The relationship between vitamin D deficiencies and life quality of FMS patients /Fibromiyalji hastalarinda D vitamini eksikligiyle yasam kalitesi iliskisi

T. Yildirim, Y. Ersoy
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Abstract

Aim: Fibromyalgia syndrome (FMS) is a chronic musculoskeletal system disease characterized by widespread pain. Nonspecific skeletal pain can also be seen in patients with vitamin D deficiency. The association between low levels of vitamin D and non-specific musculoskeletal pain, including FMS, is controversial. The aim of this study is to assess the relationship between vitamin D deficiencies and disease activity, life quality of FMS patients. Materials and Methods: Patients with Fibromyalgia (FMS) classified according to American College of Rheumatology (ACR) criteria. 25-OH vitamin D levels below 20 ng/ml were accepted as vitamin D deficiency. Study groups classified as first group; patient with isolated FMS (n:36), second group; isolated vitamin D deficiency (n:41) and third group was FMS in together with vitamin D deficiency (n:70). Pain level was measured by the visual analog scale (VAS). Functional and life quality assessments were determined by using Short Form Heath Survey 36 (SF-36) and Fibromyalgia Impact Index (FIQ). Results: In isolated FMS group, vitamin D level was found higher than other two groups (p>0.05). At the assessment of quality of life, VAS and FIQ scores in FMS group were significantly higher than ones found in vitamin D deficiency group (p
FMS患者维生素D缺乏与生活质量的关系
目的:纤维肌痛综合征(FMS)是一种以广泛疼痛为特征的慢性肌肉骨骼系统疾病。非特异性骨骼疼痛也见于维生素D缺乏症患者。维生素D水平低与非特异性肌肉骨骼疼痛(包括FMS)之间的关系是有争议的。本研究的目的是评估维生素D缺乏与FMS患者疾病活动性、生活质量之间的关系。材料和方法:根据美国风湿病学会(ACR)标准分类的纤维肌痛(FMS)患者。25-OH维生素D水平低于20 ng/ml被认为是维生素D缺乏。研究小组分为第一组;分离性FMS患者(36例),第二组;单独维生素D缺乏症(n:41),第三组为FMS合并维生素D缺乏症(n:70)。采用视觉模拟评分法(VAS)测量疼痛程度。功能和生活质量评估采用健康调查表36 (SF-36)和纤维肌痛影响指数(FIQ)。结果:FMS分离组维生素D水平高于其他两组(p>0.05)。在生活质量评估中,FMS组的VAS和FIQ评分明显高于维生素D缺乏组(p
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