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Year 2014, Volume: 31 Issue: 4, 295 - 301, 01.10.2014

Pınar Kuru Gülseren Akyüz Hülya Peynirci Cerşit Alp Eren Çelenlioğlu Ahmet Cumhur Şefikcan Biricik Seda Kozan Aylin Gökşen Mikail Özdemir Emel Lüleci

Abstract

Arkaplan: Kırıklar osteoporozun başlıca sonuçlarından biridir ve genel sağlık durumu üzerinde önemli bir etkiye sahiptirler. Amaç: Bu çalışmanın amacı, önemli kırık öyküsünün yaşam kalitesi üzerine etkisini belirlemekti. Biz ayrıca önemli risk faktörlerini ve bunların kemik mineral dansitesi ve kırık öyküsü üzerine etkilerini araştırdık. Çalışma Tasarımı: Kesitsel çalışma. Yöntemler: Osteoporoz polikliniğine başvuran 105 hastayı çalışmaya dahil ettik. Tıbbi öykü, aile öyküsü, kalsiyum alımı, fiziksel aktivite düzeyi ve biyokimyasal testler değerlendirildi. Lomber omurga ve femur boynu kemik mineral dansiteleri ölçüldü. Qualeffo-41 anketi de yaşam kalitesini değerlendirmek için kullanıldı. Bulgular: Çalışmaya dahil edilen 105 hastanın yaş ortalaması 56.04±13.73 idi ve %89’u menopoz sonrası kadınlardı. Ortalama vücut kitle indeksi 26.84±5.99 idi ve bu kadınların kilolu olduğu anlamına gelmekteydi. Ayrıca, hastaların %48.5’ine osteoporoz tanısı ve bunların da %51.5’ine düşük kemik dansitesi tanısı konuldu. Toplam 34 hastada minör travma ile kırık öyküsü vardı ve bazı hastalarda birden fazla kırık mevcuttu (12 ayak bileği ve ayak, 10 önkol, 9 vertebra, 4 el, 3 kalça, 2 kaburga, 1 tibia) Kırık öyküsü olan ve olmayan hastalar karşılaştırıldığında, ortalama Qualeffo-41 skoru kırığı olan hastalarda 43.85±2.57 ve kırığı olmayan grupta 36.27±2.01 idi. Sonuç: Önkol, ayak bileği ve ayak kırıkları kırık öyküsü olan osteoporoz hastalarında sık olarak görülebilir. Biz ilk kırık öncesinde osteoporozu tanımanın önemli olduğunu ve hastalığa özgü yaşam kalitesi değerlendirmesinin yapılması gerektiğini düşünmekteyiz.

