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Vitamin D deficiency, exercise tolerance, and health perception among chronic pain patients
W. Michael Hooten, MD1, John E. Schmidt, PhD2, Jennifer L. Kerkvliet, MA2, Cynthia O. Townsend, PhD2, John E. Hodgson, MA2, and Barbara K. Bruce, PhD2. (1) Department of Anesthesiology, Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, 200 First St SW, Rochester, MN 55905, (2) Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55902
Hypovitaminosis D is a common vitamin deficiency in the general population. The objective of this study was to investigate potential associations between vitamin D deficiency, physical functioning, and behavioral health variables in a population of chronic pain patients. Serum vitamin D levels were collected at admission from 162 consecutive patients admitted to the Mayo Clinic Comprehensive Pain Rehabilitation Center. Patients with vitamin D deficiency (£ 20 ng/ml) were compared to patients who were not deficient (>20ng/ml) on demographics, pain duration, pain severity, body mass index (BMI), exercise tolerance, and muscle strength. Perceived general health was assessed using the MOS-SF-36. The mean age was 47.6 years (SD=13.0). Seventy-nine percent (n=128) of patients were female and 97% (n=158) were Caucasian. The mean pain duration upon admission was 10.8 years (SD=13.1). The mean vitamin D serum level was 29.2 ng/ml (SD=12.0) and hypovitaminosis D was found in 24.7% (N=40) of patients. No significant differences in demographics, pain severity, or pain duration were identified between the two groups (p>.05). The patients in the non-deficient group demonstrated significantly greater exercise tolerance (p<.05) compared to the vitamin D deficient group. No differences were detected in muscle strength or BMI (p>.05). The vitamin D deficient group reported lower levels of general health perception (p<.05) compared to the non-deficient group. In this consecutive series of chronic pain patients, hypovitaminosis D was highly prevalent. Reduced exercise tolerance and poor health perception may be indicative of physical and general health behaviors that increase the risk of developing vitamin D deficiency in this patient population. Further research is needed to clarify the risk factors and clinical correlates of hypovitaminosis D among patients with chronic pain.
