Hyperparathyroidism secondary to hypovitaminosis D and decline of functionality in elderly inpatients

• Autor(a) principal: Osielski,Jussara Meyer
• Data de Publicação: 2013
• Outros Autores: Jr.,Décio F. Montresor, Sanches,Débora Carolina Netz, Soares,Luciano Henrique Monteiro, Ventura,Maurício de Miranda
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Geriatrics, Gerontology and Aging (Online)
• Texto Completo: https://ggaging.com/details/141
• topic: Elderly, secondary hyperparathyroidism, vitamin D deficiency, loss of function.

<p><b>OBJECTIVE:</b> This study assesses the prevalence of hyperparathyroidism secondary to vitamin D deficiency and its association with functional decline in elderly patients above 65 years old, hospitalized at a geriatric ward at Hospital do Servidor P&uacute;blico Estadual.<br> <b>METHODS:</b> The elderly people were evaluated through a questionnaire as an interview, prepared highlighting the most common factors leading to the hypovitaminosis D. It was analyzed using appropriate scales of functional losses in basic and instrumental activities of daily living and a possible correlation with the laboratory diagnosis of hypovitaminosis D and secondary hyperparathyroidism.<br> <b>RESULTS:</b> The elderlies were evaluated at the end of summer and autumn (March,April and May), 62 patients were admitted in the geriatric ward, which 60 patients were considered valid. It was observed a positive association of hyperparathyroidism secondary to deficiencies of vitamin D in 46.77% of the cases, with a mean age of 84.75 years. No positive correlation was demonstrated between the degree of functional loss with the increase of parathyroid hormone or vitamin D deficiency.<br> <b>CONCLUSION:</b> The data shows a significant prevalence of hyperparathyroidism secondary to vitamin D deficiency in hospitalized patients and the importance of further investigations and the introduction of diagnostic and treatment strategies appropriate for the under-diagnosed population, however it was not possible to associate functional loss and hyperparathyroidism in the sample studied.</p>