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Does Vitamin D Deficiency Contribute to Growing Pains? A Case-Control Study
Isha Jain1, Abinaya K2, Nikita Agarwal2
1All India Institute of Medical Sciences, Raipur, Raipur, India.
Insights
This study found no significant difference in vitamin D levels between children with growing pains (GPs) and healthy controls. Vitamin D supplementation did not show a notable impact on pain reduction in children with GPs.
Area of Science:
- Pediatrics
- Nutritional Science
- Musculoskeletal Health
Background:
- Growing pains (GPs) are common, non-inflammatory musculoskeletal pain syndromes in children aged 4-14 years.
- The potential link between vitamin D deficiency and the development of GPs remains an area of investigation.
- Understanding contributing factors to GPs is crucial for effective management and parental guidance.
Purpose of the Study:
- To investigate the association between vitamin D deficiency and the incidence of growing pains in children.
- To evaluate the effect of vitamin D supplementation on pain reduction in children diagnosed with GPs.
- To compare vitamin D levels and related biochemical markers between children with and without GPs.
Main Methods:
- A 6-month case-control study involving children aged 4-14 years with and without a history of GPs.
- Measurement of serum 25-hydroxyvitamin D (25-OHD), calcium, phosphate, and alkaline phosphatase levels.
- Administration of vitamin D3 supplementation to participants with deficient or insufficient 25-OHD levels.
Main Results:
- High prevalence of insufficient or deficient 25-OHD levels observed in both the GP group (95.6%) and the control group (93.3%).
- No significant correlations were found between serum calcium, phosphate, alkaline phosphatase, and 25-OHD levels in either group.
- Children with sufficient 25-OHD levels experienced pain reduction comparable to those receiving vitamin D supplementation.
Conclusions:
- The study found no significant difference in vitamin D levels between children experiencing growing pains and healthy controls.
- Vitamin D deficiency is highly prevalent in both groups, suggesting it may not be a primary causative factor for GPs.
- Current findings do not support vitamin D supplementation as a targeted intervention for reducing growing pains in children.
Abstract:
Growing pains (GPs) are non-inflammatory pain syndromes affecting children aged 4 to 14 years. This case-control study aims to investigate the role of vitamin D deficiency in GP development. The study was conducted for 6 months. Healthy children without a history of GP were recruited as control subjects. Serum concentrations of calcium, phosphate, and alkaline phosphatase were measured. Vitamin D3 supplementation was administered to those identified with deficient or insufficient 25-hydroxyvitamin D (25-OHD). A total of 95.6% of the GP group and 93.3% of the control group had insufficient or deficient 25-OHD levels. No significant correlations for serum calcium, serum phosphate, and alkaline phosphatase with 25-OHD level in either group. Children with sufficient 25-OHD also experienced similar reduction in pain as those who received supplementation. The study found no significant difference in vitamin D levels between children with GP and those without.
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