Keywords

Fracture Qualeffo-41 post-menopausal women

References

  • 1. What is Osteoporosis? [Internet] [cited 2013 July 13]. Available from: http://www.osteofound.org/what-is-osteoporosis.
  • 2. Skugor M. Osteoporosis. [Internet] [cited 2013 August 27]. Avaiable from: http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/endocrinology/osteoporosis-disease/#top.
  • 3. Becker DJ, Kilgore ML, Morrisey MA. The societal burden of osteoporosis. Curr Rheumatol Rep 2010;12:186-91. [CrossRef]
  • 4. Keskin D, Borman P, Eser F, Bodur H, Köse K. Evaluation of physical activity, bone mineral density and quality of life of elderly. Turk J Geriatr 2008;11:113-8.
  • 5. World Health Organization, WHOQOL Measuring Quality of Life, 1997, Geneva. [Internet] [cited: 2013 July 13]. Available from: http:// www.who.int/mental_health/media/68.pdf.
  • 6. Sezer N, Tomruk-Sutbeyaz S, Kibar S, Köseoğlu F, Aras M. Determinants of quality of life in postmenopausal osteoporosis. J PMR Sci 2009;12:19-25.
  • 7. Akyüz G, Ofluoğlu D. Pain and quality of life in osteoporosis. In: Gökçe Kutsal Y. Osteoporoz. Modern Tıp Seminerleri: 19. Ankara: Güneş Kitabevi; 2001:204-11.
  • 8. Dilek B, Baydar M, Sahin E, Uz B. The presence of osteoporosis and subclinical vertebralfracture in patients over 45 years of age with a fracture of the distal and of the radius. Turk J Phys Med Rehab 2012;58:220-4. [CrossRef]
  • 9. Lips Æ P, van Schoor MN. Quality of life in patients with osteoporosis. Osteoporos Int 2005;16:447-55. [CrossRef]
  • 10. Kocyigit H, Gulseren S, Erol A, Hizli N, Memis A. The reliability and validity of Turkish version of quality of life questionnaire of the European Foundation for Osteoporosis (QUALEFFO). Clin Rheumatol 2003;22:18-23. [CrossRef]
  • 11. Lunt M, Masaryk P, Scheidt-Nave C, Nijs J, Poor G, Pols H, et al. The effects of lifestyle, dietary dairy intake and diabetes on bone density and vertebral deformity prevalence: The EVOS study. Osteoporos Int 2001;12:688-98. [CrossRef]
  • 12. von Muhlen D, Safii S, Jassal SK, Svartberg J, Barrett-Connor E.Associations between the metabolic syndrome and bone health in older men and women: The Rancho Bernardo Study. Osteoporos Int 2007:18:1337-44. [CrossRef]
  • 13. Sahin Z, Kumbasar F, Yigit S, Yaman V, Turhan B, Kartal I. The effect of dressing style on vitamin D level in winter. Turkish Journal of Osteoporosis 2011;17:6-9.
  • 14. Vitamin D and calcium: A systematic review of health outcomes, evidence report/technology assessment, Number 183, Agency for Healthcare Research and Quality (AHRQ) Publication No. 09-E015 Tufts Evidence-based Practice Center: August 2009.
  • 15. Cranney A, Horsley T, O’Donnell S, Weiler H, Puil L, Ooi D, et al. Effectiveness and safety of vitamin D in relation to bone health. Evid Rep Technol Assess (Full Rep) 2007;1-235.
  • 16. Adachi JD, Loannidis G, Berger C, Joseph L, Papaioannou A, Pickard L, et al. Canadian Multicentre Osteoporosis Study (CaMos) Research Group. The influence of osteoporotic fractures on health-related quality of life in community-dwelling men and women across Canada. Osteoporos Int 2001;12:903-8. [CrossRef]
  • 17. Peker O, El O, Gulbahar S, Akalın E, Oncel S, Gökçe-Kutsal Y. The effects of life style and exercise habits on bone mineral density in postmenopausal period of women. Ege Fiz Tıp Reh Der 2001;7:105-12.
  • 18. Adachi JD, Ioannidis G, Olszynski WP, Brown JP, Hanley DA, Sebaldt RJ. The impact of incident vertebral and non-vertebral fractures on health related quality of life in postmenopausal women. BMC Musculoskelet Disord 2002;3:11. [CrossRef]
  • 19. Oleksik A, Lips P, Dawson A, Minshall ME, Shen W, Cooper C, et al. Health-related quality of life in postmenopausal women with low BMD with or without prevalent vertebral fractures. J Bone Miner Res 2000;15:1384-92. [CrossRef]
  • 20. Jackson RD, LaCroix AZ, Gass M, Wallace RB, Robbins J, Lewis CE et al. calcium plus vitamin d supplementation and the risk of fractures. N Engl J Med 2006;354:669-83. [CrossRef]
  • 21. Cerrahoglu L, Duruoz MT, Tıkız C, Ölçenler S, Tulukoğlu N, Süsin A. The correlation between dietary calcium ıntake and bone mineral density in postmenopausal women. Turkish Journal of Osteoporosis 2002;8:173-7.
  • 22. Langsetmo L, Berger C, Kreiger N, Kovacs CS, Hanley DA, Jamal SA, et al. Calcium and vitamin D intake and mortality: Results from the canadian multicentre osteoporosis study (camos). J Clin Endocrinol Metab 2013;98:3010-8. [CrossRef]
  • 23. Prevention and management of osteoporosis: Report of a WHO scientific group. (WHO technical report series; 921) World Health Organization Geneva: 2003.
  • 24. Chen Z, Pettinger MB, Ritenbaugh C, LaCroix AZ, Robbins J, Caan BJ, et al. Habitual tea consumption and risk of osteoporosis: A prospective study in the women’s health ınitiative observational cohort. Am J Epidemiol 2003;158:772-81. [CrossRef]
  • 25. Watts NB, Bilezikian JP, Camacho PM, Greenspan SL, Haris ST, Hodgson SF, et al. American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practise for the diagnosis and treatment of postmenopausal osteoporosis. Endocr Pract 2010;16(Suppl 3):S1-37. [CrossRef]
  • 26. National Osteoporosis Foundation. Clinician’s Guide to Prevention and Treatment of Osteoporosis. Washington, DC: National Osteoporosis Foundation; 2010.
  • 27. Mauck KF, Clarke BL. Diagnosis, screening, prevention, and treatment of osteoporosis. Mayo Clin Proc 2006;81:662-72. [CrossRef]

