Is there a difference in 25-hydroxyvitamin D levels between female university students with and without joint hypermobility?

Objectives: Individuals with joint hypermobility (JH) constitute a sensitive group with regard to musculoskeletal problems. This study aimed to investigate whether females with generalized joint hypermobility (GJH) are at risk of hypovitaminosis D compared with non-GJH female participants and whether there is a relationship between vitamin D levels, Beighton score and musculoskeletal complaints. Methods: In this cross-sectional, descriptive and case-control study, 76 female participants aged 18-25 years were included. The Beighton score with a cut-off of 4/9 was applied for defining GJH. In addition, serum biochemical (the enzymatic colorimetric method) and hormonal (the electrochemiluminescence method) parameters were evaluated. Results: The mean serum 25-hydroxyvitamin D (25[OH]D) levels of GJH (n = 38) and non-GJH (n = 38) groups were 15.70 ± 7.96 ng/mL and 16.80 ± 5.45 ng/mL, respectively. There was no statistically significant difference between the groups in terms of biochemical and hormonal parameters. We found vitamin D deficiency in 89.5% of participants with GJH, and 84.2% of controls. There was no correlation between vitamin D, Brighton criteria, and musculoskeletal complaints. Conclusion: The female participants with GJH showed similar frequency of musculoskeletal complaints and similar low level of 25(OH)D in relation to controls. 

___

  • [1] Beighton P, De Paepe A, Steinmann B, Tsipouras P, Wenstrup RJ. Ehlers-Danlos syndromes: revised nosology. Villefranche, 1997. Ehlers-Danlos National Foundation (USA) and Ehlers-Danlos Support Group (UK). Am J Med Genet 1988;77:31-7.
  • [2] Castori M, Tinkle B, Levy H, Grahame R, Malfait F, Hakim A. A framework for the classification of joint hypermobility and related conditions. Am J Med Genet C Semin Med Genet C Semin Med Genet 2017;175:148-57.
  • [3] Malfait F, Francomano C, Byers P, Belmont J, Berglund B, Black J, et al. The 2017 international classification of the Ehlers-Danlos syndromes. Am J Med Genet 2017;175:8-26.
  • [4] Wintermeyer E, Ihle C, Ehnert S, Stöckle U, Ochs G, de Zwart P, et al. Crucial role of vitamin D in the musculoskeletal system. Nutrients 2016;8. pii:E319.
  • [5] Rombaut L, Scheper M, De Wandele I, De Vries J, Meeus M, Malfait F, et al. Chronic pain in patients with the hypermobility type of Ehlers–Danlos syndrome: evidence for generalized hyperalgesia. Clin Rheumatol 2015;34:1121-9.
  • [6] Eller-Vainicher C, Bassotti A, Imeraj A, Cairoli E, Ulivieri FM, Cortini F, et al. Bone involvement in adult patients affected with Ehlers-Danlos syndrome. Osteoporosis Int 2016;27:2525-31.
  • [7] Gulbahar S, Sahin E, Baydar M, Bircan C, Kizil R, Manisali M, et al. Hypermobility syndrome increases the risk for low bone mass. Clin Rheumatol 2006;25:511-4.
  • [8] Scheper MC, de Vries JE, de Vos R, Verbunt J, Nollet F, Engelbert RH. Generalized joint hypermobility in professional dancers: a sign of talent or vulnerability? Rheumatology 2013;52:651-8.
  • [9] Kumar B, Lenert P. Joint hypermobility syndrome: recognizing a commonly overlooked cause of chronic pain. Am J Med 2017;130:640-7.
  • [10] Engelbert RH, Juul-Kristensen B, Pacey V, de Wandele I, Smeenk S, Woinarosky N, et al. The evidence‐based rationale for physical therapy treatment of children, adolescents, and adults diagnosed with joint hypermobility syndrome/hypermobile Ehlers Danlos syndrome. Am J Med Genet C Semin Med Genet 2017;175:158-67.
  • [11] Joghee S, Dewan V, Chhabra A, Jahan A, Sharma N, Yadav TP. Vitamin D levels in children with idiopathic musculoskeletal pain. Int J Basic Appl Sci 2014;3:21-7.
  • [12] Juul-Kristensen B, Røgind H, Jensen DV, Remvig L. Inter-examiner reproducibility of tests and criteria for generalized joint hypermobility and benign joint hypermobility syndrome. Rheumatology (Oxford) 2007;46:1835-41.
  • [13] Kasapoğlu Aksoy M, Altan L, Ökmen Metin B. The relationship between balance and vitamin 25(OH)D in fibromyalgia patients. Mod Rheumatol 2017;27:868-74.
  • [14] [cited 2018 20/03/2018]; Available from: https://mgm.gov.tr/veridegerlendirme/il-ve-ilceler-istatistik.aspx?m=EDIRNE.
  • [15] Beighton P, Solomon L, Soskolne C. Articular mobility in an African population. Ann Rheum Dis 1973;32:413-8.
  • [16] 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.
  • [17] Parikh SJ, Edelman M, Uwaifo GI, Freedman RJ, Semega-Janneh M, Reynolds J, et al. The relationship between obesity and serum 1, 25-dihydroxy vitamin D concentrations in healthy adults. J Clin Endocrinol Metab 2004;89:1196-9.
  • [18] Karahan AY, Hüner B, Kuran B, Sezer N, Çelik C, Salbaş E, et al. [Assessment of the relationship between vitamin D level and non-specific musculoskeletal system pain: a multicenter retrospective study (Stroke Study Group)]. Turk J Osteoporos 2017;23:61-6. [Article in Turkish]
  • [19] Holick M, Hossein-Nezhad A, Tabatabaei F. Multiple fractures in infants who have Ehlers-Danlos/hypermobility syndrome and or vitamin D deficiency: a case series of 72 infants whose parents were accused of child abuse and neglect. Dermatoendocrinol 2017;9:e1279768.
  • [20] Busch A, Hoffjan S, Bergmann F, Hartung B, Jung H, Hanel D, et al. Vascular type Ehlers-Danlos syndrome is associated with platelet dysfunction and low vitamin D serum concentration. Orphanet J Rare Dis 2016;11:111.
The European Research Journal-Cover
  • ISSN: 2149-3189
  • Yayın Aralığı: 6
  • Başlangıç: 2015
  • Yayıncı: Prusa Medikal Yayıncılık Limited Şirketi
Sayıdaki Diğer Makaleler

