A Study of Correlation between Morphometric Measurement of Lumbar Region with levels of Calcium and Vitamin D in Low Back Pain Individuals

Abstract:
This study aimed to identify morphometric abnormalities in the lumbar spine and their correlation with serum biomarkers, including calcium and vitamin D in individuals with low back pain (LBP). The prospective study was conducted at GSL Medical College Rajahmundry and included 412 participants over 18 years old with LBP. Detailed clinical histories were recorded, fasting blood samples were collected, and lumbar spine MRIs were assessed. Significant differences in disc heights were noted in the L3-L4 and L5-S1 regions. Biomarkers such as Serotransferrin (TRF), alpha-2-macroglobulin (AMG), alpha-1-antitrypsin (AAT), alpha-1-acid glycoprotein 1 (AAG), alpha-1-acid glycoprotein 2 (AGP2) and alpha-1B-glycoprotein (A1BG) were quantified using ELISA and nephelometry. Despite no significant variation in serum calcium and vitamin D levels between pain groups, statistically significant differences in the levels of TRF (P < 0.01), AAT (P < 0.01), AAG (P < 0.01), AGP2 (P < 0.01) and A1BG (P < 0.05) were observed. The findings suggest that lumbar disc morphology and specific serum biomarkers may play a role in LBP pathogenesis.References:
[1].
Sharma,
M., Kishore, A., Roy, D., & Joshi, K., 2020, A comparison of the Indian
diet with the EAT-Lancet reference diet. BMC
Public Health, 20(1), 1–13.
[2].
Khanna,
M., Dahiya, A., Garg, A., Yadav, U., Sheoran, A., Dutta, M., Singh, L., Sharma,
R., & Amit, 2021, Estimation of vitamin D level in low backache cases and
their outcome after treatment with vitamin D. International Journal of Research in Orthopaedics, 7(1), 120–124.
[3].
Aparna,
P., Muthathal, S., Nongkynrih, B., & Gupta, S. K., 2018, Vitamin D
deficiency in India. Journal of Family
Medicine and Primary Care, 7(2),
324.
[4].
Goyal,
V., & Agrawal, M., 2021, Effect of supplementation of vitamin D and calcium
on patients suffering from chronic non-specific musculoskeletal pain: A
pre-post study. Journal of Family
Medicine and Primary Care, 10(5),
1839.
[5].
Catharine
Ross, A., Taylor, C. L., Yaktine, A. L., & Del Valle, H. B., 2011, Overview
of Calcium. In Dietary Reference Intakes
for Calcium and Vitamin D. National Academies Press (US).
[6].
Wu,
A., March, L., Zheng, X., Huang, J., Wang, X., Zhao, J., Blyth, F. M., Smith,
E., Buchbinder, R., & Hoy, D., 2020, Global low back pain prevalence and
years lived with disability from 1990 to 2017: estimates from the Global Burden
of Disease Study 2017. Annals of
Translational Medicine, 8(6),
299–299.
[7].
Yadav,
U., Singh, V., Bhargava, N., Srivastav, A. K., Neyaz, Z., Phadke, R. V., &
Mishra, P., 2020, Lumbar Canal Diameter Evaluation by CT Morphometry-Study of
Indian Population. International Journal
of Spine Surgery, 14(2), 175–181.
[8].
Diatchenko,
L., Fillingim, R. B., Smith, S. B., & Maixner, W., 2013, The phenotypic and
genetic signatures of common musculoskeletal pain conditions. Nature Reviews Rheumatology, 9(6), 340–350.
[9].
Ghai, B., Bansal, D., Kanukula, R., Gudala, K., Sachdeva, N., Dhatt, S.
S., & Kumar, V., 2017, Vitamin
D Supplementation in Patients with Chronic Low Back Pain: An Open Label, Single
Arm Clinical Trial. Pain Physician, 20(1), E99–E105.
[10].
Whitney,
E., & Alastra, A. J., 2023, Vertebral Fracture. In StatPearls [Internet]. StatPearls Publishing.
[11].
Méndez-Sánchez,
L., Clark, P., Winzenberg, T. M., Tugwell, P., Correa-Burrows, P., &
Costello, R., 2023, Calcium and vitamin D for increasing bone mineral density
in premenopausal women. The Cochrane
Database of Systematic Reviews, 1(1),
CD012664.
[12].
Frassetto,
L., Banerjee, T., Powe, N., & Sebastian, A., 2018, Acid Balance, Dietary Acid
Load, and Bone Effects-A Controversial Subject. Nutrients, 10(4), 517.
[13].
Saxena,
A. K., Chilkoti, G. T., Singh, A., & Yadav, G., 2019, Pregnancy-induced Low
Back Pain in Indian Women: Prevalence, Risk Factors, and Correlation with Serum
Calcium Levels. Anesthesia Essays and
Researches, 13(2), 395.
[14].
Wacker,
M., & Holick, M. F., 2013, Sunlight and Vitamin D: A global perspective for
health. Dermato-endocrinology, 5(1), 51–108. https://doi.org/10.4161/derm.24494
[15].
G, R.,
& Gupta, A., 2014, Vitamin D deficiency in India: prevalence, causalities
and interventions. Nutrients, 6(2), 729–775. https://doi.org/10.3390/nu6020729
[16].
Harinarayan,
C. V., Holick, M. F., Prasad, U. V., Vani, P. S., & Himabindu, G., 2013,
Vitamin D status and sun exposure in India. Dermato-endocrinology, 5(1),
130–141. https://doi.org/10.4161/derm.23873
[17].
Amrein,
K., Scherkl, M., Hoffmann, M., Neuwersch-Sommeregger, S., Köstenberger, M.,
Tmava Berisha, A., Martucci, G., Pilz, S., & Malle, O., 2020, Vitamin D
deficiency 2.0: an update on the current status worldwide. European Journal of
Clinical Nutrition, 74(11), 1498–1513. https://doi.org/10.1038/s41430-020-0558-y
[18].
Khanna,
Mohit, Amit Dahiya, Abhishek Garg, Umesh Yadav, Ajay Sheoran, Mayank Dutta,
Lovjot Singh, Rakesh Sharma, and Amit, 2021, “Estimation of Vitamin D Level in
Low Backache Cases and Their Outcome after Treatment with Vitamin D.” International
Journal of Research in Orthopaedics 7 (1): 120–24.
[19].
Vincent,
F., Gralka, M., Schleyer, G. et al., 2023, Viral infection switches the balance
between bacterial and eukaryotic recyclers of organic matter during
coccolithophore blooms. Nat Commun 14, 510 https://doi.org/10.1038/s41467-023-36049-3
[20].
Jeffrey
K. Pinto, Kate Davis, Lavagnon A., Ika, Kam Jugdev, Ofer Zwikael, 2022, Coming
to terms with project success: Current perspectives and future challenges, International
Journal of Project Management, Volume 40, Issue 7.
[21]. Tarantino, U., Fanucci, E., Iundusi, R., Celi, M., Altobelli, S., Gasbarra, E., Simonetti, G., & Manenti, G., 2013, Lumbar spine MRI in upright position for diagnosing acute and chronic low back pain: statistical analysis of morphological changes. Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology, 14(1), 15–22. https://doi.org/10.1007/s10195-012-0213-z