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The Association Between Vitamin D Level and Restless Legs Syndrome: A Population-Based Case-Control Study
Siraj Wali1, Samah Alsafadi2, Bahaa Abaalkhail2
1Sleep Medicine and Research Center, King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
Vitamin D deficiency is significantly associated with restless legs syndrome (RLS). This suggests vitamin D levels should be considered in RLS management, though further research is needed to confirm causality.
Area of Science:
- Neurology
- Nutritional Science
Background:
- Restless Legs Syndrome (RLS) pathophysiology may involve central dopamine pathway dysregulation.
- Vitamin D's role in modulating the dopaminergic system suggests a potential link to RLS.
Purpose of the Study:
- To investigate the association between vitamin D deficiency and Restless Legs Syndrome (RLS).
Main Methods:
- A case-control study involving 201 participants (78 RLS patients, 123 controls).
- Serum 25-hydroxy vitamin D levels were measured.
- RLS severity was assessed using the IRLSSG symptom severity rating scale.
Main Results:
- Vitamin D deficiency was more prevalent in RLS patients (75.6%) than controls (42.3%) (P < .001).
- Low vitamin D levels (< 50 nmol/L) were associated with a 4.24-fold increased odds of RLS (P < .001).
- After multivariate adjustment, vitamin D deficiency remained significantly associated with RLS (OR 3.1, P < .002).
Conclusions:
- An association exists between vitamin D deficiency and Restless Legs Syndrome.
- Vitamin D deficiency warrants consideration in the clinical management of RLS.
- Further research is necessary to establish a causal relationship.
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