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Osteoporos Int. 2012 Feb;23(2):607-14. doi: 10.1007/s00198-011-1588-z. Epub 2011 Mar 11.

Hypovitaminosis D as a risk factor of hip fracture severity.

Author information

1
Rheumatology Department, University Institute Parc Taulí (UAB), Parc Tauli s/n, 08208 Sabadell, Barcelona, Spain. mlarrosa@tauli.cat

Abstract

SUMMARY:

In a cross-sectional study including 324 patients older than 65 years admitted to our hospital for osteoporotic hip fracture, we found that those patients with a more severe vitamin D deficiency had more severe osteoporotic hip fractures (Garden grades III-IV and Kyle III-IV).

INTRODUCTION:

To identify possible differences in baseline characteristics of patients with different types of osteoporotic hip fracture.

METHODS:

Cross-sectional study including consecutive individuals over 65 admitted to our hospital for osteoporotic hip fracture over a year. Demographic data, fracture type, comorbidities, history of osteoporosis, functional capacity, nutritional status and vitamin D storage were evaluated.

RESULTS:

We included 324 patients (83 ± 7 years, 80% women). Two hundred sixteen patients (67%) had vitamin D deficiency (25OHD3 <25 ng/ml). In patients with severe femoral neck or intertrochanteric fractures (Garden III-IV and Kyle III-IV), vitamin D deficiency was more frequent (74%) and severe (25OHD3 20 ± 15 ng/ml) than in patients with less severe fractures (57%, 25OHD3 26 ± 21 ng/ml). Forty-three percent of patients had previous fractures. Only 15% of patients had been previously diagnosed with osteoporosis and 10% were receiving treatment. Patients receiving vitamin D supplements have higher 20OHD3 levels and less severe fractures.

CONCLUSIONS:

Although vitamin D levels are not different between patients with intracapsular or extracapsular hip fractures, a more severe vitamin D deficiency seems to be associated to more severe osteoporotic hip fractures. A prior vitamin D supplementation could avoid a higher severity of these fractures.

PMID:
21394494
DOI:
10.1007/s00198-011-1588-z
[Indexed for MEDLINE]
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