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European Journal of Orthopaedic Surgery & Traumatology

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01-04-2019 | Original Article • GENERAL ORTHOPAEDICS - TRAUMA

Vitamin D levels and fracture risk among Hispanic children

Authors: Norman Ramirez, Jose L. Ortiz-Fullana, Norma Arciniegas, Altagracia Fullana, Pablo Valentin, Juan Carlos Orengo, Ivan Iriarte, Simon Carlo

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 3/2019

Abstract

Purpose

There is a lack of knowledge about whether low vitamin D levels increase the risk of pediatric low-energy fractures among Hispanic population. The objective of this study is to determine whether there is a direct relationship between low vitamin D levels and the incidence of low-energy fractures in Hispanic children.

Method

Cases included all consecutive patients evaluated with low-energy fractures in the pediatric orthopedic clinic. The control group consisted of all pediatric patients evaluated, without fractures, who had bone and joint pain complaints in the general pediatric clinic. The main focus was to compare cases and controls in relation to their vitamin D levels. Cases and controls were compared using t tests for means of quantitative variables and Chi-square tests.

Results

A total of 201 subjects, distributed as cases (n = 107) and controls (n = 94), were included in this study. One hundred twelve (55.7%) of the total study population were males. The mean age for the study population was 8.6 years old ranging from 1 year to 18 years, and standard deviation = 4.0 years. The median age for the study population was 9 years. The mean vitamin D level for the cases was 32.6 ng/dl (SD = 10.9); the mean vitamin D level for controls was 32.3 ng/dl (SD = 13.4). This difference was not statistically significant (t = 0.18, 95% CI − 3.2 to 3.9; p = 0.854).

Conclusion

A direct relationship between low vitamin D levels and fracture risk in a Hispanic pediatric population was not established.

Levels of Evidence

III.

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Title: Vitamin D levels and fracture risk among Hispanic children
Authors: Norman Ramirez
Jose L. Ortiz-Fullana
Norma Arciniegas
Altagracia Fullana
Pablo Valentin
Juan Carlos Orengo
Ivan Iriarte
Simon Carlo
Publication date: 01-04-2019
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 3/2019
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-018-2315-7

At a glance: The STEP trials

Springer Medicine

Vitamin D levels and fracture risk among Hispanic children

Abstract

Purpose

Method

Results

Conclusion

Levels of Evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Method

Results

Conclusion

Levels of Evidence

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