PENGARUH SUPLEMEN KALSIUM DENGAN VITAMIN D TERHADAP ANGKA KEPADATAN TULANG DALAM MENCEGAH KEJADIAN FRAKTUR STRES
Abstract
Background: Stress fracture is a fracture that occurs in the repetition period,
when the load is given during exercise without adequate rest. One of the factors in
stress fractures is bone density in individuals. The incidence of stress fracture in
the military population can be estimated at between 4 - 7% in male sex. In 2016 at
the Selopamioro Yogyakarta State Police School there were 9 stress fracture
events from 239 students, this incidence increased by around 80% from the
previous year, which was as many as 5 events.
Aim: To know low bone density can increase the incidence of stress fractures in
the Selopamioro Yogyakarta State Police School and to find out the bone density
difference with calcium supplementation with vitamin D.
Method: This research method is quantitative research with observational
analytic research method with cross sectional approach on 36 students of
Selopamioro Yogyakarta State Police School consist of 18 students in class 2016
and 18 students in class 2017. Data were collected from student medical record
data. Data were analyzed using Fisher‟s test to see the difference in low bone
density rates with the incidence of stress fracture and using a paired sample t-test
to see the difference in bone density rates with calcium supplementation with
vitamin D.
Result: There is a difference between low bone mineral density and an increase in
the incidence of stress fractures but it is not statistically significant (p> 0.05).
Student bone density after calcium supplementation with vitamin D, the
osteoporosis category became osteopenia by 3 (75%) and osteoporosis became
normal by 1 (25%). The results of the number of students with osteopenia to
normal is 3 (25%). There are differences in bone density rates with calcium
supplementation with vitamin D (p <0.05).
Conclusion: Stress fractures in osteopenia are greater than the number of stress
fractures in normal people. Providing calcium supplements with vitamin D
increases bone density and reduces the incidence of stress fractures compared to
students without calcium supplements with vitamin D.