Is there a difference in 25-hydroxyvitamin D levels between female university students with and without joint hypermobility?

Is there a difference in 25-hydroxyvitamin D levels between female university students with and without joint hypermobility?

Objectives: Individuals with joint hypermobility (JH) constitute a sensitive group with regard tomusculoskeletal problems. This study aimed to investigate whether females with generalized jointhypermobility (GJH) are at risk of hypovitaminosis D compared with non-GJH female participants and whetherthere is a relationship between vitamin D levels, Beighton score and musculoskeletal complaints.Methods: In this cross-sectional, descriptive and case-control study, 76 female participants aged 18-25 yearswere included. The Beighton score with a cut-off of 4/9 was applied for defining GJH. In addition, serumbiochemical (the enzymatic colorimetric method) and hormonal (the electrochemiluminescence method)parameters were evaluated.Results: The mean serum 25-hydroxyvitamin D (25[OH]D) levels of GJH (n = 38) and non-GJH (n = 38)groups were 15.70 ± 7.96 ng/mL and 16.80 ± 5.45 ng/mL, respectively. There was no statistically significantdifference between the groups in terms of biochemical and hormonal parameters. We found vitamin Ddeficiency in 89.5% of participants with GJH, and 84.2% of controls. There was no correlation between vitaminD, Brighton criteria, and musculoskeletal complaints.Conclusion: The female participants with GJH showed similar frequency of musculoskeletal complaints andsimilar low level of 25(OH)D in relation to controls.

___

  • [1] Beighton P, De Paepe A, Steinmann B, Tsipouras P, Wenstrup RJ. Ehlers-Danlos syndromes: revised nosology. Villefranche, 1997. Ehlers-Danlos National Foundation (USA) and EhlersDanlos Support Group (UK). Am J Med Genet 1988;77:31-7.
  • [2] Castori M, Tinkle B, Levy H, Grahame R, Malfait F, Hakim A. A framework for the classification of joint hypermobility and related conditions. Am J Med Genet C Semin Med Genet C Semin Med Genet 2017;175:148-57.
  • [3] Malfait F, Francomano C, Byers P, Belmont J, Berglund B, Black J, et al. The 2017 international classification of the EhlersDanlos syndromes. Am J Med Genet 2017;175:8-26.
  • [4] Wintermeyer E, Ihle C, Ehnert S, Stöckle U, Ochs G, de Zwart P, et al. Crucial role of vitamin D in the musculoskeletal system. Nutrients 2016;8. pii:E319.
  • [5] Rombaut L, Scheper M, De Wandele I, De Vries J, Meeus M, Malfait F, et al. Chronic pain in patients with the hypermobility type of Ehlers–Danlos syndrome: evidence for generalized hyperalgesia. Clin Rheumatol 2015;34:1121-9.
  • [6] Eller-Vainicher C, Bassotti A, Imeraj A, Cairoli E, Ulivieri FM, Cortini F, et al. Bone involvement in adult patients affected with Ehlers-Danlos syndrome. Osteoporosis Int 2016;27:2525- 31.
  • [7] Gulbahar S, Sahin E, Baydar M, Bircan C, Kizil R, Manisali M, et al. Hypermobility syndrome increases the risk for low bone mass. Clin Rheumatol 2006;25:511-4.
  • [8] Scheper MC, de Vries JE, de Vos R, Verbunt J, Nollet F, Engelbert RH. Generalized joint hypermobility in professional dancers: a sign of talent or vulnerability? Rheumatology 2013;52:651-8.
  • [9] Kumar B, Lenert P. Joint hypermobility syndrome: recognizing a commonly overlooked cause of chronic pain. Am J Med 2017;130:640-7.
  • [10] Engelbert RH, Juul-Kristensen B, Pacey V, de Wandele I, Smeenk S, Woinarosky N, et al. The evidence-based rationale for physical therapy treatment of children, adolescents, and adults diagnosed with joint hypermobility syndrome/hypermobile Ehlers Danlos syndrome. Am J Med Genet C Semin Med Genet 2017;175:158-67.
  • [11] Joghee S, Dewan V, Chhabra A, Jahan A, Sharma N, Yadav TP. Vitamin D levels in children with idiopathic musculoskeletal pain. Int J Basic Appl Sci 2014;3:21-7.
  • [12] Juul-Kristensen B, Røgind H, Jensen DV, Remvig L. Interexaminer reproducibility of tests and criteria for generalized joint hypermobility and benign joint hypermobility syndrome. Rheumatology (Oxford) 2007;46:1835-41.
  • [13] Kasapoğlu Aksoy M, Altan L, Ökmen Metin B. The relationship between balance and vitamin 25(OH)D in fibromyalgia patients. Mod Rheumatol 2017;27:868-74.
  • [14] [cited 2018 20/03/2018]; Available from: https://mgm.gov.tr/veridegerlendirme/il-ve-ilceleristatistik.aspx?m=EDIRNE.
  • [15] Beighton P, Solomon L, Soskolne C. Articular mobility in an African population. Ann Rheum Dis 1973;32:413-8.
  • [16] Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2011;96:1911-30.
  • [17] Parikh SJ, Edelman M, Uwaifo GI, Freedman RJ, SemegaJanneh M, Reynolds J, et al. The relationship between obesity and serum 1, 25-dihydroxy vitamin D concentrations in healthy adults. J Clin Endocrinol Metab 2004;89:1196-9.
  • [18] Karahan AY, Hüner B, Kuran B, Sezer N, Çelik C, Salbaş E, et al. [Assessment of the relationship between vitamin D level and non-specific musculoskeletal system pain: a multicenter retrospective study (Stroke Study Group)]. Turk J Osteoporos 2017;23:61-6. [Article in Turkish]
  • [19] Holick M, Hossein-Nezhad A, Tabatabaei F. Multiple fractures in infants who have Ehlers-Danlos/hypermobility syndrome and or vitamin D deficiency: a case series of 72 infants whose parents were accused of child abuse and neglect. Dermatoendocrinol 2017;9:e1279768.
  • [20] Busch A, Hoffjan S, Bergmann F, Hartung B, Jung H, Hanel D, et al. Vascular type Ehlers-Danlos syndrome is associated with platelet dysfunction and low vitamin D serum concentration. Orphanet J Rare Dis 2016;11:111.
The European Research Journal-Cover
  • ISSN: 2149-3189
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 2015
  • Yayıncı: Prusa Medikal Yayıncılık Limited Şirketi
Sayıdaki Diğer Makaleler

