# Assessment of WOMAC index for knee osteoarthritis and its association with serum vitamin - D and serum cytokine profile

**Authors:** Deepak Kumar, Mithilesh Kannaujiya, Shailendra Singh, Sanjeev Kumar, Shah Waliullah, Sujeet Kumar Chaudhary, Ashish Kumar

PMC · DOI: 10.6026/973206300211791 · Bioinformation · 2025-07-31

## TL;DR

The study finds that low vitamin D levels in people with knee osteoarthritis are linked to higher inflammation and worse joint function.

## Contribution

This study is the first to show a direct link between vitamin D deficiency, inflammatory cytokines, and functional outcomes in knee osteoarthritis patients.

## Key findings

- Vitamin D deficiency is associated with higher IL-6 and TNF-α levels in knee OA patients.
- Lower vitamin D levels correlate with worse WOMAC scores in knee OA patients.
- Deficient vitamin D may worsen inflammation and functional status in knee osteoarthritis.

## Abstract

Vitamin D has immuno-modulatory and potential cartilage-regenerative effects. Therefore, it is of interest to evaluate the association
between serum vitamin D levels, pro-inflammatory cytokines (IL-6, TNF-α), and functional status in patients with knee osteoarthritis
(OA). In this cross-sectional analysis of 84 patients with bilateral knee OA, serum vitamin D, IL-6, TNF-α levels and WOMAC scores
were recorded. Patients with vitamin D deficiency exhibited significantly higher IL-6 and TNF-α levels and worse WOMAC scores.
Data shows that vitamin D deficiency is associated with increased inflammation and poorer functional outcomes in knee OA.

## Linked entities

- **Proteins:** IL6 (interleukin 6), TNF (tumor necrosis factor)

## Full-text entities

- **Genes:** TNF (tumor necrosis factor) [NCBI Gene 7124] {aka DIF, IMD127, TNF-alpha, TNFA, TNFSF2, TNLG1F}, IL6 (interleukin 6) [NCBI Gene 3569] {aka BSF-2, BSF2, CDF, HGF, HSF, IFN-beta-2}
- **Diseases:** vitamin D deficiency (MESH:D014808), knee OA (MESH:D020370), OA (MESH:D010003), inflammation (MESH:D007249), inflammatory cytokines (MESH:D000080424)
- **Chemicals:** Vitamin D (MESH:D014807)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

18 references — full list in the complete paper: https://tomesphere.com/paper/PMC12569888/full.md

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Source: https://tomesphere.com/paper/PMC12569888