NOT ONLY VITAMIN D BUT HAEMOGLOBIN IS ALSO ASSOCIATED WITH ARM FRACTURES IN PAEDIATRIC PATIENTS!!
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Keywords
Vitamin D deficiency, Low impact upper extremity fractures, Low Hemoglobin, Arm fracture, High versus Low impact fracture, Anemia
Abstract
Introduction:
Vitamin D deficiency usually linked with skeletal complications includes rickets, bone deformities, osteoporosis and fractures. The aim of the present study was to determine the prevalence of vitamin D deficiency in under 6 years paediatric patients presented with radiographically confirmed fracture of upper arm extremity.
Material and methods
This cross-sectional descriptive study was conducted at a tertiary care centre in western Maharashtra between Jan 2019 to Dec 2021. All pediatric patients under 6 years with radiographically confirmed fracture of upper extremity during the study period were compared with collected serum levels of 25(OH) vitamin D and haemoglobin by using an electronic statistical package SPSS software version 23.0 (SPSS, IBM, Chicago, IL, USA).
Results
A total of 62 children were enrolled in the study. In our study, almost three fourth (47, 75.8%) of children with upper extremity fracture were deficient (< 20ng/ml) in serum levels of 25(OH) vitamin D. The statistical comparison of median serum haemoglobin level and mode of injury by using Mann Whitney U test was significant, p-value = 0.002 whereas, statistical comparison of median serum levels of 25(OH) vitamin D and mode of injury was found to be non-significant, p-value = 0.133.
Conclusion
We found almost 75% children in our study were suffering from Vit D deficiency. However, this study showed a potentially important association between low serum haemoglobin levels and fracture due to low impact injury in children. This finding opens-up a window of opportunity for research on the effect of haemoglobin and possibly nutritional status on bone health.
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Dr Suchi Acharya
Associate Professor, Department Of Pediatrics, Armed Forces Medical College, Pune
Maharashtra, India -411040
Dr Achinta Mallick
Classified Specialist (Pediatrics), Military Hospital, Wellington, Tamil Nadu, India -411040
Dr Kumar Pushkar
181 Military Hospital
Dr Manish Kumar
Professor, Department Of Pediatrics, Armed Forces Medical College, Pune
Maharashtra, India -411040
Dr Manish Kumar
Professor, Department Of Pediatrics, Armed Forces Medical College, Pune
Maharashtra, India -411040