Yeşim GÖKÇE KUTSAL
(Hacettepe Üniversitesi, Kastamonu Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye)
Serpil SAVAŞ
(Süleyman Demirel Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Isparta, Türkiye)
Fatma İNANICI
(Hacettepe Üniversitesi, Kastamonu Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye)
Oya ÖZDEMİR
(Hacettepe Üniversitesi, Kastamonu Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye)
SEVİLAY KARAHAN
(Hacettepe Üniversitesi, Tıp Fakültesi, Biyoistatistik Anabilim Dalı, Ankara, Türkiye)
Asuman DOĞAN
(Ankara Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi, 5. Fizik Tedavi ve Rehabilitasyon Kliniği, Ankara, Türkiye)
SAMİ HİZMETLİ
(Cumhuriyet Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Sivas, Türkiye)
AYHAN KAMANLI
(Fırat Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Elazığ, Türkiye)
Sema ÖNCEL
(Dokuz Eylül Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İzmir, Türkiye)
SELDA SARIKAYA
(Zonguldak Karaelmas Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Zonguldak, Türkiye)
Kazım ŞENEL
(Atatürk Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Erzurum, Türkiye)
HATİCE UĞURLU
(Selçuk Üniversitesi, Meram Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Konya, Türkiye)
Pelin YAZGAN
(Harran Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Şanlıurfa, Türkiye)
KADRİYE BANU KURAN
(Şişli Hamidiye Etfal Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, İstanbul, Türkiye)
Yıl: 2013Cilt: 28Sayı: 4ISSN: 1309-0291Sayfa Aralığı: 256 - 262İngilizce

211 1
The Frequency of the Clinical Risk Factors in Postmenopausal Osteoporosis Postmenopozal Osteoporozda Klinik Risk Faktörlerinin Sıklığı
Amaç: Bu çalışmada postmenopozal kadınlarda osteoporoz ile ilişkilendirilen klinik risk faktörlerinin sıklığı belirlendi.Hastalar ve yöntemler: Bu kesitsel, gözlemsel, çokmerkezli çalışmada toplam 730 postmenopozal kadın osteoporozun klinik risk faktörleri açısından değerlendirildi. Değerlendirmede şu klinik risk faktörlerinin kaydedildiği standart bir sorgulama formu kullanıldı: ailesel ve kişisel kırık öyküsü, uzamış hareketsizlik, güneş maruziyeti, yaşam boyu hareketsiz yaşam biçimi, sigara kullanımı, çocukluk ve erişkinlik döneminde düşük kalsiyum alımı, aşırı kafein alımı, yüksek sodyum alımı, yetersiz protein alımı, gebelik sayısı, menopoz yaşı, prematür menopoz varlığı, primer ve sekonder amenore, tıbbi hastalıklar ve kronik reçeteli ilaç kullanımı.Bulgular: Osteoporoz açısından en sık rastlanan klinik risk faktörleri, yetersiz güneş maruziyeti (%53.3), mevcut hareketsiz yaşam biçimi (%52.9), erişkin (%45.1) ve çocukluk çağında (%41.9) düşük kalsiyum alımı ve ergenlik döneminde hareketsiz yaşam biçimi (%27.9) idi. Toplam 707 hasta (%96.5) birden fazla klinik risk faktörü tanımlarken, hastaların %74.3'ü sekonder osteoporoz açısından en az bir klinik risk faktörü bildirdi.Sonuç: Yeterli güneş maruziyeti, çocukluktan itibaren beslenmede yeterli kalsiyum alımı ve hareketli bir yaşam biçimi, postmenopozal kadınların osteoporozdan korunmasında rol oynayabilir. Buna ilave olarak, hekimler bu hasta grubundaki yüksek sekonder osteoporoz olasılığının farkında olmalıdırlar.
Fen > Tıp > Romatoloji
DergiAraştırma MakalesiErişime Açık
  • Osteoporosis prevention, diagnosis, and therapy. NIH Consens Statement. 2000;17:1-45.
  • Unnanuntana A, Gladnick BP, Donnelly E, Lane JM. The assessment of fracture risk. J Bone Joint Surg [Am] 2010;92:743-53.
  • Johnell O, Kanis JA, Oden A, Johansson H, De Laet C, Delmas P, et al. Predictive value of BMD for hip and other fractures. J Bone Miner Res 2005;20:1185-94.