Fracture History in Osteoporosis: Risk Factors and its Effect on Quality of Life

Year 2014, Volume: 31 Issue: 4, 295 - 301, 01.10.2014

Pınar Kuru Gülseren Akyüz Hülya Peynirci Cerşit Alp Eren Çelenlioğlu Ahmet Cumhur Şefikcan Biricik Seda Kozan Aylin Gökşen Mikail Özdemir Emel Lüleci

Abstract

Background: Fractures are one of the main outcomes in osteoporosis
and have an important effect on the general health status.
Aims: The purpose of this study was to determine the effect of major
fracture history on quality of life. We also investigated the important
risk factors and their effect on bone mineral density and fracture history.
Study Design: Cross-sectional study.
Methods: We recruited 105 patients who were admitted to an osteoporosis
outpatient clinic. Medical history, family history, calcium
intake, physical activity level and biochemical tests were evaluated.
Lumbar spine and femur neck bone mineral density were measured.
The Qualeffo- 41 questionnaire was also used for evaluating quality
of life.
Results: The average age of the 105 patients included in the study
was 56.04±13.73 and 89% of them were post-menopausal women.
The average body mass index was 26.84±5.99, which means that the
women were overweight. Also, 48.5% of the patients were diagnosed
with osteoporosis and 51.5% of them were diagnosed as low bone
density. A total of 34 patients had a fracture history with minor trauma
and some of the patients had more than one fracture (12 ankle and
foot, 10 forearm, 9 vertebral, 4 hand, 3 hip, 2 rib, 1 tibial). When the
patients with and without fracture history were compared, the mean
Qualeffo-41 score in patients with fracture was 43.85±2.57 and in the
non-fracture group was 36.27±2.01.
Conclusion: Forearm, ankle and foot fractures can be commonly
seen in osteoporosis patients with fracture history. We suggest that
it is important to recognise osteoporosis prior to first fracture and
disease-specific quality of life assessment should be done

