Hypovitaminosis D In Elderly Patients Presenting With Fractures

Ziaul Hoda Shan, Yasir Alvi, Sohail Ahmad, Latif Zafar Jilani, Mohd Faizan, Naiyer Asif


Background: Vitamin D deficiency is seen in all races, age groups and ethnic backgrounds. It is estimated to affect more than one billion people worldwide. This study was done to find out vitamin D levels and its associated factors among elderly patients presenting with fractures.

Material and method: This cross-sectional study was performed at our tertiary care hospital, in patients above 45 years, presenting with fracture as a result of trivial trauma. In all patients serum 25(OH)D level was measured. A level of serum 25(OH)D < 10 ng/ml was labeled as the deficiency, between 10 to 29 ng/ml as insufficient and ≥ 30 ng/ml as sufficient.

Results: A total of 102 patients were included in our study with mean age of 60.8 ± 13.4 years, out of which 60 were males and 42 females. Mean serum 25(OH)D level in our study population was 15.82 ± 5.88 ng/ml. We found 94.1% of the patients were having a low level of serum 25(OH)D i.e. less than 30 ng/ml, with 78.4% insufficient (between 10 to 29 ng/ml) and 15.6% deficient levels (below 10 ng/ml). Higher age, female, menopause and lack of sunlight exposure were found to be significantly associated with lower vitamin D levels.

Conclusion: This study gives us important inside of a high prevalence of hypovitaminosis D in elderly patients. Detection and prompt intervention of vitamin D deficiency at an early stage can be helpful in decreasing the fracture in these elderly.


Vitamin D deficiency, Serum 25(OH)D, Hypovitaminosis D, Ageing.

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