Déficit de vitamina D y osteomalacia en ancianos no institucionalizados con fractura de cadera / Vitamin D deficiency and osteomalacia in non-institutionalised elderly individuals with hip fracture
Rev. esp. geriatr. gerontol. (Ed. impr.)
; 42(2): 83-87, mar. 2007. tab
Article
in Es
| IBECS
| ID: ibc-058170
Responsible library:
ES1.1
Localization: ES1.1 - BNCS
RESUMEN
Objetivo:
determinar la prevalencia del déficit de vitamina D en un grupo de ancianos con fractura de cadera en comparación con controles de similar edad, y analizar si presentan mayor riesgo de fractura. Secundariamente se estudia su potencial relación con la sospecha de osteomalacia «clínica y bioquímicamente probable». Material ymétodos:
estudio prospectivo y descriptivo de 68 ancianos no institucionalizados con independencia funcional previa, que ingresan por fractura de cadera. Se les realizan historia clínica, toma de muestra sanguínea de calcio, fósforo, 25-OH vitamina D, fosfatasa alcalina, parathormona y magnesio, y se comparan con un grupo control de ancianos sin fractura de cadera. A los pacientes que, clínica y bioquímicamente, presentaban datos compatibles con probable osteomalacia se les realizaba una prueba terapéutica con vitamina D durante 6 meses, con posterior control analítico similar al descrito. Estudio comparativo con un nivel de significación de p < 0,05.Resultados:
el 60% de los ancianos con fractura de cadera presentaba déficit de vitamina D al ingreso frente a un 9,5% en el grupo control (p = 0,004). Cinco pacientes presentaron probable osteomalacia; tras las pruebas terapéuticas 4 pacientes mejoraron su clínica y 3 normalizaron las concentraciones de fosfatasa alcalina.Conclusiones:
el déficit de vitamina D es muy prevalente en la población anciana; en este estudio se asoció a fractura de cadera. La osteomalacia es una enfermedad curable que, pese a su baja prevalencia, debe sospecharse en estos casosABSTRACT
Objective:
to determine the prevalence of vitamin D deficiency in elderly individuals with hip fracture compared with a control group of similar age, and to analyze its association with the risk of fracture. A secondary aim was to determine the relationship between vitamin D deficiency and suspected osteomalacia based on clinical and biochemical evidence. Material andmethods:
we performed a prospective descriptive study of 68 non-institutionalized elderly individuals with prior functional independence who were admitted to hospital with hip fracture. A clinical history was taken and blood samples for calcium, phosphorus, 25-OH vitamin D, alkaline phosphates, parathormone and magnesemia determinations were obtained. Patients with clinical and biochemical evidence compatible with osteomalacia underwent a therapeutic intervention consisting of vitamin D supplementation for 6 months and laboratory determinations similar to those described above were performed. A comparative study with a significance level of p < 0.05.Results:
sixty percent of the elderly patients with hip fracture had vitamin D deficiency on admission to hospital versus 9.5% of the control group (p = 0.004%). Five patients had probable osteomalacia. After the therapeutic intervention, symptoms improved in four patients and alkaline phosphate levels were normalized in three.Conclusions:
vitamin D deficiency is highly prevalent in the elderly population and is associated with a higher risk of hip fracture. Osteomalacia is a curable disease which, despite its low prevalence, should be considered in these patients
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Osteomalacia
/
Vitamin D Deficiency
/
Hip Injuries
/
Homes for the Aged
Type of study:
Etiology study
/
Observational study
/
Risk factors
Limits:
Aged
/
Humans
Language:
Spanish
Journal:
Rev. esp. geriatr. gerontol. (Ed. impr.)
Year:
2007
Document type:
Article
Institution/Affiliation country:
Hospital Universitario Virgen Macarena de Sevilla/España