  • Tuzun S, Akarirmak U, Uludağ M, Tuzun F, Kullenberg R. Is BMD sufficient to explain different fracture rates in Sweden and Turkey? J Clin Densitom 2007;10:285-8.
  • Tuzun S, Eskiyurt N, Akarirmak U, Saridogan M, Senocak M, Johansson H, et al. Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int 2012;23:949-55.
  • Dargent-Molina P. Epidemiology and risk factors for osteoporosis. Rev Med Interne. 2004;25 Suppl 5:S517-25. [Abstract]
  • Kanis JA, Oden A, Johnell O, Johansson H, De Laet C, Brown J, et al. The use of clinical risk factors enhances the performance of BMD in the prediction of hip and osteoporotic fractures in men and women. Osteoporos Int 2007;18:1033-46.
  • Aggarwal N, Raveendran A, Khandelwal N, Sen RK, Thakur JS, Dhaliwal LK, et al. Prevalence and related risk factors of osteoporosis in peri- and postmenopausal Indian women. J Midlife Health 2011;2:81-5.
  • Malhotra N, Mithal A. Osteoporosis in Indians. Indian J Med Res 2008;127:263-8.
  • Nahas EA, Kawakami MS, Nahas-Neto J, Buttros Dde A, Cangussu L, Rodrigues AB. Assessment of risk factors for low bone mineral density in Brazilian postmenopausal women. Climacteric 2011;14:220-7.
  • Hannan MT, Felson DT, Dawson-Hughes B, Tucker KL, Cupples LA, Wilson PW, et al. Risk factors for longitudinal bone loss in elderly men and women: the Framingham Osteoporosis Study. J Bone Miner Res 2000;15:710-20.
  • Blotman F, Cortet B, Hilliquin P, Avouac B, Allaert FA, Pouchain D, et al. Characterisation of patients with postmenopausal osteoporosis in French primary healthcare. Drugs Aging 2007;24:603-14.
  • Shilbayeh S. Prevalence of osteoporosis and its reproductive risk factors among Jordanian women: a cross-sectional study. Osteoporos Int 2003;14:929-40.
  • Pinheiro MM, Ciconelli RM, Martini LA, Ferraz MB. Clinical risk factors for osteoporotic fractures in Brazilian women and men: the Brazilian Osteoporosis Study (BRAZOS). Osteoporos Int 2009;20:399-408.
  • Akkus Z, Camdeviren H, Celik F, Gur A, Nas K. Determination of osteoporosis risk factors using a multiple logistic regression model in postmenopausal Turkish women. Saudi Med J 2005;26:1351-9.
  • Demir B, Haberal A, Geyik P, Baskan B, Ozturkoglu E, Karacay O, et al. Identification of the risk factors for osteoporosis among postmenopausal women. Maturitas 2008;60:253-6.
  • Akdeniz N, Akpolat V, Kale A, Erdemoglu M, Kuyumcuoglu U, Celik Y. Risk factors for postmenopausal osteoporosis: anthropometric measurements, age, age at menopause and the time elapsed after menopause onset. Gynecol Endocrinol 2009;25:125-9.
  • Yazici S, Korkmaz U, Erkan M, Korkmaz N, Erdem Baki A, Alçelik A, et al. The effect of breast-feeding duration on bone mineral density in postmenopausal Turkish women: a population-based study. Arch Med Sci 2011;7:486-92.
  • Korkmaz U, Korkmaz N, Yazici S, Erkan M, Baki AE, Yazici M, et al. Anemia as a risk factor for low bone mineral density in postmenopausal Turkish women. Eur J Intern Med 2012;23:154-8.
  • Kayalar G, Cevikol A, Yavuzer G, Sanisoglu Y, Cakci A, Arasil T. The value of calcaneal bone mass measurement using a dual X-ray laser Calscan device in risk screening for osteoporosis. Clinics (Sao Paulo) 2009;64:757-62.
  • Dursun N, Akin S, Dursun E, Sade I, Korkusuz F. Influence of duration of total breast-feeding on bone mineral density in a Turkish population: does the priority of risk factors differ from society to society? Osteoporos Int 2006;17:651-5.
  • Sahin G, Bağis S, Cimen OB, Ozişik S, Güler H, Erdoğan C. Lumbar and femoral bone mineral density in type 2 Turkish diabetic patients. Acta Medica (Hradec Kralove) 2001;44:141-3.