Allam HARFOUSH

Bacterial contamination of ultrasound probes and coupling gels in a university hospital in Turkey

Murat Aral, Hasan Çetin Ekerbiçer, Hakan Kıran, Gürkan Kıran, Salih Serin, Deniz Cemgil Arıkan, Uğurkan Erkayıran

Kenan GÜVENÇ, Mustafa Kemal İLİK, Faik İLİK, Murat GÖNEN, Fatih KAYHAN

Does laparoscopic appendectomy increase the risk of intraabdominal abscess in children who have perforated appendicitis?

Fatih AKBIYIK, Günay EKBERLİ, YUSUF HAKAN ÇAVUŞOĞLU

Cardioprotective effect of vitamin D and melatonin on doxorubicin-induced cardiotoxicity in rat model: an electrocardiographic, scintigraphic and biochemical study

Serdar Savaş Gül, Hatice Aygün

Effectiveness of balance training with kinesthetic ability trainer (KAT 2000) in patients with peripheral neuropathic pain: a randomised controlled study

Aslıhan Uzunkulaoğlu, Duygu Kerim, Saime Ay

The relationship between atherogenic index of plasma and major risk factors of cardiovascular disease in obese and non-obese individuals

Seher SAYIN, Ruhuşen KUTLU, Ahmet KOÇAK

Mesenteric panniculitis - a rare disorder: radiological features

Mohd Ilyas, Ghanshyam Dev, Anshita Gupta

Investigation of the comorbidity of dissociative disorders in patients with bipolar disorder

Atilla Tekin, Esra Demiryürek, Mehmet Güleken, Bahadır Bakım, Ömer Akil Özer, Oğuz Karamustafalıoğlu

The correlation between red cell distribution width, autoimmunity and nail involvement in alopecia areata

Gülhan Gürel