Keywords

Fracture Qualeffo-41 post-menopausal women

References

  • 1. What is Osteoporosis? [Internet] [cited 2013 July 13]. Available from: http://www.osteofound.org/what-is-osteoporosis.
  • 2. Skugor M. Osteoporosis. [Internet] [cited 2013 August 27]. Avaiable from: http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/endocrinology/osteoporosis-disease/#top.
  • 3. Becker DJ, Kilgore ML, Morrisey MA. The societal burden of osteoporosis. Curr Rheumatol Rep 2010;12:186-91. [CrossRef]
  • 4. Keskin D, Borman P, Eser F, Bodur H, Köse K. Evaluation of physical activity, bone mineral density and quality of life of elderly. Turk J Geriatr 2008;11:113-8.
  • 5. World Health Organization, WHOQOL Measuring Quality of Life, 1997, Geneva. [Internet] [cited: 2013 July 13]. Available from: http:// www.who.int/mental_health/media/68.pdf.
  • 6. Sezer N, Tomruk-Sutbeyaz S, Kibar S, Köseoğlu F, Aras M. Determinants of quality of life in postmenopausal osteoporosis. J PMR Sci 2009;12:19-25.
  • 7. Akyüz G, Ofluoğlu D. Pain and quality of life in osteoporosis. In: Gökçe Kutsal Y. Osteoporoz. Modern Tıp Seminerleri: 19. Ankara: Güneş Kitabevi; 2001:204-11.
  • 8. Dilek B, Baydar M, Sahin E, Uz B. The presence of osteoporosis and subclinical vertebralfracture in patients over 45 years of age with a fracture of the distal and of the radius. Turk J Phys Med Rehab 2012;58:220-4. [CrossRef]
  • 9. Lips Æ P, van Schoor MN. Quality of life in patients with osteoporosis. Osteoporos Int 2005;16:447-55. [CrossRef]
  • 10. Kocyigit H, Gulseren S, Erol A, Hizli N, Memis A. The reliability and validity of Turkish version of quality of life questionnaire of the European Foundation for Osteoporosis (QUALEFFO). Clin Rheumatol 2003;22:18-23. [CrossRef]
  • 11. Lunt M, Masaryk P, Scheidt-Nave C, Nijs J, Poor G, Pols H, et al. The effects of lifestyle, dietary dairy intake and diabetes on bone density and vertebral deformity prevalence: The EVOS study. Osteoporos Int 2001;12:688-98. [CrossRef]
  • 12. von Muhlen D, Safii S, Jassal SK, Svartberg J, Barrett-Connor E.Associations between the metabolic syndrome and bone health in older men and women: The Rancho Bernardo Study. Osteoporos Int 2007:18:1337-44. [CrossRef]
  • 13. Sahin Z, Kumbasar F, Yigit S, Yaman V, Turhan B, Kartal I. The effect of dressing style on vitamin D level in winter. Turkish Journal of Osteoporosis 2011;17:6-9.
  • 14. Vitamin D and calcium: A systematic review of health outcomes, evidence report/technology assessment, Number 183, Agency for Healthcare Research and Quality (AHRQ) Publication No. 09-E015 Tufts Evidence-based Practice Center: August 2009.
  • 15. Cranney A, Horsley T, O’Donnell S, Weiler H, Puil L, Ooi D, et al. Effectiveness and safety of vitamin D in relation to bone health. Evid Rep Technol Assess (Full Rep) 2007;1-235.
  • 16. Adachi JD, Loannidis G, Berger C, Joseph L, Papaioannou A, Pickard L, et al. Canadian Multicentre Osteoporosis Study (CaMos) Research Group. The influence of osteoporotic fractures on health-related quality of life in community-dwelling men and women across Canada. Osteoporos Int 2001;12:903-8. [CrossRef]
  • 17. Peker O, El O, Gulbahar S, Akalın E, Oncel S, Gökçe-Kutsal Y. The effects of life style and exercise habits on bone mineral density in postmenopausal period of women. Ege Fiz Tıp Reh Der 2001;7:105-12.
  • 18. Adachi JD, Ioannidis G, Olszynski WP, Brown JP, Hanley DA, Sebaldt RJ. The impact of incident vertebral and non-vertebral fractures on health related quality of life in postmenopausal women. BMC Musculoskelet Disord 2002;3:11. [CrossRef]
  • 19. Oleksik A, Lips P, Dawson A, Minshall ME, Shen W, Cooper C, et al. Health-related quality of life in postmenopausal women with low BMD with or without prevalent vertebral fractures. J Bone Miner Res 2000;15:1384-92. [CrossRef]
  • 20. Jackson RD, LaCroix AZ, Gass M, Wallace RB, Robbins J, Lewis CE et al. calcium plus vitamin d supplementation and the risk of fractures. N Engl J Med 2006;354:669-83. [CrossRef]
  • 21. Cerrahoglu L, Duruoz MT, Tıkız C, Ölçenler S, Tulukoğlu N, Süsin A. The correlation between dietary calcium ıntake and bone mineral density in postmenopausal women. Turkish Journal of Osteoporosis 2002;8:173-7.
  • 22. Langsetmo L, Berger C, Kreiger N, Kovacs CS, Hanley DA, Jamal SA, et al. Calcium and vitamin D intake and mortality: Results from the canadian multicentre osteoporosis study (camos). J Clin Endocrinol Metab 2013;98:3010-8. [CrossRef]
  • 23. Prevention and management of osteoporosis: Report of a WHO scientific group. (WHO technical report series; 921) World Health Organization Geneva: 2003.
  • 24. Chen Z, Pettinger MB, Ritenbaugh C, LaCroix AZ, Robbins J, Caan BJ, et al. Habitual tea consumption and risk of osteoporosis: A prospective study in the women’s health ınitiative observational cohort. Am J Epidemiol 2003;158:772-81. [CrossRef]
  • 25. Watts NB, Bilezikian JP, Camacho PM, Greenspan SL, Haris ST, Hodgson SF, et al. American Association of Clinical Endocrinologists Medical Guidelines for Clinical Practise for the diagnosis and treatment of postmenopausal osteoporosis. Endocr Pract 2010;16(Suppl 3):S1-37. [CrossRef]
  • 26. National Osteoporosis Foundation. Clinician’s Guide to Prevention and Treatment of Osteoporosis. Washington, DC: National Osteoporosis Foundation; 2010.
  • 27. Mauck KF, Clarke BL. Diagnosis, screening, prevention, and treatment of osteoporosis. Mayo Clin Proc 2006;81:662-72. [CrossRef]
There are 27 citations in total.

