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Study on the Correlation of Free Vitamin d With BMD and Fracture

Not Applicable
Conditions
Osteoporosis
Interventions
Diagnostic Test: free vitamin d test
Diagnostic Test: total vitamin d
Registration Number
NCT03605173
Lead Sponsor
Limin Rong
Brief Summary

According to the free hormone hypothesis, the biological activity of a hormone is carried by the portion that is not bound to protein or its carrier in circulation. Based on this, we believe that the free vitamin d, which is the proportion of Vitamin D unbound to vitamin D binding protein and albumin, performs the calcium-regulating functions of the vitamin. Hence, our objective is to study whether free vitamin correlated better with BMD and fracture than the total vitamin D.

Detailed Description

Osteoporosis is a major health issue worldwide as it increases the risk of fragility fracture and chronic disability. The studies on the association between vitamin d and osteoporosis have yielded conflicting results. While some have shown a positive correlation, others have concluded that there is no association at all. Recent reports have shown vitamin D supplementation do not prevent fragile fractures. This might be because the actual vitamin D status, which should be the free vitamin D, has not been measured.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
125
Inclusion Criteria
  • patients with a diagnosis of osteoporosis and with or without fracture
  • post- menopausal women
  • age > 48 years
Exclusion Criteria
  • vitamin D supplementation in recent 6 months
  • patients on steroid
  • age < 48 years
  • patients with chronic diseases such as liver cirrhosis, renal failure, hypertension, hyperparathyroidism

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
free vitamin dfree vitamin d testfree vitamin is directly measured from blood serum using an ELISA kit
total vitamin dtotal vitamin dTotal vitamin d is measured routinely from blood serum
Primary Outcome Measures
NameTimeMethod
Free vitamin D! day

measured using free vitamin D Elisa kit

Total vitamin D! day

It is measured as a part of routine investigation at the time of admission

Secondary Outcome Measures
NameTimeMethod
BMD! day

Bone mineral density is measured using the Dual-energy X-ray absorptiometry

Vertebral fracture! day

With the help of plain X-ray

Trial Locations

Locations (1)

Third affiliated hospital of sun yat sen university

🇨🇳

Guangzhou, Guangdong, China

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