Uncovering the Prevalence of Vitamin D Deficiency and Investigating its Impact on Bone Health in Geriatric Patients with Chronic Kidney Disease: A Cross Sectional Study

Abstract

Introduction: In this study, the prevalence of Vitamin D deficiency in patients with chronic kidney disease (CKD) was established, and its impacts on the spine health of these patients were also determined and they include osteoporosis and fractures. Moreover, there is a dearth of information regarding the correlation between Vitamin D status, osteoporosis and the presence of risk of fractures specifically in geriatric CKD patients. The current cross-sectional prevalent-based study sought to determine the relationship between Vitamin D deficiency, osteoporosis and fractures in the selected people. Methods: A total of 675 geriatric patients aged 65–75 years with CKD stages 3–5 participated. Data were collected through interviews, medical record reviews and physical assessments. Information obtained included demographics, falls history, Vitamin D levels, diagnoses of Vitamin D deficiency, osteoporosis and fractures. Associations between Vitamin D deficiency and osteoporosis/fractures were examined using Chi-square tests using SPSS version 27. Results: The finding on men showed the percentage prevalence of Vitamin D deficiency to be 42%. Eight per cent, while 30. 2% cent had osteoporosis. Vitamin D has been revealed to have a strong relationship with osteoporosis (P < 0.001), in which 86% of patients were defiantly Vitamin D insufficient. Three per cent of those deficient also has osteoporosis. In addition, 79. As compared with an incidence of 9% in subjects with Vitamin D deficiency, fractures developed after minimal trauma occurred in 44%. Seven per cent without (P < 0.001). With regard to adverse effects, there was no occurrence of hip fractures, but seven patients. The answers revealed that 7% of the patients fell at least once in the last year. Conclusion: As seen in this study, geriatric CKD patients had concerning levels of Vitamin D deficiency, a parameter which was positively correlated to osteoporosis as well as was significantly related to the likelihood of developing fractures for patients after they had been involved in minor accidents. The findings emphasise the importance of optimising Vitamin D levels in this population through supplementation and lifestyle modifications to possibly reduce osteoporosis and fracture burden. Further research is warranted to develop targeted Vitamin D intervention strategies.