Vitamin D Deficiency in Turkish Women

Osteomalacia is a metabolic bone disease caused by deficiency of vitamin D or its active metabolites. Since poor exposure to sunlight is one of the most common causes of osteomalacia, the disease seems to be rare in countries receiving adequate sunlight. Although Turkey is receiving adequate sunli...

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Main Authors: Kıymet İkbal Karadavut, Aynur Başaran, Aytül Çakcı
Format: Article
Language:English
Published: Galenos Publishing House 2003-06-01
Series:Türk Osteoporoz Dergisi
Subjects:
Online Access:http://www.turkosteoporozdergisi.org/article_4181/Vitamin-D-Deficiency-In-Turkish-Women
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author Kıymet İkbal Karadavut
Aynur Başaran
Aytül Çakcı
author_facet Kıymet İkbal Karadavut
Aynur Başaran
Aytül Çakcı
author_sort Kıymet İkbal Karadavut
collection DOAJ
description Osteomalacia is a metabolic bone disease caused by deficiency of vitamin D or its active metabolites. Since poor exposure to sunlight is one of the most common causes of osteomalacia, the disease seems to be rare in countries receiving adequate sunlight. Although Turkey is receiving adequate sunlight throughout the year, Islamic dressing in some women might cause osteomalacia. We report 18 Turkish female patients with osteomalacia aged between 35-86 years. Most common presenting symptoms were bone aches or pains and muscle weakness. Diagnosis of osteomalacia was performed by determinations of low or low-normal serum and urinary calcium levels, decreased serum inorganic phosphorus and serum 25- hydroxyvitamin D levels, increased serum intact PTH and serum alkaline phosphatase levels. X-ray studies of the symptomatic sites were obtained. Radiographically generalized osteopenia was detected in all patients but, there were no pseudo-fractures. All patients were followed prospectively with the treatment of vitamin D analogues (1mg/day) and calcium supplements (1000mg/day). Response to treatment was evaluated with symptomatic relief and laboratory work-up. Criteria used to define clinical improvement include relief of pain, fatigue, muscle strength and weakness, and decrease in neurological complaints (including paresthesia, muscle spasms). Clinical response was observed in all patients after 2 months follow-up (mean duration 6 months). Most important risk factor common to all patients was excessive clothing due to religious teling. Excessive clothing might be a risk factor for osteomalacia in young to middle-aged and otherwise healthy women even in countries with adequate sunlight.
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series Türk Osteoporoz Dergisi
spelling doaj-art-a279c65a28464628bc153e646544fcdd2025-08-20T03:38:44ZengGalenos Publishing HouseTürk Osteoporoz Dergisi2147-26532003-06-01927479Vitamin D Deficiency in Turkish WomenKıymet İkbal KaradavutAynur BaşaranAytül ÇakcıOsteomalacia is a metabolic bone disease caused by deficiency of vitamin D or its active metabolites. Since poor exposure to sunlight is one of the most common causes of osteomalacia, the disease seems to be rare in countries receiving adequate sunlight. Although Turkey is receiving adequate sunlight throughout the year, Islamic dressing in some women might cause osteomalacia. We report 18 Turkish female patients with osteomalacia aged between 35-86 years. Most common presenting symptoms were bone aches or pains and muscle weakness. Diagnosis of osteomalacia was performed by determinations of low or low-normal serum and urinary calcium levels, decreased serum inorganic phosphorus and serum 25- hydroxyvitamin D levels, increased serum intact PTH and serum alkaline phosphatase levels. X-ray studies of the symptomatic sites were obtained. Radiographically generalized osteopenia was detected in all patients but, there were no pseudo-fractures. All patients were followed prospectively with the treatment of vitamin D analogues (1mg/day) and calcium supplements (1000mg/day). Response to treatment was evaluated with symptomatic relief and laboratory work-up. Criteria used to define clinical improvement include relief of pain, fatigue, muscle strength and weakness, and decrease in neurological complaints (including paresthesia, muscle spasms). Clinical response was observed in all patients after 2 months follow-up (mean duration 6 months). Most important risk factor common to all patients was excessive clothing due to religious teling. Excessive clothing might be a risk factor for osteomalacia in young to middle-aged and otherwise healthy women even in countries with adequate sunlight.http://www.turkosteoporozdergisi.org/article_4181/Vitamin-D-Deficiency-In-Turkish-WomenVitaminD deficiencyclinical symptomsosteoporosisosteomalacia
spellingShingle Kıymet İkbal Karadavut
Aynur Başaran
Aytül Çakcı
Vitamin D Deficiency in Turkish Women
Türk Osteoporoz Dergisi
VitaminD deficiency
clinical symptoms
osteoporosis
osteomalacia
title Vitamin D Deficiency in Turkish Women
title_full Vitamin D Deficiency in Turkish Women
title_fullStr Vitamin D Deficiency in Turkish Women
title_full_unstemmed Vitamin D Deficiency in Turkish Women
title_short Vitamin D Deficiency in Turkish Women
title_sort vitamin d deficiency in turkish women
topic VitaminD deficiency
clinical symptoms
osteoporosis
osteomalacia
url http://www.turkosteoporozdergisi.org/article_4181/Vitamin-D-Deficiency-In-Turkish-Women
work_keys_str_mv AT kıymetikbalkaradavut vitaminddeficiencyinturkishwomen
AT aynurbasaran vitaminddeficiencyinturkishwomen
AT aytulcakcı vitaminddeficiencyinturkishwomen