Author | Silva, Ariane Viana de Souza e | |
Author | Lacativa, Paulo Gustavo Sampaio | |
Author | Russo, Luis Augusto Tavares | |
Author | Gregório, Luiz Henrique de | |
Author | Pinheiro, Renata Alexandra Calixto | |
Author | Marinheiro, Lizanka Paola Figueiredo | |
Access date | 2013-08-08T17:15:39Z | |
Available date | 2013-08-08T17:15:39Z | |
Document date | 2013 | |
Citation | SILVA, Ariane Viana Souza e de et al. Association of back pain with hypovitaminosis D in postmenopausal women with low bone mass. BMC musculoskelet. disord. (Online), London, v. 14, n. 184, 2013. | pt_BR |
ISSN | 1471-2474 | |
URI | https://www.arca.fiocruz.br/handle/icict/6771 | |
Language | eng | pt_BR |
Publisher | BioMed Central | pt_BR |
Rights | open access | pt_BR |
Title | Association of back pain with hypovitaminosis D in postmenopausal women with low bone mass | pt_BR |
Type | Article | pt_BR |
Abstract | Background: Back pain is a major public health problem due to its high frequency, to the resulting activity
constraint, and the need for surgery in many cases. Back pain is more frequent in women than men, mainly in
postmenopausal women. High prevalence of hypovitaminosis D has been detected in postmenopausal women,
and it is associated with decreased bone mass, sarcopenia, vertebral fractures, and inflammation, which can be
related to back pain.
Methods: The relation between back pain and hypovitaminosis D was evaluated in this study, as well the
difference regarding the number of bedridden days, number of days away from work, and daily activities limitation
between women with and without hypovitaminosis D. This study reviewed baseline data from an interventional
phase III multicenter trial in low bone mass postmenopausal women. The study included demographic data,
25OHD determinations, Newitt/Cummings questionnaire on back pain, and vertebral fracture identified thought
X-ray evaluation.
Results: The trial included 9354 participants, but only 9305 underwent all the evaluations. The age median was
67 (60 - 85 years old) and age at menopause was 49 (18 - 72 years). Hypovitaminosis D was found in 22.5% of
the subjects, 15.3% of them had vertebral fractures, 67.5% with back pain, and 14.8% reduced their daily
activities in the previous six months. Subjects with hypovitaminosis D, compared to those without
hypovitaminosis D, reported more back pain (69.5 v 66.9%, p: 0.022), more cases of severe back pain (8.5% v
6.8%, p: 0,004), higher limitation in their daily activities (17.2 v 14.0%, p: 0.001), and more fractures (17.4 v 14.6%,
p: 0,002); also, they had more trouble to perform daily activities addressed in the Newwit/Cummings questionnaire.
Conclusion: Hypovitaminosis D was related to back pain, to its severity, and to difficulty in perform daily activities. | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Centro de Pesquisa Clínica e Básica. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Centro de Pesquisa Clínica e Básica. Rio de Janeiro, RJ, Brasi | pt_BR |
Affilliation | Centro de Pesquisa Clínica e Básica. Rio de Janeiro, RJ, Brasi | pt_BR |
Affilliation | Centro de Pesquisa Clínica e Básica. Rio de Janeiro, RJ, Brasi | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil | pt_BR |
Subject | Hypovitaminosis D | pt_BR |
Subject | Back Pain | pt_BR |
Subject | Newwit/Cummings Questionnaire | pt_BR |
DeCS | Dor nas Costas | pt_BR |
DeCS | Deficiência de Vitaminas | pt_BR |