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: Shubham Saraswat, Anuj Rastogi, Farid Mohammad, Rachhanaa Pawaskar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Orthopedics, Traumatology and Rehabilitation
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Online Access:https://journals.lww.com/10.4103/jotr.jotr_59_24
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author Shubham Saraswat
Anuj Rastogi
Farid Mohammad
Rachhanaa Pawaskar
author_facet Shubham Saraswat
Anuj Rastogi
Farid Mohammad
Rachhanaa Pawaskar
author_sort Shubham Saraswat
collection DOAJ
description 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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spelling doaj-art-1a88a07cfc3f4120a433b4e63ffc878f2025-01-12T13:52:59ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412347-37462024-12-0116212012410.4103/jotr.jotr_59_24Association of Vitamin D Levels and Clothing Pattern in Women of Reproductive Age Group Having Chronic Back PainShubham SaraswatAnuj RastogiFarid MohammadRachhanaa PawaskarBackground: 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.https://journals.lww.com/10.4103/jotr.jotr_59_24chronic back painclothing patternnonveiledveiledvitamin d deficiency
spellingShingle Shubham Saraswat
Anuj Rastogi
Farid Mohammad
Rachhanaa Pawaskar
Association of Vitamin D Levels and Clothing Pattern in Women of Reproductive Age Group Having Chronic Back Pain
Journal of Orthopedics, Traumatology and Rehabilitation
chronic back pain
clothing pattern
nonveiled
veiled
vitamin d deficiency
title Association of Vitamin D Levels and Clothing Pattern in Women of Reproductive Age Group Having Chronic Back Pain
title_full Association of Vitamin D Levels and Clothing Pattern in Women of Reproductive Age Group Having Chronic Back Pain
title_fullStr Association of Vitamin D Levels and Clothing Pattern in Women of Reproductive Age Group Having Chronic Back Pain
title_full_unstemmed Association of Vitamin D Levels and Clothing Pattern in Women of Reproductive Age Group Having Chronic Back Pain
title_short Association of Vitamin D Levels and Clothing Pattern in Women of Reproductive Age Group Having Chronic Back Pain
title_sort association of vitamin d levels and clothing pattern in women of reproductive age group having chronic back pain
topic chronic back pain
clothing pattern
nonveiled
veiled
vitamin d deficiency
url https://journals.lww.com/10.4103/jotr.jotr_59_24
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AT faridmohammad associationofvitamindlevelsandclothingpatterninwomenofreproductiveagegrouphavingchronicbackpain
AT rachhanaapawaskar associationofvitamindlevelsandclothingpatterninwomenofreproductiveagegrouphavingchronicbackpain