دورية أكاديمية
Relation of Vitamin D Level, BMI, and Location of Lower Extremity Stress Fractures in Military Trainees.
| العنوان: | Relation of Vitamin D Level, BMI, and Location of Lower Extremity Stress Fractures in Military Trainees. |
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| المؤلفون: | Zalneraitis BH; Department of Orthopaedic Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, WA 98431, USA., Huuki E; Uniformed Services University of Health Sciences, Bethesda, MD 20814, USA., Benavides LC; Department of Orthopaedic Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, WA 98431, USA., Benavides JM; Department of Orthopaedic Surgery, Madigan Army Medical Center, Joint Base Lewis-McChord, WA 98431, USA. |
| المصدر: | Military medicine [Mil Med] 2023 Jul 22; Vol. 188 (7-8), pp. e1970-e1974. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Oxford University Press Country of Publication: England NLM ID: 2984771R Publication Model: Print Cited Medium: Internet ISSN: 1930-613X (Electronic) Linking ISSN: 00264075 NLM ISO Abbreviation: Mil Med Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Oxford : Oxford University Press Original Publication: Washington, D.C. : Association of Military Surgeons, United States, 1955- |
| مواضيع طبية MeSH: | Fractures, Stress*/blood , Fractures, Stress*/epidemiology , Fractures, Stress*/etiology , Vitamin D*/blood , Vitamin D*/analogs & derivatives , Military Personnel*/statistics & numerical data , Body Mass Index*, Humans ; Male ; Female ; Adult ; Young Adult ; Adolescent ; Lower Extremity/injuries ; Lower Extremity/physiopathology ; Retrospective Studies |
| مستخلص: | Introduction: Military trainees are at an increased risk of stress fractures. Vitamin D availability is known to play an important role in both fracture prevention and healing. The purpose of this investigation was to assess 25-hydroxy vitamin D (25(OH)D) levels in soldiers with confirmed lower extremity stress fractures and assess the predictors of fracture location. Materials and Methods: Following Institutional Review Board approval, military trainees at a large training base presenting to the orthopedic clinic with a radiographically verified stress fracture were identified. Demographic data and 25(OH)D levels were collected. A descriptive analysis was performed in regard to patient age, body mass index (BMI), and 25(OH)D level. Interactions between variables were assessed using one-way analysis of variance for four fracture location groups (femoral neck, femoral shaft, tibial shaft, and foot and ankle). Bivariate correlations were examined between age, BMI, and vitamin D level. Results: A total of 155 lower extremity stress fractures were identified in 144 males and 11 females over 30 months. The mean age was 22.7 ± 4.85 years. The majority (60.7%) of fractures were located in the femoral neck. The average 25(OH)D level was 26.8 ± 8.37 ng/mL. Overall, 26% (N = 41) of enrolled patients had normal 25(OH)D levels, 48% (N = 74) had insufficient 25(OH)D levels, and 26% (N = 40) had deficient 25(OH)D levels. Patients with femoral neck fractures and tibial shaft fractures had significantly lower BMI than patients with foot and ankle fractures (23.3 vs. 27.7, P < .001 and 24.2 vs. 27.7, P = .003, respectively). Patients with foot and ankle fractures had significantly lower 25(OH)D levels than patients with femoral shaft fractures (21.1 vs. 30.1, P = .02). There were no significant findings regarding age and fracture location. Age correlated positively (but weakly) with BMI (0.338, P < .001). There was no correlation between age and vitamin D level or BMI and vitamin D level. Conclusion: Overall, 74% of patients in military training with lower extremity stress fractures had insufficient or deficient levels of 25(OH)D, highlighting a persistent area of concern in this population. Patients with femoral neck and tibial shaft stress fractures had significantly lower BMI than patients with foot and ankle stress fractures. This suggests that in stress fracture-prone patients, BMI may play a role in predicting fracture location. (Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2022. This work is written by (a) US Government employee(s) and is in the public domain in the US.) |
| المشرفين على المادة: | 1406-16-2 (Vitamin D) A288AR3C9H (25-hydroxyvitamin D) |
| تواريخ الأحداث: | Date Created: 20220825 Date Completed: 20240619 Latest Revision: 20240619 |
| رمز التحديث: | 20240619 |
| DOI: | 10.1093/milmed/usac258 |
| PMID: | 36004444 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1930-613X |
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| DOI: | 10.1093/milmed/usac258 |