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Detection of serum 25(OH)-vitamin D level in the serum of women with fibromyalgia syndrome and its relation to pain severity

Abstract

Objective

The aim of our study is to determine serum 25(OH)-vitamin D level in patients with fibromyalgia syndrome and its relation to pain.

Patients and methods

Fifty-three women with fibromyalgia syndrome diagnosed according to the American College of Rheumatology 1990 fibromyalgia diagnostic criteria and 50 age-matched healthy women as a control group were included in this study. Serum 25(OH)-vitamin D levels were determined in both the patient and the control groups. Fibromyalgia Impact Questionnaire scores and pain intensity measured by the visual analogue scale were evaluated.

Results

We found a statistically significant decrease in serum vitamin D level in the patient group in comparison with the control group. There was a significant negative correlation (P = 0.000) between vitamin D level and Fibromyalgia Impact Questionnaire. The same results are found between vitamin D level and visual analogue scale. There was no significant correlation between vitamin D level and erythrocyte sedimentation rate or C-reactive protein.

Conclusion

We found a significant association between fibromyalgia and low 25(OH)-vitamin D levels as suggested previously in other studies. Also, there was a correlation between the level of vitamin D in serum and severity of pain. We recommend vitamin D screening in every patient with chronic nonspecific musculoskeletal pain, especially fibromyalgia, and extended research in this area with large numbers of patients.

References

  1. Gupta A, Silman AJ. Psychological stress and fibromyalgia: a review of the evidence suggesting a neuroendocrine link. Arthritis Res Ther 2004; 6:98–106.

    Article  CAS  Google Scholar 

  2. Marder WD, Meenan RF, Felson DT, Reichlin M, Birnbaum NS, Croft JD, et al. The present and future adequacy of rheumatology manpower. A study of health care needs and physician supply. Arthritis Rheum 1991; 34:1209–1217.

    Article  CAS  Google Scholar 

  3. Wepner F, Scheuer R, Schuetz-Wieser B, Machacek P, Pieler-Bruha E, Cross HS, et al. Effects of vitamin D on patients with fibromyalgia syndrome: a randomized placebo-controlled trial. Pain 2014; 155: 261– 268.

    Article  CAS  Google Scholar 

  4. Schott GD, Wills MR. Muscle weakness in osteomalacia. Lancet 1976; 1:626–629.

    Article  CAS  Google Scholar 

  5. Al Faraj S, Al Mutairi K. Vitamin D deficiency and chronic low back pain in Saudi Arabia. Spine (Phila Pa 1976) 2003; 28:177–179.

    Article  Google Scholar 

  6. De Torrenté de la Jara G, Pécoud A, Favrat B. Musculoskeletal pain in female asylum seekers and hypovitaminosis D3. BMJ 2004; 329:156–157.

    Article  Google Scholar 

  7. McBeth J, Pye SR, O’Neill TW, Macfarlane GJ, Tajar A, Bartfai G, et al. EMAS Group. Musculoskeletal pain is associated with very low levels of vitamin D in men: results from the European Male Ageing Study. Ann Rheum Dis 2010; 69:1448–1452.

    Article  Google Scholar 

  8. Helliwell PS, Ibrahim GH, Karim Z, Sokoll K, Johnson H. Unexplained musculoskeletal pain in people of South Asian ethnic group referred to a rheumatology clinic – relationship to biochemical osteomalacia, persistence over time and response to treatment with calcium and vitamin D. Clin Exp Rheumatol 2006; 24:424–427.

    CAS  PubMed  Google Scholar 

  9. Abeles AM, Pillinger MH, Solitar BM, Abeles M. Narrative review: the pathophysiology of fibromyalgia. Ann Intern Med 2007; 146: 726–734.

    Article  Google Scholar 

  10. Daniel D, Pirotta MV. Fibromyalgia – should we be testing and treating for vitamin D deficiency? Aust Fam Physician 2011; 40:712–716.

    PubMed  Google Scholar 

  11. Okumus M, Koybasi M, Tuncay F, Ceceli E, Ayhan F, Yorgancioglu R, Borman P. Fibromyalgia syndrome: is it related to vitamin D deficiency in premenopausal female patients? Pain Manag Nurs. 2013; 14:156–163.

    Article  Google Scholar 

  12. Tague SE, Clarke GL, Winter MK, McCarson KE, Wright DE, Smith PG Vitamin D deficiency promotes skeletal muscle hypersensitivity and sensory hyperinnervation. J Neurosci 2011; 31:13728–13738.

    Article  CAS  Google Scholar 

  13. Prakash S, Kumar M, Belani P, Susvirkar A, Ahuja S. Interrelationships between chronic tension-type headache, musculoskeletal pain, and vitamin D deficiency: is osteomalacia responsible for both headache and musculoskeletal pain? Ann Indian Acad Neurol 2013; 16: 650–658.

