Evaluation of the relationship of vitamin D level with obesity, pain severity and depression in patients with lumbar spinal stenosis

Aim:

We aim to evaluate the relationship between vitamin D levels and obesity, pain severity and depression in patients with lumbar spinal stenosis (LSS).

Material and Method:

This study was carried out with a total of 69 patients (32 male, 37 female) with LSS who applied to the brain and nerve surgery clinic between 15.12.2018 and 15.02.2019 in the Amasya University Sabuncuoğlu Şerefeddin Training and Research Hospital. A questionnaire was applied to the individuals who participated in the study, including questions about their descriptive characteristics, physical activity, nutritional habits, anthropometric measurements, biochemical measurements and bone mineral density (BMD) t scores. We used to Beck Depression Inventory (BDI) for the evaluation of depression status, McGill Melzack Pain Scale for the measurement of pain severity and Food Consumption Registration Form for determination of food consumption status. The obtained results were evaluated at p<0.05 significance level.

Results:

Vitamin D levels of patients were found to be 40.6% below 10-24g/L, 46.4% between 10-24 ug/L and 13,0% between 25-80 ug/L. Serum vitamin D levels were found to change significantly with the dressing type, number of pregnancies, age, physical activity and menopausal status (p<0.05). BMI of the patients were evaluated, 7.2% were normal weight, 46.4% were overweight and 46.4% were obese. Serum vitamin D was found to have a significant negative correlation with BMI, current pain severity score and BDI total score (r = -0.900, r = -0.277, r= -0.437, p<0.05). Conclusion: In conclusion, it was concluded that serum vitamin D levels in obesity, depression and pain severity were affected in LSS patients.

Keywords: Depression; Lumbar spinal stenosis; Obesity; Pain severity; Vitamin D

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