HALİM YILMAZ
(Konya Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Konya, Türkiye)
Gülten ERKİN
(Konya Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Konya, Türkiye)
Halime Almula POLAT DEMİR
(Afyonkarahisar Devlet Hastanesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Afyon, Türkiye)
SAMİ KÜÇÜKŞEN
(Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Konya, Türkiye)
Ali SALLI
(Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Konya, Türkiye)
HATİCE UĞURLU
(Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Konya, Türkiye)
Yıl: 2012Cilt: 18Sayı: 1ISSN: 2147-2653Sayfa Aralığı: 8 - 12İngilizce

157 6
Effects of reproductive factors on bone mineral densitometry
Amaç: Postmenopozal kadınlarda reprodüktif faktörlerin kemik mineral yoğunluğu (BMD) üzerine etkilerini tespit etmek amaçlandı. Gereç ve Yöntemler: Çalışmaya lomber vertebra (L1-4) (LS) ve femur boyun (FN) düzeyinde BMD (gr/cm²) ölçümleri yapılmış olan 1196 postmenopazal kadın dahil edildi. Hastaların demografik, reprodüktif özellikleri ve vücut kütle indeksi (BMI) (kg/m²) belirlendi. BMD ile ilişkili faktörleri belirlemede çoklu regresyon analizi kullanıldı. Bulgular: Hastalarda ortalama yaş 59,97±8,56, ağırlık 73,49±13,06 kg, VKİ 29,25±5,22 kg/m², adet yaşı 14,00±1,64, doğum sayısı 4,22±2,09, toplam emzirme süresi 60,77±38,80 ay, günlük emzirme sayısı 8,23±3,91, menapoz yaşı 47,12±4,22, menopoz süresi 12,80±9,10 yıl, LS BMD 0,993±0,171 gr/cm², FN BMD 0,844±0,14 gr/cm² idi. Hastalarda LS BMD ve FN BMD değerleri ile yaş, menopoz süresi, toplam emzirme süresi, günlük emzirme sayısı arasında negatif korelasyon saptandı. LS ve FN BMD değerleri ile, ağırlık ve BMI skorları arasında pozitif korelasyon saptandı Yine LS ve FN BMD değerleri ile adet yaşı ve doğum sayısı arasında negatif korelasyon saptandı. Lineer basamak regresyon analizlerinde, ağırlık (p<0,001), günlük emzirme sayısı (p<0,001), menapoz sonrası geçen süre (p<0,001), toplam emzirme süresi (p<0,012), ilk adet yaşı (p<0,007) LS BMD için, ağırlık (p<0,001), menapoz sonrası geçen süre (p<0,001) ve günlük emzirme sayısı (p<0,001) FN BMD için en önemli belirleyiciler olarak bulundu. Sonuç: Postmenopozal dönemdeki kadınlarda LS ve FN BMD, reprodüktif faktörler ile ilişkili gözükmektedir. Bu nedenle postmenopozal kadınlarda osteoporoz risk faktörleri değerlendirirken reproduktif faktörlerde dikkate alınmalıdır. (Türk Os te opo roz Dergisi 2012;18:8-12)
Fen > Tıp > Genel ve Dahili Tıp
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