    Article  Google Scholar 

  14. Altura BM, Altura BT Tension headaches and muscle tension: is there a role for magnesium? Med Hypotheses 2001; 57:705–713.

    Article  CAS  Google Scholar 

  15. Gloth FM III, Lindsay JM, Zelesnick LB, Greenough WB III. Can vitamin D deficiency produce an unusual pain syndrome? Arch Intern Med 1991; 151:1662–1664.

    Article  Google Scholar 

  16. Nellen JF, Smulders YM, Jos Frissen PH, Slaats EH, Silberbusch J. Hypovitaminosis D in immigrant women: slow to be diagnosed. BMJ 1996; 312:570–572.

    Article  CAS  Google Scholar 

  17. Prabhala A, Garg R, Dandona P. Severe myopathy associated with vitamin D deficiency in western New York. Arch Intern Med 2000; 160: 1199–1203.

    Article  CAS  Google Scholar 

  18. Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, et al. The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 1990; 33:160–172.

    Article  CAS  Google Scholar 

  19. Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 1990; 13: 227– 236.

    Article  CAS  Google Scholar 

  20. Bennett RM, Friend R, Jones KD, Ward R, Han BK, Ross RL The Revised Fibromyalgia Impact Questionnaire (FIQR): validation and psychometric properties. Arthritis Res Ther 2009; 11:R120.

    Article  Google Scholar 

  21. Matthana MH. The relation between vitamin D deficiency and fibromyalgia syndrome in women. Saudi Med J 2011; 32:925–929.

    PubMed  Google Scholar 

  22. Holick MF. Medical progress: vitamin D deficiency. N Engl J Med 2007; 357:266–281.

    Article  CAS  Google Scholar 

  23. Olama SM, Senna MK, Elarman MM, Elhawary G. Serum vitamin D level and bone mineral density in premenopausal Egyptian women with fibromyalgia. Rheumatol Int 2013; 33:185–192.

    Article  CAS  Google Scholar 

  24. Baygutalp NK, Baygutalp F, Şeferoğlu B, Bakan E. The relation between serum vitamin D levels and clinical findings of fibromyalgia syndrome. Dicle Med J 2014; 41:446–450.

    Article  Google Scholar 

  25. Altindag O, Ögüt E, Gur A, Gursoy S, Gunay M. Serum vitamin D level and its relation with clinical parameters in fibromyalgia as a neuropathic pain. Orthopedic Muscul Syst 2014; 3:171.

    Google Scholar 

  26. Yoav A, Daniela A, Howard A. The diverse world of vitamin D: does it also modulates pain sensation? IMAJ 2009; 11:371–372.

    Google Scholar 

  27. Huisman AM, White KP, Algra A, Harth M, Vieth R, Jacobs JW, et al. Vitamin D levels in women with systemic lupus erythematosus and fibromyalgia. J Rheumatol 2001; 28:2535–2539.

    CAS  PubMed  Google Scholar 

  28. Benson J, Wilson A, Stocks N, Moulding N. Muscle pain as an indicator of vitamin D deficiency in an urban Australian aboriginal population. Med J Aust 2006; 185:76–77.

    Article  Google Scholar 

  29. Lotfi A, Abdel-Nasser AM, Hamdy A, Omran AA, El-Rehany MA. Hypovitaminosis D in female patients with chronic low back pain. Clin Rheumatol 2007; 26:1895–1901.

    Article  Google Scholar 

  30. McCarty DE, Reddy A, Keigley Q, Kim PY, Cohen S, Marino AA. Nonspecific pain is a marker for hypovitaminosis D in patients undergoing evaluation for sleep disorders: a pilot study. Nat Sci Sleep 2013; 5:37–42.

    Article  Google Scholar 

  31. McCarty DE. Resolution of hypersomnia following identification and treatment of vitamin D deficiency. J Clin Sleep Med 2010; 6:605–608.

    Article  Google Scholar 

  32. Ulusoy H, Sarica N, Arslan S, Ozyurt H, Cetin I, Birgul Ozer E, Yildirim N Serum vitamin D status and bone mineral density in fibromyalgia. Bratisl Lek Listy 2010; 111:604–609.

    CAS  Google Scholar 

  33. Tandeter H, Grynbaum M, Zuili I, Shany S, Shvartzman P. Serum 25-OH vitamin D levels in patients with fibromyalgia. Isr Med Assoc J 2009; 11:339–342

    PubMed  Google Scholar 

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Correspondence to Alaa A. Elaziz Labeeb PhD.

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Elaziz Labeeb, A.A., Al-Sharaki, D.R. Detection of serum 25(OH)-vitamin D level in the serum of women with fibromyalgia syndrome and its relation to pain severity. Egypt Rheumatol Rehabil 42, 196–200 (2015). https://doi.org/10.4103/1110-161X.168202

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