DOI: 10.36347/sjams.2020.v08i12.021

Pages: 2793-2798

Background: Vitamin D deficiency is common among the post-menopausal women and the prevalence of vitamin D deficiency is high in postmenopausal women with fractures regardless of whether the injury mechanism was high or low energy. Objective: To evaluate the prevalence of vitamin D deficiency in postmenopausal women with fractures that revealed a high prevalence of vitamin D deficiency regardless of whether the injury mechanism was high or low energy. Methodology: The study was a cross sectional observational study conducted in different hospitals in Tangail over a period of 2 years from 1st January 2017 to 31st December 2018. Total 150 postmenopausal women aged 50 years or older with long bone or pelvic fractures and measurements of serum vitamin D levels were included and those with pathological fractures, metabolic diseases such as Paget’s disease and hyperparathyroidism and isolated hand or foot fractures were excluded. Result: Majority 72 (61.0%) patients were found osteoporosis in low energy group and 12 (37.5%) in high-energy group. Median BMD at the total femur was found -2.1 in low energy group and -1.3 in high-energy group, which were statistically significant (p<0.05) between two groups. Calcium and vitamin D supplements after injury were statistically significant (p<0.05) within the low and high-energy group in comparison prior to the injury. Conclusion: Majority patients were found osteoporosis in low energy group in comparison to high-energy group. Calcium and vitamin D supplements after injury were statistically significant within the low and high-energy group compared with before injury.