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International Orthopaedics
Published in: International Orthopaedics 4/2015

01-04-2015 | Original Paper

Vitamin D insufficiency in the elderly orthopaedic patient: an epidemic phenomenon

Authors: Gerrit Steffen Maier, Konstantin Horas, Jörn Bengt Seeger, Klaus Edgar Roth, Andreas Alois Kurth, Uwe Maus

Published in: International Orthopaedics | Issue 4/2015

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Abstract

Purpose

The purpose of this observational study was to evaluate serum levels of 25-OH-D of elderly patients presenting with orthopaedic illness. Furthermore, we enquired about potential confounders and risk factors of hypovitaminosis D in comorbidities and daily medication of the elderly.

Methods

Vitamin D levels in 1,083 patients aged >70 years and admitted to an orthopaedic surgery department were measured. Univariate and multivariate analyses were used to assess risk factors for insufficient vitamin D levels.

Results

Overall, 86 % of patients had insufficient serum levels of 25-OH-D and >60 % were vitamin D deficient. Serum vitamin D levels were lower during winter and months with fewer sunshine hours. Patients presenting with obesity, hypertension and osteoporosis were more likely to have low vitamin D levels.

Conclusions

We found a high prevalence of hypovitaminosis D in elderly, nonhospitalized orthopaedic patients. Given the well-known effects of vitamin D on bone metabolism and muscle health, as well as its nonskeletal effects, vitamin D insufficiency may have a negative impact.
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Metadata
Title
Vitamin D insufficiency in the elderly orthopaedic patient: an epidemic phenomenon
Authors
Gerrit Steffen Maier
Konstantin Horas
Jörn Bengt Seeger
Klaus Edgar Roth
Andreas Alois Kurth
Uwe Maus
Publication date
01-04-2015
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 4/2015
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-014-2519-3

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