Association of Vitamin D With Stress Fractures: A Retrospective Cohort Study

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• 作者：Jason R. Miller ; DPM ; FACFAS¹ ; Karl W. Dunn ; DPM ; AACFAS² ; ^{dr.karldunn@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Louis J. Ciliberti Jr. ; DPM ; AACFAS³ ; Rikhil D. Patel ; DPM⁴ ; Brock A. Swanson ; DPM⁵
• 关键词：3
• 刊名：The Journal of Foot and Ankle Surgery
• 出版年：2016
• 出版时间：January-February 2016
• 年：2016
• 卷：55
• 期：1
• 页码：117-120
• 全文大小：466 K

文摘

Vitamin D is an essential, fat-soluble nutrient that is a key modulator of bone health. Despite the gaining popularity throughout published medical studies, no consensus has been reached regarding a serum vitamin D level that will guarantee adequate skeletal health in a patient with an increased functional demand. The purpose of the present investigation was to examine the serum concentrations of vitamin D in patients with confirmed stress fractures. A total of 124 patients were included in our retrospective cohort study. Of the 124 patients, 53 had vitamin D levels measured within 3 months of diagnosis. An association was seen in patients with a stress fracture and vitamin D level measured, as 44 (83.02%) of the 53 patients had a serum 25-hydroxyvitamin D level <40 ng/mL. Although an association was seen at our institution in patients with stress fractures and a serum vitamin D concentration <40 ng/mL, a larger and prospective investigation is warranted to further understand the effect of vitamin D level and stress fracture prevention in an active, nonmilitary population.