Table 2. Case-control studies of serum 25(OH)D status in children with fractures.
Study | Age | Inclusion criteria for children with fractures | N | Serum 25(OH)D, mean (nmol/l) | Serum 25(OH)D < 50nmol/l, % | ||||
---|---|---|---|---|---|---|---|---|---|
Cases | Controls | p | Cases | Controls | p | ||||
Ceroni, 2012 (Geneva, Switzerland)[66] | 10-16y | Admission for orthopaedic reduction or surgery to first appendicular fracture. Excluded if taking vitamin D supplementation | 100 cases (50 UL, 50 LL) 50 controls |
UL: 32 LL: 21 |
33 | NS | UL: 12 LL: 12 |
6 | NS |
Chan, 1984a (Salt Lake City, USA)[64] | 2-12y | Hospitalisation with fracture | 17 cases 17 controls |
70 | 77 | 0.45 | |||
Farr, 2014a (Olmsted County, MN, USA) [65] | 8-15y | Mild or moderate impact fracture of the distal radius (with or without ulna fracture) within the preceding year | Males: 63 cases 58 controls Females: 52 cases 50 contols |
72 68 |
69 73 |
0.4 0.25 |
|||
Mäyränpää, 2012 (Helsinki, Finland)[67] | 4-16y | 2 low energy fractures≤10y OR 3 low energy fractures≤16y OR one low energy vertebral fracture | 64 cases 69 controls |
42 | 43 | 0.64 | 73 | 69 | 0.63 |
Olney, 2008a (Florida, USA) [68] | 3-18y | At least 2 low energy fractures | 68 cases 57 controls |
21 | 18 | NS | |||
Ryan, 2012a (Washington DC, USA) [41] | 5-9y | African-American with forearm fracture | 70 cases 71 controls |
55 | 56 | 0.59 | 47 | 41 | 0.45 |
NS, non-significant; UL, upper limb; LL, lower limb
In these studies, 25(OH)D was originally reported in ng/ml. It has been converted to nmol/l using a conversion factor of 1ng/ml=2.49nmol/l. These studies used a cut-point for deficiency of <20ng/ml which is approximately equivalent to <50nmol/l