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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| free vitamin d | Experimental | free vitamin is directly measured from blood serum using an ELISA kit |
|
| total vitamin d | Experimental | Total vitamin d is measured routinely from blood serum |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| free vitamin d test | Diagnostic Test | using the patient's blood serum ELISA test for free vitamin d can be performed |
|
| Measure | Description | Time Frame |
|---|---|---|
| Free vitamin D | measured using free vitamin D Elisa kit | ! day |
| Total vitamin D | It is measured as a part of routine investigation at the time of admission | ! day |
| Measure | Description | Time Frame |
|---|---|---|
| BMD | Bone mineral density is measured using the Dual-energy X-ray absorptiometry | ! day |
| Vertebral fracture | With the help of plain X-ray |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Li Min Rong, MD | Contact | 862085252900 | ronglimin@21cn.com |
| Name | Affiliation | Role |
|---|---|---|
| Kishor Chhantyal, MBBS | Third Affiliated Hospital, Sun Yat-Sen University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Third affiliated hospital of sun yat sen university | Recruiting | Guangzhou | Guangdong | 510630 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32164704 | Derived | Chhantyal K, He L, Mo J, Yin M, He T, Chen Y, Yang Y, Zhang L, Rong L. Free vitamin D correlate better with bone mineral density and thoracolumbar junction osteoporotic vertebral fractures than serum vitamin D. BMC Musculoskelet Disord. 2020 Mar 12;21(1):164. doi: 10.1186/s12891-020-3179-7. |
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| ID | Term |
|---|---|
| D010024 | Osteoporosis |
| ID | Term |
|---|---|
| D001851 | Bone Diseases, Metabolic |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D008659 | Metabolic Diseases |
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| total vitamin d | Diagnostic Test | routinely measured from serum |
|
| ! day |
| D009750 |
| Nutritional and Metabolic Diseases |