D Vitamini Eksikliği Direkt İnguinal Herni Oluşmasına Neden Olur Mu? Ön
Sonuçlar
Acıbadem Üniversitesi Sağlık Bilimleri Dergisi
The main reason for the inguinal hernia
development is the degenerative changes of the lower abdominal muscles that
weaken the muscle strength. Myocyte atrophy, fibrosis and fatty degeneration in
the internal inguinal ring area and the abdominal wall have been demonstrated
previously (9). As the weakness in the connective tissue or muscles of the
patient leads to an inguinal hernia, we suggest that decreased vitamin D levels
may be associated with the development of a direct inguinal hernia. In our
study, the patients with direct inguinal hernia had lower serum 25(OH)D levels
(23.11±8.42) than in healthy individuals (24.77±10.67). There was no
statistically significant difference in vitamin D levels in both groups
(p=0.77). However, low vitamin D levels were more frequent in patients with
inguinal hernia compared to healthy individuals. Twenty-seven (90%) patients
with inguinal hernia had serum vitamin D levels under 30 ng/mL, while 21 (70%)
healthy individuals had serumvitamin D levels under 30 ng/mL. The risk of
vitamin D deficiency increases by age as in inguinal hernia development (7, 9).
Our study demonstrated that low serum 25(OH)D levels are common in elderly
patients with direct inguinal hernia.
Conclusion: Decreased levels of vitamin D may facilitate the development of an
inguinal hernia. Our results revealed that low serum vitamin D levels are more
common in patients with direct inguinal hernia compared to healthy individuals.
However, there was no statistically significant difference between the two
groups. Therefore, the vitamin D status of a larger sample group should be
evaluated in order to reach a definitive conclusion.
No comments:
Post a Comment