Mesenteric panniculitis - a rare disorder: radiological features

Mohd Ilyas, Ghanshyam Dev, Anshita Gupta

Esra Paydaş HATAYSAL, Beyza SARACLİGİL, Hatice DAĞI, Hüsamettin VATANSEV

Investigation of the comorbidity of dissociative disorders in patients with bipolar disorder

Atilla Tekin, Esra Demiryürek, Mehmet Güleken, Bahadır Bakım, Ömer Akil Özer, Oğuz Karamustafalıoğlu

Bacterial contamination of ultrasound probes and coupling gels in a university hospital in Turkey

Murat Aral, Hasan Çetin Ekerbiçer, Hakan Kıran, Gürkan Kıran, Salih Serin, Deniz Cemgil Arıkan, Uğurkan Erkayıran

Suna ERAYBAR, Şule Akköse AYDIN, Meral Leman ÖZKAN, Serhat ATMACA, Yasemin NENNİCİOĞLU

The correlation between red cell distribution width, autoimmunity and nail involvement in alopecia areata

Gülhan Gürel

Relationship between students’ performance on weekly task assessments and final practical exam at the preclinical restorative dentistry course

Muhammet Kerim Ayar

Comparing the effect of two different exercise types, minitrampoline and fast-walking to gastrocnemius/soleus muscle elasticity by sonoelastrography

TUBA TÜLAY KOCA, MURAT BAYKARA, Adnan DEMİREL, Ejder BERK

How accurate is the urine dipstick test for diagnosing urinary tract infection?

Hatice Türk Dağı, Beyza Saraçlıgil, Esra Paydaş Hataysal, Hüsamettin Vatansev

An assessment of vertigo patients presenting to the otorhinolaryngology and neurology outpatient clinics

Yılmaz İnanç, Selman Sarıca, Yılmaz İnanç