0.829
IF
20
MNiSW
166.26
ICV
 
CC BY-NC-ND 3.0
 
 

Pain involving the motor system and serum vitamin D concentration in postmenopausal women working in agriculture

Dorota Raczkiewicz 1  ,  
Alfred Owoc 2,  
 
1
Institute of Statistics and Demography, Warsaw School of Economics, Warsaw, Poland
2
Center for Public Health and Health Promotion, Institute of Rural Health in Lublin, Poland
3
Medical University of Silesia in Katowice, School of Pharmacy with the Division of Laboratory Medicine in Sosnowiec, Department of Pharmaceutical Technology, Chair of Applied Pharmacy, Sosnowiec, Poland
4
Department for Woman Health, Institute of Rural Health in Lublin, Poland
Ann Agric Environ Med 2017;24(1):151–155
KEYWORDS:
ABSTRACT:
Introduction and objective:
Since the role of vitamin D is essential in numerous biological processes its deficiency was suggested to be a risk factor for e.g. osteoporosis, musculoskeletal pain and spine pain. The purpose of the study was to analyse whether serum vitamin D concentration is related to pain involving the motor system in Polish postmenopausal women working in agriculture.

Material and Methods:
The study group consisted of 1,751 post-menopausal women, aged 45–65, at least 12 months from the last menstrual period, living in rural areas and working in agriculture. The research method was self-assessment of pain involving the motor system using VAS, laboratory test of serum vitamin D concentration and a medical interview. Statistical methods included generalized linear models, analysis of variance, t test for two means in two independents, χ2 test of stochastic independence.

Results:
Postmenopausal women working in agriculture and suffering from pain in at least one part of the motor system were younger and lower educated, they also had higher abdominal obesity and lower serum vitamin D, compared to those without pain in any part of the motor system. Decreased serum vitamin D concentration in postmenopausal women working in agriculture is important from the aspect of a higher prevalence of pain in the thoracic spine and more severe pain in the neck spine, but not for severity of pain in the lumbar spine; higher occurrence of pain in both hands or wrists; higher prevalence and more severe pain in at least one knee; and no prevalence or severity of pain in the shoulders and elbows.

Conclusions:
Serum vitamin D concentration is important for the prevalence and severity of pain in the neck and thoracic spine, knees and hands or wrists, but not for the lumbar spine, shoulders and elbows.

CORRESPONDING AUTHOR:
Dorota Raczkiewicz   
Institute of Statistics and Demography, Warsaw School of Economics, Warsaw, Poland
 
