Does Vitamin D Level Affect the Radiographic Severity of Osteoarthritis Knee and its Functional Status?

Objective: The objective of this study was to investigate the relationship between Vitamin D levels, radiographic severity, and functional status in patients with primary knee osteoarthritis (OA). Materials and Methods: A cross-sectional study was conducted on 71 patients with primary knee OA. Clini...

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Main Authors: S. Hariprasad, Aditya Seth, S. J. Karthik, Anish N. Tawde, Ratnakar Vecham, Adarsh Annapareddy, A. V. Gurava Reddy, Rajat Jain
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-07-01
Series:Journal of Orthopedics, Traumatology and Rehabilitation
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Online Access:https://journals.lww.com/10.4103/jotr.jotr_86_23
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author S. Hariprasad
Aditya Seth
S. J. Karthik
Anish N. Tawde
Ratnakar Vecham
Adarsh Annapareddy
A. V. Gurava Reddy
Rajat Jain
author_facet S. Hariprasad
Aditya Seth
S. J. Karthik
Anish N. Tawde
Ratnakar Vecham
Adarsh Annapareddy
A. V. Gurava Reddy
Rajat Jain
author_sort S. Hariprasad
collection DOAJ
description Objective: The objective of this study was to investigate the relationship between Vitamin D levels, radiographic severity, and functional status in patients with primary knee osteoarthritis (OA). Materials and Methods: A cross-sectional study was conducted on 71 patients with primary knee OA. Clinical and radiological evaluations were performed to confirm the diagnosis of knee OA. Vitamin D levels were measured, and radiographic severity was assessed using the Kellgren–Lawrence grading system. Functional status was evaluated using Lequesne’s indices. Statistical analyses were conducted to compare variables between patients with deficient Vitamin D levels (<30 ng/mL) and those with normal levels (≥30 ng/mL). Results: The study population had a mean age of 59.39 ± 8.09 years, with a majority of females (80.3%). The mean Vitamin D level was 19.22 ± 6.086 ng/mL, and 91.5% of patients were classified as Vitamin D deficient. Radiographic evaluation revealed joint space narrowing in all patients, with 87.3% having moderate-to-severe narrowing. Osteophytes were observed in 53.5% of patients. While there were no significant differences in demographic and radiographic variables based on Vitamin D levels, a significant association was found between functional grading and normal Vitamin D levels. Conclusion: This study highlights a high prevalence of Vitamin D deficiency in patients with knee OA. Although there was no significant association between Vitamin D deficiency and radiographic severity, Vitamin D levels were found to influence the functional status of the knee. Further research with larger sample sizes and longitudinal designs is necessary to establish a comprehensive understanding of the relationship between Vitamin D levels and knee OA severity.
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spelling doaj-art-12193941ce05431eaa6488cd4954b3392025-02-08T05:56:48ZengWolters Kluwer Medknow PublicationsJournal of Orthopedics, Traumatology and Rehabilitation0975-73412347-37462023-07-0115211712110.4103/jotr.jotr_86_23Does Vitamin D Level Affect the Radiographic Severity of Osteoarthritis Knee and its Functional Status?S. HariprasadAditya SethS. J. KarthikAnish N. TawdeRatnakar VechamAdarsh AnnapareddyA. V. Gurava ReddyRajat JainObjective: The objective of this study was to investigate the relationship between Vitamin D levels, radiographic severity, and functional status in patients with primary knee osteoarthritis (OA). Materials and Methods: A cross-sectional study was conducted on 71 patients with primary knee OA. Clinical and radiological evaluations were performed to confirm the diagnosis of knee OA. Vitamin D levels were measured, and radiographic severity was assessed using the Kellgren–Lawrence grading system. Functional status was evaluated using Lequesne’s indices. Statistical analyses were conducted to compare variables between patients with deficient Vitamin D levels (<30 ng/mL) and those with normal levels (≥30 ng/mL). Results: The study population had a mean age of 59.39 ± 8.09 years, with a majority of females (80.3%). The mean Vitamin D level was 19.22 ± 6.086 ng/mL, and 91.5% of patients were classified as Vitamin D deficient. Radiographic evaluation revealed joint space narrowing in all patients, with 87.3% having moderate-to-severe narrowing. Osteophytes were observed in 53.5% of patients. While there were no significant differences in demographic and radiographic variables based on Vitamin D levels, a significant association was found between functional grading and normal Vitamin D levels. Conclusion: This study highlights a high prevalence of Vitamin D deficiency in patients with knee OA. Although there was no significant association between Vitamin D deficiency and radiographic severity, Vitamin D levels were found to influence the functional status of the knee. Further research with larger sample sizes and longitudinal designs is necessary to establish a comprehensive understanding of the relationship between Vitamin D levels and knee OA severity.https://journals.lww.com/10.4103/jotr.jotr_86_23functional statusjoint space narrowingknee osteoarthritisosteophytesradiographic severityvitamin d
spellingShingle S. Hariprasad
Aditya Seth
S. J. Karthik
Anish N. Tawde
Ratnakar Vecham
Adarsh Annapareddy
A. V. Gurava Reddy
Rajat Jain
Does Vitamin D Level Affect the Radiographic Severity of Osteoarthritis Knee and its Functional Status?
Journal of Orthopedics, Traumatology and Rehabilitation
functional status
joint space narrowing
knee osteoarthritis
osteophytes
radiographic severity
vitamin d
title Does Vitamin D Level Affect the Radiographic Severity of Osteoarthritis Knee and its Functional Status?
title_full Does Vitamin D Level Affect the Radiographic Severity of Osteoarthritis Knee and its Functional Status?
title_fullStr Does Vitamin D Level Affect the Radiographic Severity of Osteoarthritis Knee and its Functional Status?
title_full_unstemmed Does Vitamin D Level Affect the Radiographic Severity of Osteoarthritis Knee and its Functional Status?
title_short Does Vitamin D Level Affect the Radiographic Severity of Osteoarthritis Knee and its Functional Status?
title_sort does vitamin d level affect the radiographic severity of osteoarthritis knee and its functional status
topic functional status
joint space narrowing
knee osteoarthritis
osteophytes
radiographic severity
vitamin d
url https://journals.lww.com/10.4103/jotr.jotr_86_23
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