Vitamin D deficiency and its relationship with bone mineral density among postmenopausal women living in the tropics

Arq Bras Endocrinol Metabol. 2010 Mar;54(2):227-32. doi: 10.1590/s0004-27302010000200020.

Abstract

Objective: To determine vitamin D (25OHD) status and its relationship with bone mineral density (BMD) in 93 postmenopausal women.

Subjects and methods: Patients were distributed in two groups: Group 1 - 51 to 65 years (n = 45) and Group 2 - 66 to 84 years (n = 48); 25OHD and PTH serum were analyzed and a DXA scan of the lumbar spine (LS) and femoral neck (FN) were taken.

Results: Mean +/- SD of serum 25OHD levels were 80.6 +/- 43.3 nmol/L (Group 1) and 63.7 +/- 27.6 nmol/L (Group 2); 24% had 25OHD levels < 25 nmol/L and 43.7% < 50 nmol/L. The prevalence of vitamin D deficiency at the 62.5 nmol/L cutoff increased significantly with age. Patients with hypovitaminosis D had a lower BMD at the FN (0.738 +/- 0.102 vs. 0.793 +/- 0.115 g/cm, p = 0.03) and had been postmenopausal for longer (21.0 +/- 8.4 vs. 16.2 +/- 8.4 years, p = 0.01).

Conclusion: We found a high prevalence of hypovitaminosis D in postmenopausal women. Age, years elapsed since menopause and low BMD in the FN were associated with deficiency.

MeSH terms

  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Bone Density / physiology*
  • Brazil / epidemiology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Middle Aged
  • Osteoporosis, Postmenopausal / diagnosis
  • Parathyroid Hormone / blood*
  • Postmenopause / physiology*
  • Prevalence
  • Tropical Climate
  • Vitamin D Deficiency / epidemiology*
  • Vitamin D Deficiency / physiopathology

Substances

  • Parathyroid Hormone