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Vitamin D Deficiency in Pediatric Fracture Patients: Prevalence, Risk Factors, and Vitamin D Supplementation

Journal of clinical research in pediatric endocrinology, 2016-12, Vol.8 (4), p.445-451 [Peer Reviewed Journal]

COPYRIGHT 2016 Galenos Yayinevi Tic. Ltd. ;Copyright Galenos Yayinevi Dec 2016 ;Journal of Clinical Research in Pediatric Endocrinology, Published by Galenos Publishing. 2016 ;ISSN: 1308-5727 ;EISSN: 1308-5735 ;DOI: 10.4274/jcrpe.3474 ;PMID: 27550850

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Title:
Vitamin D Deficiency in Pediatric Fracture Patients: Prevalence, Risk Factors, and Vitamin D Supplementation
Author: Gorter, Erwin A ; Oostdijk, Wilma ; Felius, Abraham ; Krijnen, Pieta ; Schipper, Inger B
Subjects: Adolescent ; Analysis ; Bone Density Conservation Agents - administration & dosage ; Bone Density Conservation Agents - therapeutic use ; Child ; Children ; Comorbidity ; Cross-Sectional Studies ; Dietary Supplements ; Female ; Fractures, Bone - epidemiology ; Fractures, Bone - therapy ; Health risk assessment ; Humans ; Injuries ; Logistic Models ; Male ; Multivariate Analysis ; Netherlands - epidemiology ; Original ; Outpatients - statistics & numerical data ; Prevalence ; Prevalence studies (Epidemiology) ; Risk Factors ; Vitamin D - administration & dosage ; Vitamin D - therapeutic use ; Vitamin D deficiency ; Vitamin D Deficiency - diagnosis ; Vitamin D Deficiency - drug therapy ; Vitamin D Deficiency - epidemiology
Is Part Of: Journal of clinical research in pediatric endocrinology, 2016-12, Vol.8 (4), p.445-451
Description: Although vitamin D levels are not routinely monitored in pediatric fracture patients, identification of children with a vitamin D deficiency may be clinically relevant because of the potential role of vitamin D in fracture healing. This study aimed to determine the prevalence of vitamin D deficiency in a pediatric fracture population and to identify risk factors for deficiency. All pediatric patients (<18 years) who were treated for a fracture of the upper or lower extremity from September 2012 to October 2013 in the outpatient setting of a level one trauma center were included in this cross-sectional study. Vitamin D deficiency was defined as a serum calcidiol <50 nmol/L. Potential risk factors for vitamin D deficiency were analysed using multivariable logistic regression analysis. A total of 108 boys (58%) and 79 girls, of a mean age 11.1 years (standard deviation 3.9), who had undergone 189 fractures were included in the study. Sixty-four children (34%) were vitamin D deficient. Of those with follow-up measurements, 74% were no longer deficient after supplementation. Vitamin D status did not influence the occurrence of complications during fracture treatment. Independent risk factors for vitamin D deficiency were older age, season (spring), and a non-Caucasian skin type. Clinicians who treat children with a fracture should inform patients and parents on vitamin D supplementation. Vitamin D measurement and supplementation may be needed for children with a non-Caucasian skin type or for those who present with a fracture during spring months.
Publisher: Turkey: Galenos Yayinevi Tic. Ltd
Language: English;Turkish
Identifier: ISSN: 1308-5727
EISSN: 1308-5735
DOI: 10.4274/jcrpe.3474
PMID: 27550850
Source: GFMER Free Medical Journals
MEDLINE
PubMed Central
ProQuest Central
DOAJ Directory of Open Access Journals

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Vitamin D Deficiency in Pediatric Fracture Patients: Prevalence, Risk Factors, and Vitamin D Supplementation

COPYRIGHT 2016 Galenos Yayinevi Tic. Ltd. ;Copyright Galenos Yayinevi Dec 2016 ;Journal of Clinical Research in Pediatric Endocrinology, Published by Galenos Publishing. 2016 ;ISSN: 1308-5727 ;EISSN: 1308-5735 ;DOI: 10.4274/jcrpe.3474 ;PMID: 27550850

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