img
Investigation of the relationship between vitamin D and bone mineral density in newly diagnosed multiple sclerosis      
Yazarlar
Prof. Dr. Aynur KIRBAŞ
Recep Tayyip Erdoğan Üniversitesi, Türkiye
Serkan Kırbaş
Recep Tayyip Erdoğan Üniversitesi, Türkiye
Ömer Anlar
Yıldırım Beyazıt Üniversitesi, Türkiye
Ayşegül Küçükali Türkyılmaz
Recep Tayyip Erdoğan Üniversitesi, Türkiye
Medine Cumhur Cüre
Recep Tayyip Erdoğan Üniversitesi, Türkiye
Hasan Efe
Recep Tayyip Erdoğan Üniversitesi, Türkiye
Özet
The aim of this study was to investigate the relationship between vitamin D and bone mineral density in newly diagnosed multiple sclerosis (MS) and to compare results with data from healthy controls. A total of 60 subjects, including 30 patients with MS, newly diagnosed and untreated (18 females, 12 males, at 18-40 years of age) and 30 healthy controls (20 female, 10 male) were enrolled in this study. Bone mineral density (BMD) of the lumbar spine and left femoral neck region were measured by dual-energy X-ray absorptiometry (DEXA). Serum levels of 25-hydroxyvitamin D (25OHD) were measured by chemiluminescence microparticle immunoassay (CMIA) on the Architect-i2000(A (R)) (Abbott) system. 25OHD levels of MS patients were significantly lower than in controls. 25OHD levels were 27.2 +/- A 14.1 ng/ml in MS patients and 42.6 +/- A 8.8 ng/ml in controls (p = 0.001). Twenty-six (86.6 %) of our patients had a reduced BMD in lumbar spine or femoral neck region; of these 24 patients (80 %) had osteopenia and 2 patients (6.6 %) had osteoporosis. Interestingly, there was no significant correlation between 25OHD and BMD in lumbar spine and femoral neck region (r = 0.454, p = 0,074; r = 0.636, p = 0.082). Interestingly, a significant reduction of bone density in female MS patients was observed. In our study, 25OHD deficiency and lower BMD appeared in newly diagnosed multiple sclerosis. This is compatible with shared etiologic or pathogenic factors in MS and osteopenia/osteoporosis, and calls for an active approach to optimize bone health in early stages of MS.
Anahtar Kelimeler
Vitamin D, Bone mineral density, Multiple sclerosis
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Acta Neurologica Belgica
Dergi ISSN 0300-9009
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 03-2013
Cilt No 113
Sayı 1
Sayfalar 43 / 47
Doi Numarası 10.1007/s13760-012-0123-0
Makale Linki http://link.springer.com/10.1007/s13760-012-0123-0