REFERENCES:
1. Brannon PM. Key questions in Vitamin D research. Scandinavian Journal of Clinical and Laboratory Investigation Supplementum, 2012; 243: 154–162.
2. Arnson Y, Amital H, Shoenfeld Y. Vitamin D and autoimmunity: new aetiological and therapeutic considerations. Ann Rheum Dis 2007; 66: 1137–1142.
3. Lips P, Graafmans WC, Ooms ME, Bezemer PD, Bouter LM. Vitamin D supplementation and fracture incidence in elderly persons. A randomized, placebo-controlled clinical trial. Ann Intern Med. 1996 Feb 15;124(4):400–6.
4. Siddque SA, Malik YM. Frequency of Vitamin D deficiency in patients of low backache. Ann. Pak. Inst. Med. Sci. 2011; 7(4): 208–212.
5. Al Faraj S, Al Mutairi K. Vitamin D deficiency and chronic low back pain in Saudi Arabia. Spine 2003;28:177–9.
6. Ghai B, Bansal D, Kanukula R, Gudala K, Sachdeva N, Dhatt SS, Kumar V. Vitamin D Supplementation in Patients with Chronic Low Back Pain: An Open Label, Single Arm Clinical Trial. Pain Physician. 2017 Jan-Feb;20(1):E99-E105.
7. Grigorie D, Sucaliuc A, Ivan M, Neacsu E, Popa O, Diaconescu A. High prevalence of vitamin D deficiency in 1048 Romanian postmenopausal women with osteoporosis. Acta Endocrinologica (Buc). 2008;IV:33–45.
8. Rkain H, Bouaddi I, Ibrahimi A, Lakhdar T, Abouqal R, Allali F, Hajjaj-Hassouni N. Relationship between vitamin D deficiency and chronic low back pain in postmenopausal women. Curr Rheumatol Rev. 2013;9(1):63–7.
9. Visser M, Deeg DJ, Lips P; Longitudinal Aging Study Amsterdam. Low vitamin D and high parathyroid hormone levels as determinants of loss of muscle strength and muscle mass (sarcopenia): the Longitudinal Aging Study Amsterdam. J Clin Endocrinol Metab. 2003 Dec;88(12):5766–72.
10. e Silva AV, Lacativa PG, Russo LA, de Gregório LH, Pinheiro RA, Marinheiro LP. Association of back pain with hypovitaminosis D in postmenopausal women with low bone mass. BMC Musculoskelet Disord. 2013 Jun 12;14:184. doi: 10.1186/1471–2474–14–184.
11. Lacativa PG, Farias ML. Osteoporosis and inflammation. Arq Bras Endocrinol Metabol. 2010 Mar;54(2):123–32.
12. Lodh M, Goswami B, Mahajan RD, Sen D, Jajodia N, Roy A. Assessment of Vitamin D status In Patients of Chronic Low Back Pain of Unknown Etiology. Indian J Clin Biochem. 2015 Apr;30(2):174–9. doi: 10.1007/.s12291–014–0435–3.
13. Nurbazlin M, Chee WS, Rokiah P, Tan AT, Chew YY, Nusaibah AR, Chan SP. Effects of sun exposure on 25(OH) vitamin D concentration in urban and rural women in Malaysia. Asia Pac J Clin Nutr. 2013;22(3):391–9. doi: 10.6133/apjcn.2013.22.3.15.
14. Harinarayan CV, Ramalakshmi T, Prasad UV, Sudhakar D. Vitamin D status in Andhra Pradesh: A population based study. Indian J Med Res 2008; 127: 211–218.
15. Bodekær M, Petersen B, Thieden E, Philipsen PA, Heydenreich J, Olsen P, Wulf HC. UVR exposure and vitamin D in a rural population. A study of outdoor working farmers, their spouses and children. Photochem Photobiol Sci. 2014 Nov;13(11):1598–606. doi: 10.1039/c4pp00188e.
16. Gómez-de-Tejada Romero MJ, Navarro Rodríguez MD, Saavedra Santana P, Quesada Gómez JM, Jódar Gimeno E, Sosa Henríquez M. Prevalence of osteoporosis, vertebral fractures and hypovitaminosis D in postmenopausal women living in a rural environment. Maturitas. 2014 Mar;77(3):282–6. doi: 10.1016/j.maturitas.2013.12.011.
17. Afsar SS, Idrees M, Gulzar M. Levels of vitamin D in patients with low backache. Gomal Journal of Medical Sciences July-September 2014; 12(3): 151–155.
18. Thörneby A, Nordeman LM, Johanson EH. No association between level of vitamin D and chronic low back pain in Swedish primary care: a cross-sectional case-control study. Scand J Prim Health Care. 2016 Jun;34(2):196–204. doi: 10.1080/02813432.2016.1183557.
19. Brech GC, Ciolac EG, Peterson MD, Greve JM. Serum 25-hydroxyvitamin D levels are associated with functional capacity but not with postural balance in osteoporotic postmenopausal women. Clinics (Sao Paulo). 2017 Jan 1;72(1):11–16. doi: 10.6061/clinics/2017(01)03.
20. Holick MF. Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease. Am J Clin Nutr. 2004; 80(6):1678S-1688S.
21. Schacht E, Ringe JD. Alfacalcidol improves muscle power, muscle function and balance in elderly patients with reduced bone mass. Rheumatol Int. 2012 Jan;32(1):207–15. doi: 10.1007/s00296–010–1607-y.
22. Lappe JM, Davies KM, Travers-Gustafson D, Heaney RP. Vitamin D status in a rural postmenopausal female population. J Am Coll Nutr. 2006 Oct;25(5):395–402.
23. Peacock M1, Liu G, Carey M, McClintock R, Ambrosius W, Hui S, Johnston CC. Effect of calcium or 25OH vitamin D3 dietary supplementation on bone loss at the hip in men and women over the age of 60. J Clin Endocrinol Metab 2000;85:3011–9.
24. Cooper L, Clifton-Bligh PB, Nery ML, Figtree G, Twigg S, Hibbert E, Robinson BG. Vitamin D supplementation and bone mineral density in early postmenopausal women. Am J Clin Nutr. 2003 May;77(5):1324–9.
eISSN:1898-2263
ISSN:1232-1966