{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:51:59Z","timestamp":1786121519069,"version":"build-2736575974"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"7","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Hip fractures represent a major public health problem in India, associated with significant morbidity, mortality, and socioeconomic burden. Vitamin D deficiency, highly prevalent in the Indian population, is a modifiable risk factor for osteoporosis, muscle weakness, falls, and fragility fractures. While the association between hypovitaminosis D and hip fractures is well established, limited Indian data exist examining fracture patterns across different severities of vitamin D deficiency. The study is to evaluate the association between varying levels of serum vitamin D deficiency and types of hip fractures in the Indian population.\n\nMaterials and Methods: This hospital-based cross-sectional observational study was conducted in the Department of Orthopaedics, School of Medical Sciences and Research, Sharda University, Greater Noida, from April 2024 to November 2025. Fifty patients aged &gt;50 years (females) and &gt;60 years (males) presenting with low-energy hip fractures were included. Serum 25-hydroxyvitamin D levels were measured using a VITROS 5600 dry chemistry autoanalyser. Vitamin D status was categorised as severe deficiency (&lt;10 ng\/mL), moderate deficiency (10\u201320 ng\/mL), insufficiency (20\u201330 ng\/mL), and sufficiency (&gt;30 ng\/mL). Statistical analysis was performed using the Statistical Package for the Social Sciences v22 with the chi-square test and analysis of variance.\n\nResults: The majority of patients were aged 70\u201379 years (52%). Intertrochanteric fractures were the most common fracture type (60%), followed by neck of femur fractures (34%). Vitamin D deficiency (severe + moderate) was present in 72% of patients. Moderate deficiency (10\u201320 ng\/mL) was the predominant category (60%). Intertrochanteric fractures were most frequently associated with moderate deficiency, whereas severe deficiency was more common among neck-of-femur fractures. The association between vitamin D status and fracture type was statistically significant (P &lt; 0.05).\n\nConclusion: Vitamin D deficiency is highly prevalent among Indian patients with hip fractures and shows a significant association with fracture subtype. Graded vitamin D deficiency appears to influence both fracture occurrence and anatomical pattern. Routine screening and early correction of vitamin D deficiency may play a critical role in hip fracture prevention in the elderly Indian population.\n\nKeywords: Vitamin D deficiency, hip fracture, intertrochanteric fracture, neck of femur fracture, osteoporosis<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i07.7730","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T06:55:42Z","timestamp":1783666542000},"page":"491-496","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Different Levels of Vitamin D Deficiency and Hip Fracture in Indian Population: A Cross-sectional Study"],"prefix":"10.13107","volume":"16","author":[{"given":"Varun","family":"Dhattarwal","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajni","family":"Ranjan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ankit Kumar","family":"Tetarwal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, School of Medical Sciences and Research, Sharda University, Greater Noida, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveen","family":"Jeyaraman","sequence":"additional","affiliation":[{"name":"[2] Department of Orthopaedics, ACS Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, Tamil Nadu, India [3] Department of Regenerative Medicine, Agathisha Institute of Stemcell and Regenerative Medicine, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhan","family":"Jeyaraman","sequence":"additional","affiliation":[{"name":"[2] Department of Orthopaedics, ACS Medical College and Hospital, Dr. MGR Educational and Research Institute, Chennai, Tamil Nadu, India [3] Department of Regenerative Medicine, Agathisha Institute of Stemcell and Regenerative Medicine, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T04:44:03Z","timestamp":1786077843000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/07\/association-of-different-levels-of-vitamin-d-deficiency-and-hip-fracture-in-indian-population-a-cross-sectional-study\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i07.7730","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i07.7730","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}