Prevalence of Vitamin D Deficiency and Associated Risk Factors Among Patients with Nonspecific Musculoskeletal Pain Symptoms Attending Tikur Anbessa Specialized Hospital, Addis Ababa , Ethiopia
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Date
2019-01
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Addis Ababa University
Abstract
Background: Vitamin D deficiency causes rickets in children, and osteomalacia in children and adults. In 2016 musculoskeletal conditions are second cause of disability worldwide. Vitamin D deficiency and insufficiency can be both corrected and prevented safely through supplementation therapy. Therefore assessing prevalence of vitamin D deficiency and associated risk factors among patients with nonspecific musculoskeletal pain symptoms is crucial in Ethiopian context.
Objective: To determine the prevalence of vitamin D deficiency and its associated risk factors in patients with nonspecific musculoskeletal pain symptoms in Tikure Anbessa Specialized Hospital (TASH), Addis Ababa ; Ethiopia.
Methods: A cross-sectional study was conducted among patients with nonspecific musculoskeletal pain symptoms from March to May 2018 at TASH. Demographic data were collected using a structured questionnaire. Clinical data were obtained from medical records. Anthropometric indices were measured. Alkaline phosphatase (ALP) was determined in TASH laboratory with Mindray-200E. Vitamin D was determined with Mini Vidas hormone analyzer in Ras Desta Memorial hospital laboratory. Calcium (Ca) and Phosphorous (P) were analyzed in EPHI laboratory with Cobas 6000 c501 module. The data were entered into SPSS version 20 for analysis.
Results: Among the total 75 study participants with nonspecific musculoskeletal pain symptoms, 66 (88%) had vitamin D deficiency and 9 (12%) had vitamin D insufficient. Age, body mass index (BMI), waist circumference (WC) and occupation were associated with vitamin D deficiency. However, ALP, Ca, and P levels were not significantly correlated with vitamin D level. BMI were identified as independent risk factors for vitamin D deficiency.
Conclusion: The prevalence of vitamin D deficiency was high among patients with nonspecific musculoskeletal pain symptoms in this tertiary care. Obesity was independent risk factors for vitamin D deficiency.
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Nonspecific musculoskeletal pain symptoms, vitamin D deficiency, prevalence, risk factors