Does Vitamin D Deficiency Cause Direct Inguinal Hernia? Preliminary Results

Mehmet Eren Yüksel; Funda Tamer; Emine Avcı

doi:10.31067/acusaglik.833318

TR EN

D Vitamini Eksikliği Direkt İnguinal Herni Oluşmasına Neden Olur Mu? Ön Sonuçlar

Öz

Amaç:Direkt inguinal herni, visseral içeriğin karın duvarının zayıflayan kısmından protrüde olmasıdır. Serum D vitamini düzeyi kas kitlesi ve kas fonksiyonları ile pozitif bir ilişki gösterir. Bu nedenle, düşük serum D vitamini düzeyleri direkt inguinal herni gelişmesini kolaylaştırabilir. Biz de bu çalışmada, inguinal hernili hastaların ve sağlıklı bireylerin serum D vitamini düzeylerini karşılaştırmayı amaçladık. Hastalar ve Yöntem:Çalışmaya Nisan 2018 ve Ekim 2018 tarihleri arasında değerlendirilen direkt inguinal hernili 30 hasta (28 erkek, 2 kadın) ve kontrol grubu içerisindeki 30 sağlıklı birey (28 erkek, 2 kadın) dahil edilmiştir. Tüm katılımcıların serum D vitamini düzeyleri ve hastaların ultrason bulguları retrospektif olarak değerlendirilmiştir. Bulgular:Hastaların ve sağlıklı bireylerin ortalama serum 25(OH)D düzeyleri sırasıyla 23.11±8.42 ng/mL ve 24,77±10,67 ng/mL olarak bulunmuştur (p=0.77). Serum 25(OH)D düzeyleri 27 (90%) hastada düşük, 3 (10%) hastada ise normal sınırlar içerisindeydi. Serum 25(OH)D düzeyleri kontrol grubundaki 21 (70%) sağlıklı bireyde düşük, 9 (30%) sağlıklı bireyde ise normal sınırlar içerisindeydi (p=0.11). Sonuç:Bu çalışmadan elde edilen sonuçlar, direkt inguinal hernili hastaların sağlıklı bireylere göre daha düşük serum D vitamini düzeylerine sahip olduğunu göstermiştir. Bununla birlikte, inguinal hernili hastalar ile kontrol grubu arasında serum D vitamini düzeyleri açısından istatiksel olarak anlamlı bir fark yoktu. Dolayısıyla düşük serum 25(OH)D düzeylerinin direkt inguinal herni oluşmasına neden olacağı hipotezimiz kanıtlanamamıştır. İleri araştırma için daha geniş bir örneklem grubuna ihtiyaç vardır.

Anahtar Kelimeler

Does Vitamin D Deficiency Cause Direct Inguinal Hernia? Preliminary Results

Abstract

Purpose:Direct inguinal hernia is the protrusion of the visceral contents through the weakened part of the abdominal wall. Serum level of vitamin D has a positive correlation with muscle mass and functions. Therefore, decreased serum levels of vitamin D may facilitate the direct inguinal hernia development. We aimed to compare the serum levels of vitamin D in patients with direct inguinal hernia and in healthy individuals. Patients and Methods:Between April 2018 and October 2018, 30 patients with direct inguinal hernia (28 male, 2 female) and 30 healthy individuals within the control group (28 male, 2 female) were included in the study. Serum vitamin D levels of the participants and ultrasound findings of the patients were reviewed retrospectively. Results:The mean serum 25(OH)D level was 23.11±8.42 ng/mL in patients and 24,77±10,67 ng/mL in healthy individuals, respectively (p=0.77). Serum 25(OH)D level was decreased in 27 (90%) patients, and it was within normal limits in 3 (10%) patients. Serum 25(OH)D level was decreased in 21 (70%) healthy individuals, and it was normal in 9 (30%) healthy individuals within the control group (p=0.11). Conclusion:The results obtained from this study revealed that the patients with direct inguinal hernia had lower serum vitamin D levels than healthy individuals. However, there was no statistically significant difference in serum vitamin D levels, between patients with inguinal hernia and control group. Therefore, our hypothesis if low serum 25(OH)D levels caused direct inguinal hernia could not be proved. A larger sample group is needed for further investigation.

Keywords

References

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Details

Primary Language

English

Subjects

Clinical Sciences

Journal Section

Research Article

Authors

Mehmet Eren Yüksel ^*
Türkiye

Funda Tamer
Türkiye

Emine Avcı
Türkiye

Publication Date

December 16, 2020

Submission Date

May 6, 2019

Acceptance Date

October 7, 2019

Published in Issue

Year 2021 Volume: 12 Number: 1

DOI

https://doi.org/10.31067/acusaglik.833318

IZ

https://izlik.org/JA27XN52MT

Cite

RIS / Bibtex

EndNote

Yüksel ME, Tamer F, Avcı E (December 1, 2020) Does Vitamin D Deficiency Cause Direct Inguinal Hernia? Preliminary Results. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 12 1 7–11.