Assessment of the Association between Hypovitaminosis D and Chronic Low Back Pain in South Punjab

Waqas Noor Chughtai, Manqoosh-ur-Rehman, Muhammad Adeel Razzaque, Azhar Rashid, Tanveer Ahmad, Amjad Maqsood
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Abstract

Objective: To assess the relationship between hypovitaminosis D and chronic low back pain in South Punjab. Materials and Methods: Retrospective research was done from January 2021 to June 2022. 173 chronic nonspecific low back pain patients presenting in outpatient clinics were included in our study. Two groups were made of all patients, one was vitamin-D level deficient, and the other was a vitamin-D normal group. The blood level of 30 ng/ml of vitamin D was taken as normal. Chronic Low back pain status was analyzed by VAS score. All the demographic data of patients were recorded. The relationship between vitamin D and VAS score was assessed by the spearman coefficient and p <0.05 was taken as significant. Results: The majority of patients had a mean age of 36.45 ± 21 years, were female preponderance, married, and vegetarians with a mean sun exposure time of about 2 hours. In group 1, the vitamin D level was 13.41 ± 3.8 and in group 2 vitamin D was 38.71 ± 5.8 with p value< 0.0001. Spearman rho coefficient was used to assess the relationship between vitamin D and pain score. The result was a negative correlation between these 2 variables (r=-0.572) and p <0.0001. Conclusion This research work showed the significant probability of association between vitamin D level and patients having nonspecific chronic low back pain. There was a negative association between vitamin D level and VAS score of patients having chronic low back pain.  
南旁遮普地区维生素D缺乏症与慢性腰痛关系的评估
目的:探讨南旁遮普地区维生素D缺乏症与慢性腰痛的关系。材料与方法:回顾性研究时间为2021年1月至2022年6月。173例在门诊就诊的慢性非特异性腰痛患者纳入了我们的研究。所有患者分为两组,一组为维生素d缺乏组,另一组为维生素d正常组。血中维生素D 30 ng/ml为正常水平。采用VAS评分法分析慢性腰痛状态。记录所有患者的人口统计资料。采用spearman系数评价维生素D与VAS评分的关系,以p <0.05为显著性。结果:患者平均年龄36.45±21岁,女性居多,已婚,素食者居多,平均日晒时间约2小时。1组维生素D水平为13.41±3.8,2组维生素D水平为38.71±5.8,p值< 0.0001。采用Spearman系数评价维生素D与疼痛评分的关系。结果这两个变量之间呈负相关(r=-0.572), p <0.0001。结论维生素D水平与非特异性慢性腰痛有显著相关性。慢性腰痛患者的维生素D水平与VAS评分呈负相关。
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