Efficacy of vitamin D replacement therapy on patients with chronic nonspecific widespread musculoskeletal pain with vitamin D deficiency

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dc.contributor.authorYilmaz, Ramazan
dc.contributor.authorSalli, Ali
dc.contributor.authorCingoz, Havva Turac
dc.contributor.authorKucuksen, Sami
dc.contributor.authorUgurlu, Hatice
dc.date.accessioned2024-02-23T14:24:00Z
dc.date.available2024-02-23T14:24:00Z
dc.date.issued2016
dc.departmentNEÜen_US
dc.description.abstractAim: The objective of this study is the evaluation of the effect of vitamin D replacement treatment on musculoskeletal symptoms and quality of life in patients with chronic widespread musculoskeletal pain (CWP) including fibromyalgia (FM) and vitamin D deficiency. Method: Patients with nonspecific CWP and vitamin D deficiency (25-OH D3<25ng/mL) were included into the study. Replacement treatments of 50000IU/week oral vitamin D3 for 3months were given to the patients. Patients were assessed pre- and post-treatment in terms of serum levels of Ca, P, alkaline phosphatase, 25-OH D3, severity of pain (visual analogue scale [VAS]-pain), severity of asthenia (VAS-asthenia), Beck Depression Inventory (BDI), quality of life scale (Short Form [SF]-36), tender point count (TPC), severity of waking unrefreshed, headache, tenderness on tibia, meeting the criteria of FM, and level of patient satisfaction. Results: Fifty-eight patients with a mean age of 36.9 +/- 9.2years were included into the study. 25-OH D3 levels of patients elevated from 10.6 +/- 5.1ng/mL to 46.5 +/- 24.0ng/mL after replacement treatment (P<0.001). Marked decrease in VAS-pain, VAS-asthenia, severity of waking unrefreshed, TPC, and BDI and an evident increase in subgroups of SF-36 were established in patients after treatment (P<0.001). The number of FM+ patients was 30 (52%) before treatment and regressed to 20 (34%) after treatment (P=0.013); 85% of patients stated satisfaction with the treatment. Conclusions: Vitamin D replacement treatment in patients with nonspecific CWP has provided improvements in musculoskeletal symptoms, level of depression and quality of life of patients. Patients with CWP should be investigated for vitamin D deficiency.en_US
dc.identifier.doi10.1111/1756-185X.12960
dc.identifier.endpage1262en_US
dc.identifier.issn1756-1841
dc.identifier.issn1756-185X
dc.identifier.issue12en_US
dc.identifier.pmid27860257en_US
dc.identifier.scopus2-s2.0-85000605725en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1255en_US
dc.identifier.urihttps://doi.org/10.1111/1756-185X.12960
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13764
dc.identifier.volume19en_US
dc.identifier.wosWOS:000398230800006en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofInternational Journal Of Rheumatic Diseasesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectChronic Painen_US
dc.subjectDepressionen_US
dc.subjectFibromyalgiaen_US
dc.subjectQuality Of Lifeen_US
dc.subjectVitamin D Deficiencyen_US
dc.titleEfficacy of vitamin D replacement therapy on patients with chronic nonspecific widespread musculoskeletal pain with vitamin D deficiencyen_US
dc.typeArticleen_US

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