Faizah Fulyani
Dept of Medical Biology and Biochemistry Faculty of Medicine Universitas Diponegoro Semarang

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Bone Mineral Density and Vitamin D Status in Elderly Javanese Women Lusiana Batubara; Faizah Fulyani; Dwi Ngestiningsih; Hermina Sukmaningtyas; Ainun Rahmasari Gumay; Etisa Adi Murbawani; Enny Probosari
Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal) Vol 12, No 3 (2023): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v12i3.38663

Abstract

Background: Vitamin D (25OHD) works as a lipid-soluble secosteroid hormone essential for metabolic activities, including bone mineralization. 1,25OHD and its receptor are transcription factors for various bone homeostasis genes. Numerous studies have connected vitamin D insufficiency with a decline in bone mineral density (BMD), but the results are still conflicting. However, information on vitamin D insufficiency among Indonesian individuals is hardly available.Objective: The study aims to evaluate vitamin D levels and their correlation with BMD among Javanese elderly women.Methods: 75 healthy Javanese elderly women between 60 and 84 participated in a cross-sectional study. An enzyme-linked immunoassay kit for 25OHD was used to measure the level of serum vitamin D. DXA, or dual-energy X-ray absorptiometry, was used to measure BMD.Results: The study population's mean serum 25OHD level was 14.97±6.6ng/mL. We found that 73.3% were deficient in vitamin D, and 26.7% were not. There is no correlation between vitamin D and BMD L-spine, F-neck, or T-score (p=0.064, -0.215; p=0.443, -0.090; and p=0.109, -0.187, respectively). Lower BMD L-spine, F-neck and T-score were correlated with increased age (r = -0.238, p = 0.040; r = -0.377, p = 0.001; and r = -0.295, p = 0.010, respectively) and decreased BMI (r = 0.525, p = 0.000; r = 0.516, p = 0.000; and r = 0.520, p = 0.000, respectively).Conclusion: From this study, we concluded that vitamin D deficiency was prevalent among Javanese elderly women. However, the vitamin D level in this population and bone mineral density do not appear to be correlated.