  • Hamdi Kara I, Aydin S, Gemalmaz A, Aktürk Z, Yaman H, Bozdemir N, et al. Habitual tea drinking and bone mineral density in postmenopausal Turkish women: investigation of prevalence of postmenopausal osteoporosis in Turkey (IPPOT Study). Int J Vitam Nutr Res 2007;77:389-97.
  • Gemalmaz A, Discigil G, Sensoy N, Basak O. Identifying osteoporosis in a primary care setting with quantitative ultrasound: relationship to anthropometric and lifestyle factors. J Bone Miner Metab 2007;25:184-92.
  • İpek A, Gafuroğlu Ü, Bodur H, Yılmaz Ö. Osteoporosis risk assessment. Turk J Phys Med Rehab 2012;58:212-9.
  • Salaffi F, Silveri F, Stancati A, Grassi W. Development and validation of the osteoporosis prescreening risk assessment (OPERA) tool to facilitate identification of women likely to have low bone density. Clin Rheumatol 2005;24:203-11.
  • Pinheiro Mde M, Eis SR. Epidemiology of osteoporotic fractures in Brazil: what we have and what we need. Arq Bras Endocrinol Metabol 2010;54:164-70.
  • Aydin ZD. Determinants of age at natural menopause in the Isparta Menopause and Health Study: premenopausal body mass index gain rate and episodic weight loss. Menopause 2010;17:494-505.
  • Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. World Health Organ Tech Rep Ser 1994;843:1-129.
  • Kanis JA, Melton LJ 3rd, Christiansen C, Johnston CC, Khaltaev N. The diagnosis of osteoporosis. J Bone Miner Res 1994;9:1137-41.
  • Holick MF. Vitamin D: A millenium perspective. J Cell Biochem 2003;88:296-307.
  • Holick MF, Chen TC. Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr 2008;87:1080S-6S.
  • Dumith SC, Hallal PC, Reis RS, Kohl HW 3rd. Worldwide prevalence of physical inactivity and its association with human development index in 76 countries. Prev Med 2011;53:24-8.
  • Wolff I, van Croonenborg JJ, Kemper HC, Kostense PJ, Twisk JW. The effect of exercise training programs on bone mass: a meta-analysis of published controlled trials in pre- and postmenopausal women. Osteoporos Int 1999;9:1-12.
  • U.S. Department of Health and Human Services. Physical Activity and Health: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion; 1996. p. 130-2. Available from: http:// profiles.nlm.nih.gov/ps/access/NNBBHC.pdf. [Access date: December 27, 2012]
  • Painter SE, Kleerekoper M, Camacho PM. Secondary osteoporosis: a review of the recent evidence. Endocr Pract 2006;12:436-45.
  • Hofbauer LC, Hamann C, Ebeling PR. Approach to the patient with secondary osteoporosis. Eur J Endocrinol 2010;162:1009-20.
  • Institute of Medicine. Report at a Glance, Report Brief: Dietary Reference Intakes for Calcium and Vitamin D, released 11/30/2010. Available from: http://www. iom.edu/Reports/2010/Dietary-Reference-Intakes-for- Calcium-and-Vitamin-D/Report-Brief.aspx. [Access date: December 01, 2010].
  • Matkovic V, Jelic T, Wardlaw GM, Ilich JZ, Goel PK, Wright JK, et al. Timing of peak bone mass in Caucasian females and its implication for the prevention of osteoporosis. Inference from a cross-sectional model. J Clin Invest 1994;93:799-808.
  • Sandler RB, Slemenda CW, LaPorte RE, Cauley JA, Schramm MM, Barresi ML, et al. Postmenopausal bone density and milk consumption in childhood and adolescence. Am J Clin Nutr 1985;42:270-4.
  • NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA 2001;285:785-95.
  • Bonjour JP. Protein intake and bone health. Int J Vitam Nutr Res 2011;81:134-42.
  • Woo J, Kwok T, Leung J, Tang N. Dietary intake, blood pressure and osteoporosis. J Hum Hypertens 2009;23:451-5.
  • Kanis JA on behalf of the World Health Organization Scientific Group. Assessment of osteoporosis at the primary health-care level. Technical Report. WHO Collaborating Centre, University of Shefffield, UK; 2008. Available from: http://www.shef.ac.uk/FRAX. [Access date: October 15, 2012].

TÜBİTAK ULAKBİM Ulusal Akademik Ağ ve Bilgi Merkezi Cahit Arf Bilgi Merkezi © 2019 Tüm Hakları Saklıdır.