Skripsi
HUBUNGAN KADAR VITAMIN D–25–OH DENGAN LOW BACK PAIN DI POLIKLINIK REUMATOLOGI RSUP DR. MOHAMMAD HOESIN PALEMBANG
Background. Low back pain (LBP) is one of the most common musculoskeletal complaints and can adversely affect physical function, quality of life, and patient productivity. Vitamin D deficiency, assessed through serum 25-hydroxyvitamin D (25-OH D) levels, plays a role in pain modulation, muscle function, and inflammatory responses, and is suspected to be associated with LBP occurrence. This study aims to analyze the relationship between 25-OH D levels and LBP among patients attending the Rheumatology Clinic of Dr. Mohammad Hoesin General Hospital Palembang. Methods. This study employed an observational analytic design with a cross-sectional approach. Samples were obtained through consecutive sampling, totaling 36 patients who met the inclusion criteria. The analysis included assessment of sociodemographic characteristics, distribution of 25-OH D levels, severity of LBP, and the relationship between variables using the Chi-Square test with SPSS version 27. Results. Low back pain (LBP) patients were predominantly aged 25–65 years (88.9%), female (88.9%), housewives (50%), obese class I (36.1%), physically inactive (55.6%), and had comorbidities (97.2%), mainly systemic lupus erythematosus (30.6%). Most patients had insufficient 25-OH vitamin D levels (58.3%). Inflammatory and non-inflammatory LBP were equally distributed (50%). Vitamin D insufficiency predominated in both groups. Chi-square analysis showed no significant association between LBP type and 25-OH vitamin D levels (p=0.723). Conclusion. Most LBP patients had insufficient vitamin D levels, with equal inflammatory and non-inflammatory proportions, and no significant association between LBP type and vitamin D levels. Keywords: Vitamin D, 25-OH D, Low Back Pain, Rheumatology, Vitamin D Deficiency.
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