Association of Vitamin D Levels and Clothing Pattern in Women of Reproductive Age Group Having Chronic Back Pain
Background: Chronic low back pain has been one of the most common musculoskeletal problems from the public health perspective owing to its high impact on disability and loss of productive years. The usefulness of Vitamin D in musculoskeletal health is widely acknowledged. The relationship between ch...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Orthopedics, Traumatology and Rehabilitation |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jotr.jotr_59_24 |
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| Summary: | Background:
Chronic low back pain has been one of the most common musculoskeletal problems from the public health perspective owing to its high impact on disability and loss of productive years. The usefulness of Vitamin D in musculoskeletal health is widely acknowledged. The relationship between chronic low back pain in women and Vitamin D status becomes an important issue in context with clothing patterns owing to various cultural, social and religious factors. While there are many studies investigating the Vitamin D status in women with low back pain yet there are limited or almost no studies evaluating this problem in context with their clothing pattern. Hence, the present study was planned to determine the association between Vitamin D levels and clothing habits in women of reproductive age group having chronic back pain without any apparent clinico-radiological pathology.
Materials and Methods:
A cross-sectional study was done from September 2022 to March 2024 following ethical clearance from the institutional ethics committee. Two hundred and fifty-one women in the reproductive age group were included in the study after taking informed consent. Demographic and other details related to their diet, clothing pattern, and obstetric history were taken using a pretested questionnaire. Serum 25 (OH) Vitamin D level estimation was done. Data collected were analyzed using SPSS version 26.0; appropriate tests were applied and the following results were drawn.
Results:
Mean age of the 251 participants who complained of chronic back pain was 33.16 ± 10.27 years. The duration of pain ranged from 6 to 36 months. Majority of patients (n = 201; 80.1%) had duration of pain <12 months followed by 12–18 months (n = 44; 17.5%), 18–24 months and >24 months (n = 3; 1.2% each), respectively. The mean duration of pain was 9.97 ± 4.60 months. Almost half (n = 124; 49.4%) of the study participants preferred to use veil, while the rest half (n = 127; 50.6%) did not. Vitamin D levels ranged from 7.2 to 99.2 ng/mL with a mean of 26.31 ± 18.75 ng/mL. The prevalence of Vitamin D deficiency, insufficiency and sufficiency was 46.2%, 21.9% and 31.9% respectively. No statistically significant association was found between the duration of pain and Vitamin D status (P = 0.347). Furthermore, factors such as age, gravida status and place of residence (urban/rural) were not found to be associated with Vitamin D deficiency. Statistically, there was a significant difference in Vitamin D status between veiled and unveiled women (P = 0.001).
Conclusions:
Mean Vitamin D levels did not show any significant association with age, place of residence, gravid status and duration of pain. However, veiled women had a significantly higher prevalence of Vitamin D deficiency or insufficiency compared to nonveiled women. |
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| ISSN: | 0975-7341 2347-3746 |