong JB, Giovannucci E, Dietrich T, Dawson-Hughes B. Fracture prevention with vitamin D supplementation: a meta-analysis of randomized controlled trials. JAMA. 2005;293:2257–64.
  • 8. Bischoff-Ferrari HA, Dietrich T, Orav EJ, Hu FB, Zhang Y, Karlson EW et al. Higher 25-hydroxyvitamin D concentrations are associated with better lower-extremity function in both active and inactive persons aged >or =60 y. Am J Clin Nutr. 2004;80:752-8.
  • 9. Al Faraj S, Al Mutairi K. Vitamin D deficiency and chronic low back pain in Saudi Arabia. Spine. 2003;28:177-9.
  • 10. Gloth FM 3rd, Lindsay JM, Zelesnick LB, Greenough WB 3rd. Can vitamin D deficiency produce an unusual pain syndrome? Arch Intern Med. 1991;15:1662-4.
  • 11. Mascarenhas R, Mobarhan S. Hypovitaminosis D-induced pain. Nutr Rev. 2004;62:354-9.
  • 12. Plotnikoff GA, Quigley JM. Prevalence of severe hypovitaminosis D in patients with persistent, nonspecific musculoskeletal pain. Mayo Clin Proc. 2003;78:1463-70.
  • 13. Gerdhem P, Ringsberg KA, Obrant KJ, Akesson K. Association between 25-hydroxy vitamin D levels, physical activity, muscle strength and fractures in the prospective population-based OPRA Study of Elderly Women. Osteoporos Int. 2005;16:1425-31.
  • 14. Lips P, Hosking D, Lippuner K, Norquist JM, Wehren L, Maalouf G et al. The prevalence of vitamin D inadequacy amongst women with osteoporosis. an international epidemiological investigation. J Intern Med. 2006;260:245-54.
  • 15. Heaht IKM, Elovic EP. Vitamin D deficiency: implications in the rehabilitation setting. Am J Phys Med Rehabil. 2006;85:916-23.
  • 16. Holick MF. Vitamin D deficiency: what a pain it is. Mayo Clin Proc. 2003;78:1457-9.
  • 17. Holick MF. Vitamin D deficiency. N Engl J Med. 2007;357:266-81.
  • 18. Kronenberg F. Hot Flashes: Epidemiology and Physiology. Ann N Y Acad Sci. 1990;592:52-86.
  • 19. Beyene Y, Martin MC. Menopausal experiences and bone density of Mayan women in Yucatan, Mexico. Am J Hum Biol. 2001;13:505-11.
  • 20. Hicks GE, Shardell M, Miller RR, Bandinelli S, Guralnik J, Cherubini A et al. Associations between vitamin D status and pain in older adults: the Invecchiare in Chianti study. J Am Geriatr Soc. 2008;56:785-91.
  • 21. Warner AE, Arnspiger SA. Diffuse musculoskeletal pain is not associated with low vitamin D levels or improved by treatment with vitamin D. J Clin Rheumatol. 2008;14:12-6.
  • 22. Özcan DS, Öken Ö, Aras M, Köseoğlu BF. Fibromiyaljili kadın hastalarda vitamin D düzeyleri ve ağrı, depresyon, uyku ile ilişkisi. Türk Fiz Tıp Rehab Derg. 2014;60:329-34.
  • 23. Yener M. Kas iskelet sistem ağrısı ile vitamin D düzeyleri arasındaki ilişkinin araştırılması. S.D.Ü. Tıp Fak. Derg. 2007;14:7-11.
  • 24. Heidari B, Shirvani JS, Firouzjahi A, Heidari P, Hajian-Tilaki KO. Association between nonspecific skeletal pain and vitamin D deficiency. Int J Rheum Dis. 2010;13:340-6.
  • 25. Hicks GE, Shardell M, Miller RR, Bandinelli S, Guralnik J, Cherubini A. Associations between vitamin D status and pain in older adults: the Invecchiare in Chianti study. J Am Geriatr Soc. 2008;56:785-91.
  • 26. e Silva AV, Lacativa PG, Russo LA, de Gregório LH, Pinheiro RA, Marinheiro LP. Association of back pain with hypovitaminosis D in postmenopausal women with low bone mass. BMC Musculoskelet Disord. 2013;14:184.
  • 27. Al-Eisa ES, Alghadir AH, Gabr SA. Correlation between vitamin D levels and muscle fatigue risk factors based on physical activity in healthy older adults. Clin Interv Aging. 2016;11:513-22.
  • 28. Lumachi F, Camozzi V, Doretto P, Tozzoli R, Basso SM. Circulating PTH, Vitamin D and IGF-I levels in relation to bone mineral density in elderly women. In Vivo. 2013;27:415-8.
  • 29. Mattam A, Sunny G. Correlation of vitamin D and body mass index with modic changes in patients with non-specific low back pain in a sub-tropical Asian population. Asian Spine J. 2016;10:14-9.
  • 30. Bettencourt A, Boleixa D, Reis J, Oliveira JC, Mendonça D, Costa PP et al. Serum 25-hydroxyvitamin D levels in a healthy population from the North of Portugal. J Steroid Biochem Mol Biol. 2016;pii:S0960-0760(16)30298-9.
  • 31. Heikkinen A, Parviainen MT, Tuppurainen MT, Niskanen L, Komulainen MH, Saarikoski S. Effects of postmenopausal hormone replacement therapy with and without vitamin D3 on circulating levels of 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D. Calcif Tissue Int. 1998;62:26-30.
  • 32. Nordin BEC, Need AG1 Morris HA, Horowitz M. Biochemical variables in pre- and postmenopausal women: reconciling the calcium and estrogen hypotheses. Osteoporosis Int. 1999;9:351-7.
  • 33. Eriksen EF, Langdahl B, Vesterby A, Rungby J, Kassem M. Hormone replacement therapy prevents osteoclastic hyperactivity: A histomorphometric study in early postmenopausal women. J Bone Miner Res. 1999;14:1217-21.
  • 34. Criddle RA, Zheng MH, Dick IM, Callus B, Prince RL. Estrogen responsiveness of renal calbindin-D28K gene expression in rat kidney. J Cel1 Biochem. 1997;65:340-8.
  • 35. Schmidt IU, Wakley GK, Turner RT. Effects of estrogen and progesterone on tibia histomorphometry in growing rats. Calcif Tissue Int. 2000;67:47-52.
Cukurova Medical Journal-Cover
  • ISSN: 2602-3032
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1976
  • Yayıncı: Çukurova Üniversitesi Tıp Fakültesi
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