Abstract
The aim is to evaluate the association between the serum level of vitamin D and prevalence and severity of radiographic hand OA. The study population comprised Chuvashians (91 men with a mean age of 46.24 (20–75) and 99 women with a mean age of 44.94 (18–74)). OA was evaluated for 14 joints of each hand using Kellgren and Lawrence’s (K–L) scoring method and osteophytes (OS) scores. The following four outcomes were used: two indices of the number of affected joints (Num-KL and Num-OS) representing severity of hand OA and two indices of the presence of at least one affected joint (dichotomous indices) (Dich-KL and Dich-OS). Vitamin D (25(OH)D) level was assessed by radioimmunoassay. Statistical analyses included multiple linear and logistic regressions and one-way ANOVA. Linear regression models showed no significant association between the circulating levels of vitamin D and Num-KL (P = 0.781) or Num-OS (P = 0.338). The logistic regression models showed similar results: Dich-KL: (0.935 (0.864, 1.011), P = 0.093) and Dich-OS: (0.966 (0.896, 1.043), P = 0.378). Results of one-way ANOVA showed no differences in age, sex, and BMI-adjusted Num-KL between individuals with normal levels of vitamin D and those with a vitamin D deficiency (F = 0.023, P = 0.878). Similar results were received when adjusted Num-OS scores were compared (F = 1.553, P = 0.214). After adjustment for age, sex, and BMI, no association was found between the serum level of vitamin D and prevalence and severity of radiographic hand OA evaluated using K–L or osteophyte scores.
References
Lawrence RC, Helmick CG, Arnett FC, Deyo RA, Felson DT, Giannini EH, Heyse SP, Hirsch R, Hochberg MC, Hunder GG, Liang MH, Pillemer SR, Steen VD, Wolfe F (1998) Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States. Arthritis Rheum 41:778–779. doi:10.1002/1529-0131(199805)41:5<778:AID-ART4>3.0.CO;2-V
Issa SN, Sharma L (2006) Epidemiology of osteoarthritis: an update. Curr Rheumatol Rep 8:7–15
Reginster JY (2002) The prevalence and burden of arthritis. Rheumatology (Oxford) 41(Supp 1):3–6
Sokoloff L (1987) Osteoarthritis as a remodeling process. J Rheumatol 14:7–10
Eyre DR (2004) Collagens and cartilage matrix homeostasis. Clin Orthop Relat Res 427:S118–S122. doi:00003086-200410001-00020
Ghosh P, Smith M (2002) Osteoarthritis, genetic and molecular mechanisms. Biogerontology 3:85–88
Buckland-Wright JC, MacFarlane DG, Lynch JA (1992) Relationship between joint space width and subchondral sclerosis in the osteoarthritic hand: a quantitative microfocal radiographic study. J Rheumatol 19:788–795
Ding C, Cicuttini F, Parameswaran V, Burgess J, Quinn S, Jones G (2009) Serum levels of vitamin D, sunlight exposure, and knee cartilage loss in older adults: the Tasmanian older adult cohort study. Arthritis Rheum 60:1381–1389. doi:10.1002/art.24486
Hunter D, De Lange M, Snieder H, MacGregor AJ, Swaminathan R, Thakker RV, Spector TD (2001) Genetic contribution to bone metabolism, calcium excretion, and vitamin D and parathyroid hormone regulation. J Bone Miner Res 16:371–378. doi:10.1359/jbmr.2001.16.2.371
Tetlow LC, Woolley DE (2001) Expression of vitamin D receptors and matrix metalloproteinases in osteoarthritic cartilage and human articular chondrocytes in vitro. Osteoarthr Cartil 9:423–431. doi:10.1053/joca.2000.0408S1063-4584(00)90408-4
McAlindon TE, Felson DT, Zhang Y, Hannan MT, Aliabadi P, Weissman B, Rush D, Wilson PW, Jacques P (1996) Relation of dietary intake and serum levels of vitamin D to progression of osteoarthritis of the knee among participants in the Framingham Study. Ann Intern Med 125:353–359
Lane NE, Gore LR, Cummings SR, Hochberg MC, Scott JC, Williams EN, Nevitt MC (1999) Serum vitamin D levels and incident changes of radiographic hip osteoarthritis: a longitudinal study. Study of Osteoporotic Fractures Research Group. Arthritis Rheum 42:854–860. doi:10.1002/1529-0131(199905)42:5<854:AID-ANR3>3.0.CO;2-I
Felson DT, Niu J, Clancy M, Aliabadi P, Sack B, Guermazi A, Hunter DJ, Amin S, Rogers G, Booth SL (2007) Low levels of vitamin D and worsening of knee osteoarthritis: results of two longitudinal studies. Arthritis Rheum 56:129–136. doi:10.1002/art.22292
Hunter DJ, Hart D, Snieder H, Bettica P, Swaminathan R, Spector TD (2003) Evidence of altered bone turnover, vitamin D and calcium regulation with knee osteoarthritis in female twins. Rheumatology (Oxford) 42:1311–1316. doi:10.1093/rheumatology/keg373keg373
Kalichman L, Malkin I, Livshits G, Kobyliansky E (2006) The association between morbidity and radiographic hand osteoarthritis: a population-based study. Joint Bone Spine 73:406–410. doi:10.1016/j.jbspin.2005.11.013
El’chinova GI, Znichenko RA, Ginter EK (2003) Temporal dynamics of ethnic assortativeness in the Tsivil’sk region of Chuvashia. Genetika 39:562–564
Pavlovsky O (1981) Methods of osseographic studies of the bone. In: Pavlovsky O (ed) Morpho-physiological researches in anthropology. MGU Publishing House, Moscow, pp 44–61
Kellgren J, Lawrence J (1963) Atlas of standard radiographs: the epidemiology of chronic rheumatism. Blackwell Scientific Publications, Oxford
Altman RD, Gold GE (2007) Atlas of individual radiographic features in osteoarthritis, revised. Osteoarthr Cartil 15(Suppl A):A1–A56. doi:10.1016/j.joca.2006.11.009
Sapir-Koren R, Livshits G, Kobyliansky E (2003) Genetic effects of estrogen receptor alpha and collagen IA1 genes on the relationships of parathyroid hormone and 25 hydroxyvitamin D with bone mineral density in Caucasian women. Metabolism 52:1129–1135. doi:S0026049503001872
Dawson-Hughes B, Heaney RP, Holick MF, Lips P, Meunier PJ, Vieth R (2005) Estimates of optimal vitamin D status. Osteoporos Int 16:713–716. doi:10.1007/s00198-005-1867-7
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The authors wish to thank Mrs Phyllis Curchack Kornspan for her editorial services. This study was supported by Grant No. 544/00 from the Israel National Science Foundation
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Kalichman, L., Kobyliansky, E. Association between circulatory levels of vitamin D and radiographic hand osteoarthritis. Rheumatol Int 32, 253–257 (2012). https://doi.org/10.1007/s00296-010-1741-6
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DOI: https://doi.org/10.1007/s00296-010-1741-6