PREVALENCE OF VITAMIN D INADEQUACY AMONG ORTHOPEDIC SURGEONS

Authors

  • Ong-Art Phruetthiphat Department of Orthopaedics, Phramongkutklao Hospital and Phramongkutklao College of Medicine, Bangkok, Thailand
  • Nopphadon Kusuwannakul Department of Orthopaedics, Phramongkutklao Hospital and Phramongkutklao College of Medicine, Bangkok, Thailand
  • Saradej Khuangsirikul Department of Orthopaedics, Phramongkutklao Hospital and Phramongkutklao College of Medicine, Bangkok, Thailand
  • Teerapat Tutaworn Department of Orthopaedics, Phramongkutklao Hospital and Phramongkutklao College of Medicine, Bangkok, Thailand
  • Thawee Songpatanasilp Department of Orthopaedics, Phramongkutklao Hospital and Phramongkutklao College of Medicine, Bangkok, Thailand
  • Thanainit Chotanaphuti Department of Orthopaedics, Phramongkutklao Hospital and Phramongkutklao College of Medicine, Bangkok, Thailand

DOI:

https://doi.org/10.55374/jseamed.v5i1.85

Keywords:

Vitamin D inadequacy, Orthopedic surgeons, Prevalence, Elderly patients, Hypogonadism, Prostate cancer

Abstract

Background: Indoor workers including healthcare professionals are at high risk to develop vitamin D insufficiency and deficiency, due to lifestyle and limited sunlight exposure. Additionally, common health problems in aging men are vitamin D inadequacy, hypogonadism and prostate cancer.

Objective: The study aimed to determine the prevalence of vitamin D inadequacy, testosterone and prostate specific antigen (PSA) among orthopedic surgeons with different ages and regions of residence.

Methods: This cross-sectional study was conducted at the annual meeting of the Royal College of Orthopedic Surgeons of Thailand (RCOST) in October 2017. All participants were orthopedic surgeons working in different regions in Thailand. They received blood examination for vitamin D (25-hydroxyvitamin D) levels, total testosterone and total PSA serum levels.

Results: A total of 257 orthopedic surgeons participated in the study. The prevalence of vitamin D inadequacy was 71.98%. Old age group (≥60 years old) had significantly higher total vitamin D than young age group (<60 years old) (p=0.014). Participants from eastern region had significantly higher total vitamin D than Bangkok and southern regions (p=0.015). Interestingly, the prevalence of low testosterone levels was 13% which occurred significantly in the age group ≥40 year (p=0.004). Additionally, the prevalence of high PSA levels was 4.67%. Even though the old age group had significantly higher PSA than the young age group (p< 0.001), no correlation was found between region and total PSA level.

Conclusion: The prevalence of vitamin D inadequacy among Thai orthopedic surgeons was surprisingly high. This data provide important information to promote greater self-awareness to reduce the possible consequences associated with vitamin D inadequacy. Vitamin D supplementation including prevention strategies need to be promoted among healthcare professionals.

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References

ACOG Committee on Obstetric Practice. ACOG Committee Opinion No. 495: Vitamin D: Screening and supplementation during pregnancy. Obstet Gynecol 2011; 118: 197-8. DOI: https://doi.org/10.1097/AOG.0b013e318227f06b

Sprague S, Petrisor B, Scott T, Devji T, Phillips m, Spurr H, et al. What is the role of D supplementation in acute fracture patients? A systematic review and meta-analysis of the prevalence of hypovitaminosis D and supplementation efficacy. J OrthopTrauma 2015; 30: 53-63. DOI: https://doi.org/10.1097/BOT.0000000000000455

Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. Evaluation, treatment, and prevention of vitamin D deficiency: An Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2011; 96: 1911-30. DOI: https://doi.org/10.1210/jc.2011-0385

Soontrapa S, Soontrapa S, Chailurkit L. The prevalence and the calcidiol levels of vitamin D deficiency in the elderly Thai women in municipality of Khon Kaen province, Thailand. Srinagarind Med J 2002; 17: 231-8.

Chailurkit L, Aekplakorn W, Ongphiphadhanakul B. Regional variation and determinants of vitamin D status in sunshine-abundant Thailand. BMC Public Health 2011; 11: 853. DOI: https://doi.org/10.1186/1471-2458-11-853

Tutaworn T, Phruetthiphat O, Songpatanasilp T. Prevalence and Clinical Correlation of Vitamin D Inadequacy in Traumatic Hip Fracture among Elderly Patients. J Ortho Bone Disord 2019, 3: 000191. DOI: https://doi.org/10.1016/j.afos.2017.08.074

Akishita M, Fukai S, Hashimoto M, Kameyama Y, Nomura K, Nakamura T, et al. Association of low testosterone with metabolic syndrome and its components in middle-aged Japanese men. Hypertens Res 2010; 33: 587-91. DOI: https://doi.org/10.1038/hr.2010.43

Akishita M, Hashimoto M, Ohike Y, Ogawa S, Iijima K, Eto M, et al. Low testosterone level as a predictor of cardiovascular events in Japanese men with coronary risk factors. Atherosclerosis 2010; 210: 232-6. DOI: https://doi.org/10.1016/j.atherosclerosis.2009.10.037

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Published

2021-06-22

How to Cite

1.
Phruetthiphat O-A, Kusuwannakul N, Khuangsirikul S, Tutaworn T, Songpatanasilp T, Chotanaphuti T. PREVALENCE OF VITAMIN D INADEQUACY AMONG ORTHOPEDIC SURGEONS. J Southeast Asian Med Res [Internet]. 2021 Jun. 22 [cited 2024 Dec. 21];5(1):35-41. Available from: https://jseamed.org/index.php/jseamed/article/view/85

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