Relación entre la concentración plasmática de vitamina D, fractura osteoporótica y caídas / Relationship between vitamin D, osteoporotic fracture and falls

Objetivo: Relacionar los niveles de vitamina D con fractura osteoporótica y caídas. Pacientes y método: Estudio transversal observacional, siendo las variables de estudio: edad, niveles de vitamina D, fractura osteoporótica y caídas. La población de estudio han sido los pacientes valorados por el Servicio de Rehabilitación del Hospital de Sagunto desde enero de 2013 hasta diciembre de 2014. Resultados: De los 242 pacientes a los que se les analizó la vitamina D, el 70,6% presentaban niveles inferiores a 30ng/ml. Tuvieron fractura el 48% de los pacientes con niveles de vitamina D por debajo de la normalidad, frente al 32,4% de aquellos con niveles normales, de tal forma que los pacientes con niveles de vitamina D bajos tienen 4,8 veces mayor probabilidad de experimentar una fractura que aquellos con valores normales, controlando por edad. Con respecto a las caídas, existe mayor riesgo de caerse (OR ajustada 2,68) en los pacientes con niveles de vitamina D bajos, controlando por edad. Conclusiones: Los pacientes con niveles de vitamina D bajos tienen mayor probabilidad de experimentar caídas y fracturas (AU)

Objective: Link low levels of vitamin D, osteoporotic fracture and falls. Patients and method: Transversal observational study with the study variables of age, levels of vitamin D, osteoporotic fracture and falls. The study population was patients evaluated by the Rehabilitation Department, Hospital of Sagunto, from January 2013 to December 2014. Results: Of the 242 patients who underwent vitamin D analysis, 70.6% showed levels under 30ng/ml. Forty-eight percent of the patients with below normal levels of vitamin D suffered a fracture, opposed to 32.4% patients with normal levels. Thus, controlling by age, patients with low levels of vitamin D are 4.8 times more likely to suffer a fracture than those with normal levels. Regarding falls, controlling by age, there is a higher risk of falling (adjusted OR 2.68) in those patients with low levels of vitamin D. Conclusions: Patients with low vitamin D levels are more likely to suffer falls and fractures (AU)

Relationship between vitamin D, osteoporotic fracture and falls. / Relación entre la concentración plasmática de vitamina D, fractura osteoporótica y caídas.

OBJECTIVE: Link low levels of vitamin D, osteoporotic fracture and falls. PATIENTS AND METHOD: Transversal observational study with the study variables of age, levels of vitamin D, osteoporotic fracture and falls. The study population was patients evaluated by the Rehabilitation Department, Hospital of Sagunto, from January 2013 to December 2014. RESULTS: Of the 242 patients who underwent vitamin D analysis, 70.6% showed levels under 30ng/ml. Forty-eight percent of the patients with below normal levels of vitamin D suffered a fracture, opposed to 32.4% patients with normal levels. Thus, controlling by age, patients with low levels of vitamin D are 4.8 times more likely to suffer a fracture than those with normal levels. Regarding falls, controlling by age, there is a higher risk of falling (adjusted OR 2.68) in those patients with low levels of vitamin D. CONCLUSIONS: Patients with low vitamin D levels are more likely to suffer falls and fractures.