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. 2018 May 20;10(1):9–15. doi: 10.1016/j.jcot.2018.05.012

Table 2.

Observational studies and its characteristics.

Author (Year of publication, country) Number of Sample Male :Female (M/F) Baseline age Baseline 25OHD level (ng/ml) Study design Results Conclusion
Heidari et al (2011, Iran)26 298 NA Knee OA 60.2 ± 12.9 years and controls 60.1 ± 10.2 years Knee OA : 23.8 ± 18.8, Control :34.5. ± 29.6 ng/ml, case control significant association between Vitamin D deficiency and knee OA in young patients (aged<60 years) and suggested to measure serum vitamin D level in any patient with early Knee OA symptoms. Vitamin D was associated with
knee OA in patients aged <60
years.
Fang Fang Zhang et al (2015 USA)23 418 46.6:53.4(223/195) 61 ± 9.2 26.2 ± 10.3 cohort Participants with low vitamin D [25(OH)D < 15 mg/L] had >2-fold elevated risk of knee osteoarthritis progression vitamin D deficiency has a increased risk of knee osteoarthritis
Fevziye Onsal Malas et al (2013, UK)27 80 0:100(0/80) 20 to 45 20 cross sectional distal femoral cartilage is thinner in patient with low vitamin D level(<10 ng/ml) when compared to patient with vitamin D level(>10 ng/ml Vitamin D deficiency is associated with thinning of distal femoral cartilage.
JA Jansen et al (2013, UK)29 139 42:58(58/81) 71.4 40 cross sectional 24% prevalence of VDD in patients with severe knee OA who were scheduled for knee arthroplasty Vitamin D is associated with high prevalence in elderly patients with advanced knee osteoarthritis.
Mohamed A.Abu Maaty et al (25)2013, Egypt 46 22:78(10/36) 54.7 ± 3.2 25 ± 1.6 Cross-sectional low level of Vitamin were found with newly diagnosed OA of Knee in post menopausal Egyptian women(50-60yrs Vitamin D deficiency is associated with new OA knee in post menopausal
Ding C et al (2009, Australia)31 880 50:50(440/440) 61 52.8 Cohort No significant association between vitamin D and sunlight exposure in Knee ROA but significant association was found between knee cartilage loss and VDD. Vitamin D and sunlight exposure were both associated with reducing knee cartilage loss and concluded that vitamin D had a protective effect in knee cartilage.
Felson DT et al (2007, USA)21 992 Framingham:
46.9:53.1
BOKS
radiographic
follow-up: 58.6:41.4
BOKS MRI
follow-up: 61.6:38.4
Framingham study: 53.1 8.7
BOKS with radiographic
follow-up: 66.2 (9.3); BOKS
with MRI follow-up: 66.5
(9.6)
Framingham study: 19.7 ± 7.4; BOKS radiographic follow up:20.2 ± 8.3; BOKS with MRI follow up: 20.3 ± 8.3 2 prospective cohort studies No significant association between vitamin D and ROA and Knee cartilage loss Vitamin D was not related to the joint space narrowing(JSN) and cartilage volume loss in Frangminham(mean age 53.1 yrs) and BOKS(mean age 66.2yrs)
Muraki S et al
(2011, Japan)22
787 49:51 (388/399) 65.6 ± 2.7 42.5 cross sectional No significant association of polymorphism of VDR with radiological OA but low tertile level vitamin D is associated with knee pain than high tertile of vitamin D level VDD is not associated with radiographic Knee OA but is associated with knee pain and association between genetic polymorphism of VDR and knee pain were very weak evidence.
Bergink AP et al (2009, Netherland)28 1248 58:42(728/520) 66.2 (6.7) 26.4 (10.8) cohort Significant association between JSN and Knee ROA progression with low tertile vitamin D. Low vitamin D intake increases the risk of progression of knee ROA particularly in subjects with low baseline BMD