Evaluation of postmenopausal osteoporosis according to age groups and body mass index categories

Öz

Objective: In clinical practice, it is recommended to create different groups when assessing the elderly population (≥65 years). However, differences in groups have not been sufficiently investigated in terms of osteoporosis. We aimed to evaluate age and BMI (kg/m2) groups in postmenopausal women for osteoporosis. Methods: Postmenopausal women were classified into pre-elderly (50-65 years) and elderly groups: young old and middle old. Additionally, they were categorized as normal weight, overweight, and obesity. These age groups and BMI categories were evaluated in terms of osteoporosis. Results: Pre-elderly group had significantly lower spine osteoporosis rates than young old and middle old groups (p<0.05). However, the two elderly groups exhibited similar spine osteoporosis rates (p>0.05). Pre-elderly group had significantly lower hip osteoporosis rates than elderly groups (p=0.001), and the young old group had lower hip osteoporosis rates than middle old group (p=0.001). Normal weight group had higher spine osteoporosis rates than overweight group (p=0.005) and obesity group (p=0.001). Also, overweight group had significantly higher spine osteoporosis rates than obesity group (p=0.001). Normal weight group had higher hip osteoporosis rates than overweight group and obesity group (p=0.001). Also, overweight group had higher hip osteoporosis rates than obesity group (p=0.001). Age scores were correlated inversely with T-scores in the spine and hip (p=0.001). There were significant positive correlations between BMI and T-scores in the spine and hip (p=0.001). Conclusion: Elderly and thin women are more associated with osteoporosis than pre-elderly and obese women. As age increases and BMI decreases, osteoporosis rates increase.

Anahtar Kelimeler

• Postmenopausal osteoporosis
• aging
• body mass index
• densitometry

Yaş gruplarına ve vücut kitle indeksi kategorilerine göre postmenopozal osteoporozun değerlendirilmesi

Öz

Amaç: Klinik uygulamada, yaşlı popülasyonu (≥65 yaş) değerlendirirken farklı gruplar oluşturulması önerilmektedir. Ancak, gruplar arasındaki farklılıklar osteoporoz açısından yeterince araştırılmamıştır. Burada, menopoz sonrası kadınlarda yaş ve BMI (kg/m2) gruplarını osteoporoz açısından değerlendirmeyi amaçladık. Yöntemler: Menopoz sonrası kadınlar yaşlılık öncesi (50-65 yaş) ve yaşlı gruplara ayrılmıştır: genç yaşlı ve orta yaşlı. Ek olarak, normal kilo, fazla kilo ve obez olarak sınıflandırıldı. Bu yaş grupları ve VKİ kategorileri osteoporoz açısından değerlendirildi. Bulgular: Yaşlılık öncesi grup, genç yaşlı ve orta yaşlı gruplara göre omurga osteoporozu oranları açısından anlamlı derecede daha düşük oranlara sahipti (p<0.05). Ancak, iki yaşlı grup benzer omurga osteoporozu oranları sergiledi (p>0.05). Yaşlılık öncesi grup, yaşlı gruplara göre anlamlı derecede daha düşük kalça osteoporoz oranlarına sahipti (p<0.001) ve genç yaşlı grup, orta yaşlı gruba göre daha düşük kalça osteoporoz oranlarına sahipti (p<0.001). Normal kilolu grup, fazla kilolu gruba (p=0.005) ve obez gruba (p<0.001) göre daha yüksek omurga osteoporoz oranlarına sahipti. Ayrıca, fazla kilolu grup, obez gruba göre omurgada önemli ölçüde daha yüksek osteoporoz oranlarına sahipti (p<0.001). Normal kilolu grup, fazla kilolu gruba ve obez gruba göre daha yüksek kalça osteoporozu oranlarına sahipti (p<0.001). Ayrıca, fazla kilolu grup, obez gruba göre daha yüksek kalça osteoporozu oranlarına sahipti (p<0.001). Yaş skorları, omurga ve kalçadaki T-skorları ile ters orantılıydı (p<0.001). VKİ ile omurga ve kalçadaki T-skorları arasında anlamlı pozitif korelasyon bulundu (p<0.001). Sonuç: Yaşlı ve zayıf kadınlar, yaşlılık öncesi ve obez kadınlara göre osteoporozla daha fazla ilişkilidir. Yaş arttıkça ve BMI düştükçe osteoporoz oranlarının artmaktadır.

Anahtar Kelimeler

• Postmenopozal osteoporoz
• yaşlanma
• vücut kitle indeksi
• dansitometri.

Kaynakça

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