Is Calcium Supplementation Required in Osteoarthritis Patients?-Advanced Research in Gastroenterology & Hepatology-Juniper publishers


 JUNIPER PUBLISHERS- Advanced Research in Gastroenterology & Hepatology

IS CALCIUM SUPPLEMENTATION REQUIRED IN OSTEOARTHRITIS PATIENTS?

Authored by Vikram Khanna

Introduction: Osteoporosis is a condition in which the bone mineral density is decreased. Osteoarthritis consists of a group of mechanical abnormalities causing degradation of articular cartilage and subchondral bone. Physicians tend to prescribe calcium supplementation in cases of osteoarthritis, as it was thought to be helpful in this case. This study was done to find out if there was any correlation between osteoarthritis and osteoporosis and inturn to assess the usefulness of calcium supp! Lementation in osteoarthritis.
Materials and Methods: A multicentric study of 1500 patients ageing 45 years and above was done in Lucknow, Allahabad and Varanasi. After an informed consent the patients were assessed using Kellegren Lawrence grading and Singh and Maini Index. All the patients with any history predisposing them to secondary arthritis were excluded along with patients on long term use of corticosteroids. Both the KL grading and the Singh and Maini index were compared using the Pearsons coefficient of correlation.
Results: On comparing 1500 patients it was seen that Osteoporosis was most commonly seen in post-menopausal females. The urban population was affected with osteoporosis more than rural population and vice versa in osteoarthritis. There was a slight positive correlation between Kellegren Lawrence grading and Singh and Maini Index. This indicated that osteoarthritis and osteoporosis were slightly inversely proportional to each other.
Conclusion: This study shows that there is a slight negative correlation between osteoarthritis and osteoporosis. Hence, this puts into question the use of calcium supplementation in cases of osteoarthritis.

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