BONE MINERAL DENSITY, CALCIUM AND VITAMIN D LEVELS IN ELDERLY PATIENTS WITH HIP FRACTURES

Abstract

Background: Hip fractures are quite common in elderly population who generally have weak bones owing to osteoporosis. A relationship of vitamin D in calcium metabolism and bone health has also been reported. This study examines the relationship between bone mineral density, body mass index, serum calcium and vitamin D levels. Methodology: A total of 80 elderly hip fracture patients (>60 years) were enrolled in the study. Their demographic prole, personal habit prole, medical history, serum calcium and vitamin D levels were assessed. BMD was assessed sonographically. Data obtained was assessed using SPSS 21. Results: Mean age of patients was 71.96±6.42 years. Majority of the were females (71.75%). Mean BMI was 20.78±3.27 kg/m2. Majority (66.3%) had anemia. According to BMD, osteoporosis, osteopenia and normal bone density was seen in 20%, 70% and 10% patients. A total of 58 (72.5%) had hypocalcemia. Vitamin D insufciency, deciency and very severe deciency was seen in 10%, 75% and 11.3% patients respectively. Older age, female sex, lower BMI, hypocalcemia and vitamin D deciency were found to be signicantly associated with lower BMD (p<0.05). A relationship between low vitamin D levels and serum calcium levels was also seen (r=0.43; p<0.001). Conclusion: Elderly hip fracture patients had a poor bone health which is related with increasing age, low BMI, low calcium and low vitamin D levels.