Publication: Stress Fractures among Paramilitary Trainee Visiting a Paramilitary Hospital of Nepal: A Descriptive Cross-sectional Study Authors
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract:
Introduction: Young paramilitary recruits, who undergo strenuous exercise during basic training, are often presented with stress fractures, which could be due to an inadequate vitamin D (25-hydroxyvitamin D) intake. This study aimed to find the prevalence of stress fracture among young paramilitary trainees visiting the orthopedic outpatient department of a paramilitary hospital.
Methods: This was a descriptive cross-sectional study done among paramilitary trainees in a paramilitary Hospital of Nepal between April 2019 to April 2021. The study was approved by the Ethical Review Board (Reference number: 1003) of the Nepal Health Research Council. Convenience sampling was used. Anthropometric variables, serum 25-hydroxyvitamin D level, and bone mineral density of spine and hip were determined. Data analysis was performed using the Statistical Package for the Social Sciences software version 17.0. Point estimate at 95% Confidence Interval was calculated along with frequency, proportion for binary data and mean, standard deviation for continuous data.
Results: Among 417 young paramilitary trainees, 24 (5.76%) (3.52-7.99 at 95% Confidence Interval) were found to have a stress fracture. The stress fracture patients had a serum 25-hydroxyvitamin D level of 21.47ng/mL±6.98. Similarly, the bone mineral density value of the spine and hip among the patients was -1.34g/cm2±1.37 and 0.36g/cm2±1.24, respectively.
Conclusions: The prevalence of stress fracture among young paramilitary trainee was high compared to previous studies. Additionally, average Vitamin D and the bone mineral density value of the spine and the total hip among stressed fractured patients were also low.
Description
Sailendra Kumar Duwal Shrestha
Department of Orthopedic and Trauma Services, Nepal Armed Police Force Hospital, Kathmandu, Bagmati, Nepal
https://orcid.org/0000-0003-4745-2234
Ajaya Basnet
Department of Medical Microbiology, Shi-Gan International College of Science and Technology, Tribhuvan University, Kathmandu, Bagmati, Nepal
https://orcid.org/0000-0003-4991-6389
Netra Bahadur Karki
Department of Orthopedic and Trauma Services, Nepal Armed Police Force Hospital, Kathmandu, Bagmati, Nepal
https://orcid.org/0000-0002-1028-0312
Prabin Nepal
Department of Orthopedic and Trauma Services, Nepal Armed Police Force Hospital, Kathmandu, Bagmati, Nepal
https://orcid.org/0000-0001-7700-9028
Umash Karki
Department of Orthopedic and Trauma Services, Nepal Armed Police Force Hospital, Kathmandu, Bagmati, Nepal
Samir KC
Department of Orthopedic and Trauma Services, Nepal Armed Police Force Hospital, Kathmandu, Bagmati, Nepal
Kumar Shrestha
Department of Orthopedic and Trauma Services, Nepal Armed Police Force Hospital, Kathmandu, Bagmati, Nepal
https://orcid.org/0000-0001-9505-5036
Basanta Tamang
Department of Clinical Laboratory, Nepal Armed Police Force Hospital, Kathmandu, Bagmati, Nepal
https://orcid.org/0000-0003-3082-9760
Mahendra Raj Shrestha
Department of Clinical Laboratory, Nepal Armed Police Force Hospital, Kathmandu, Bagmati, Nepal
https://orcid.org/0000-0002-8292-5757
Keywords
bone mineral density, Nepal, stress fractures, vitamin D.