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Original Research

RMJ. 2010; 35(2): 221-223


Vitamin D deficiency in outpatient department:Eastern Province of KSA experience

Jah Mirza Mohsin Ali.

Abstract
ABSTRACT
Objective
To determine the level of vitamin D3 in patients attending out patient department with aches and pains.
Methodology
This cross-sectional study was carried out at Imam Abdulrahman bin Faisal hospital, National Guard health affairs, Dammam, Eastern Province, Kingdom of Saudi Arabia from August 2008 to July 2009. All the adult patients attending outpatient with aches and pains had their Vitamin D3 blood level done.
Results
A total of 1000 patients were studied; 766 (76.6%) were females and 244 (24.4%) were males. 744 (97.12%) females and 242 (99.18%) males were found to be deficient in Vitamin D3 in serum.
Conclusion
There is an increase need for patients and health care professionals to understand the preventive aspects of this vitamin that acts more like a hormone. There is a need for increased vitamin D supplementation across the lifespan. The role of vitamin D3 in aches and pain need more detailed research, until proved otherwise it can be presumed that it has a definite role in aches and pains. (Rawal Med J 2010;35: ).
Key words
Vitamin D3, aches and pains, vitamin D deficiency.
INTRODUCTION
There may be a strong relationship between lower rates of vitamin D3 in blood and a variety of chronic diseases.1 An objective review is still necessary for the clinician to separate fact from fiction regarding this specific vitamin.2 Vitamin D deficiency has negative effects across the lifespan.3 Vitamin D is a fat-soluble vitamin that is metabolized by the body by either sun (ultraviolet light) exposure or dietary intake and its metabolism is well understood.4,5 Both vitamin D from the sun and diet enter the liver and are converted to 25-hydroxyvitamin D [25(OH)D3] (calcidiol).5 The calcidiol is the major circulating form of vitamin D and is used to determine vitamin D status. To become biologically active, it requires additional hydroxylation in the kidneys to form active 1, 25-hydroxyvitamin D [1, 25(OH) 2D] (calcitriol); however, 1,25(OH)2D is not used to determine vitamin D status because it circulates at 1000 times less concentration than 25(OH)D3 and it has a half life of 6 hours in comparison to 2 weeks for 25(OH)D3.5 Various factors that can cause vitamin D deficiency.6- 8
Recent studies suggest that the regular intake of vitamin D may increase blood levels greater than weekly or monthly oral intakes of equivalent doses.9 Sunscreen has the ability to block ultraviolet B (UVB) light. However, no clinician should recommend trading one condition for another, and it is a concern that some clinicians advise regular sun exposure several times a week.10 The aim of this study was to determine the level of vitamin D3 in patients attending our out patient department with aches and pains
METHODOLOGY
This cross-sectional study was carried out at the department of surgery, orthopaedic unit. Imam Abdulrahman bin Faisal hospital, National Guard Health Affairs, Dammam, Eastern Province, Kingdom of Saudi Arabia, from August

Key words: Vitamin D3, aches and pains, vitamin D deficiency.


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