Details

Other ID JA37JJ77CT
Journal Section Research Article
Authors

Pınar Kuru This is me

Gülseren Akyüz This is me

Hülya Peynirci Cerşit This is me

Alp Eren Çelenlioğlu This is me

Ahmet Cumhur This is me

Şefikcan Biricik This is me

Seda Kozan This is me

Aylin Gökşen This is me

Mikail Özdemir This is me

Emel Lüleci This is me

Publication Date October 1, 2014
Published in Issue Year 2014 Volume: 31 Issue: 4

Cite

APA Kuru, P., Akyüz, G., Cerşit, H. . P., Çelenlioğlu, A. E., et al. (2014). Fracture History in Osteoporosis: Risk Factors and its Effect on Quality of Life. Balkan Medical Journal, 31(4), 295-301.
AMA Kuru P, Akyüz G, Cerşit HP, Çelenlioğlu AE, Cumhur A, Biricik Ş, Kozan S, Gökşen A, Özdemir M, Lüleci E. Fracture History in Osteoporosis: Risk Factors and its Effect on Quality of Life. Balkan Medical Journal. October 2014;31(4):295-301.
Chicago Kuru, Pınar, Gülseren Akyüz, Hülya Peynirci Cerşit, Alp Eren Çelenlioğlu, Ahmet Cumhur, Şefikcan Biricik, Seda Kozan, Aylin Gökşen, Mikail Özdemir, and Emel Lüleci. “Fracture History in Osteoporosis: Risk Factors and Its Effect on Quality of Life”. Balkan Medical Journal 31, no. 4 (October 2014): 295-301.
EndNote Kuru P, Akyüz G, Cerşit HP, Çelenlioğlu AE, Cumhur A, Biricik Ş, Kozan S, Gökşen A, Özdemir M, Lüleci E (October 1, 2014) Fracture History in Osteoporosis: Risk Factors and its Effect on Quality of Life. Balkan Medical Journal 31 4 295–301.
IEEE P. Kuru, “Fracture History in Osteoporosis: Risk Factors and its Effect on Quality of Life”, Balkan Medical Journal, vol. 31, no. 4, pp. 295–301, 2014.
ISNAD Kuru, Pınar et al. “Fracture History in Osteoporosis: Risk Factors and Its Effect on Quality of Life”. Balkan Medical Journal 31/4 (October 2014), 295-301.
JAMA Kuru P, Akyüz G, Cerşit HP, Çelenlioğlu AE, Cumhur A, Biricik Ş, Kozan S, Gökşen A, Özdemir M, Lüleci E. Fracture History in Osteoporosis: Risk Factors and its Effect on Quality of Life. Balkan Medical Journal. 2014;31:295–301.
MLA Kuru, Pınar et al. “Fracture History in Osteoporosis: Risk Factors and Its Effect on Quality of Life”. Balkan Medical Journal, vol. 31, no. 4, 2014, pp. 295-01.
Vancouver Kuru P, Akyüz G, Cerşit HP, Çelenlioğlu AE, Cumhur A, Biricik Ş, Kozan S, Gökşen A, Özdemir M, Lüleci E. Fracture History in Osteoporosis: Risk Factors and its Effect on Quality of Life. Balkan Medical Journal. 2014;31(4):295-301.