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Postmenopozal Kadınlarda Kemik Mineral Yoğunluğunun Yaşam Kalitesi Üzerine Etkisi

Yıl 2021, Cilt: 7 Sayı: 1, 70 - 77, 05.01.2021
https://doi.org/10.30934/kusbed.844831

Öz

Amaç: Postmenopozal dönem kadınlarda yaşam kalitesinin yordayıcısı olarak kemik mineral yoğunluğu (KMY) ve ilişkili diğer faktörlerin araştırılması amaçlanmıştır.
Yöntem: Osteoporoz polikliniğinde takipli postmenopozal dönemde, kırığı olmayan 164 kadın çalışmaya dahil edildi. Katılımcıların demografik verileri, DEXA yöntemi ile belirlenen lomber vertebra (L1-4 total), femur boyun ve femur toplam KMY değerleri ve t skorları kaydedildi. Ayrıca katılımcıların yaşam kalitesi, kısa form-36 (KF-36) ve QUALEFFO-41 ölçekleri ile değerlendirildi. Dünya Sağlık Örgütü kriterlerine göre, aynı cins erişkinlerin ortalamasına göre L1-4 vertebra, femur boyun veya femur toplam bölgelerinden en az birinde t skoru≥-1,0 SS olanlar (normal KMY) ve t skoru<-1,0 SS olanlar (düşük KMY) olarak 2 grupta incelendi.
Bulgular: Normal KMY (DEXA t skor≥-1) değerine sahip olan 48 olgu ve düşük KMY (DEXA t skor<-1) değerine sahip olan 116 olgu tespit edildi. KF-36 ölçeğinin parametreleri arasında fiziksel rol kısıtlılığı (p=0,012) ve ruhsal rol kısıtlılığı (p=0,012) parametreleri açısından istatistiksel anlamlı fark tespit edildi. QUALEFFO-41 ölçeğine ait parametrelerin tamamının KMY normal olan grupta daha düşük olduğu ancak iki grup arasındaki farkın sadece ağrı, zihinsel işlev ve toplam puan parametrelerinde istatistiksel anlamlılığa ulaştığı tespit edildi (sırasıyla p=0,021, p=0,023, p=0,024).
Sonuç: Bu çalışmada, postmenopozal dönem kadınlarda da yaşam kalitesinin azalmış olduğu gösterilmiştir. Bu durumun tek öngörücüsünün KMY olmadığı, menopoz süresinin de yaşam kalitesini olumsuz etki edebildiği saptanmıştır.

Kaynakça

  • Christiansen C, Lindsay R, Melton LJ, Genant H, Kanis J, Glüer CC, et al. Consensus Development Statement. Who are candidates for prevention and treatment of osteoporosis? Osteoporos Int. 1997;7:1-6.
  • International Osteoporosis Foundation. https://www.iofbonehealth.org/facts-statistics#category-14 Ocak 2018’de basıldı. 9 Aralık 2020’de ulaşıldı.
  • Park H. The impact of osteoporosis on health-related quality of life in elderly women. Biomed Res. 2018;29(16):3223-3227.
  • Paolucci T, Saraceni VM, Piccinini G. Management of chronic pain in osteoporosis: challenges and solutions. J Pain Res. 2016;1(9):177-186.
  • Ström O, Borgström F, Kanis JA, Compston C, McCloskey EV, Jönsson B. Osteoporosis: burden, health care provision and opportunities in the EU: a report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos. 2011;6:59–155.
  • Testa MA, Simonson DC. Assessment of Qality-of-life Outcomes. N Engl J Med. 1996;334(13):835-840.
  • Lips P, Cooper C, Agnusdei D, Caulin F, Egger P, Johnell O, Kanis JA et al. Quality of life as outcome in the treatment of osteoporosis: the development of a questionnaire for quality of life by the European Foundation for Osteoporosis. Osteoporos Int.1997;7:36–38.
  • Lips P, Natasja M, Schoor V. Quality of life in patients with osteoporosis. Osteoporos Int. 2005;16(5):447–455.
  • Wilson S, Sharp AC, Dawie MWJ. Health related quality of life in paitents with osteoporosis in the absence of vertebral fracture: a systematic review. Osteoporos Int. 2012;23:2749-2768.
  • Bianchi M, Orsini M, Saraifoger S, Ortolani S, Radaelli G, Betti S et al. Quality of life in postmenapusal osteoporosis. Health Qual Life Outcomes. 2005;3(1):78
  • Lombardi I, oliviera LM, Mayer FA, Jardim JR, Natour J. Evaluation of pulmonary function and quality of life in women with osteoporosis. Osteoporos Int. 2005;16:1247-1253.
  • de Oliveira Ferreira N, Arthuso M, da Silva R, Pedro AO, Neto AM, Costa-Paiva L. Quality of life in women with postmenopausal osteoporosis: Correlation between QUALEFFO-41 and SF-36. Maturitas. 2009;62:85-90.
  • Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-483.
  • Ware JE Jr, Kosinski M, Bayliss MS, McHorney CA, Rogers WH, Raczek A. Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: summary of results from the Medical Outcomes Study. Med Care. 1995;33(4 Suppl):264-279.
  • Kıllıan TS, Turner J, Cain R. Depressive symptoms of caregiving women in midlife: role physical health. J Women Aging. 2005;17(1-2):115-127.
  • Başaran S, Güzel R, Sarpel T. Yaşam kalitesi ve sağlık sonuçlarını değerlendirme ölçütleri. Romatizma. 2005;29(1):55-63.
  • Scharla S, Oertel H, Helsberg K, Kessler F, Langer F, Nickelsen T. Skeletal pain in postmenopausal women with osteoporosis: prevalance and course during raloxifene treatment in a prospective observational study of 6 months duration. Curr Med Res Opin. 2006;22(12):2393-2402.
  • Gold DT. The clinical impact of vertebral fractures: quality of life in women with osteoporosis. Bone.1996;18:185-189.
  • Küçükdeveci AA. Rehabilitasyonda yaşam kalitesi. Türk Fiz Tıp Rehab Derg. 2005;51:223-229.
  • Romagnoli E, Carnevale IN, D’Erasmo E, Paglia F, De Geronimo S, Pepe J, et al. Quality of life in ambulatory postmenopausal women: the impact of reduced bone mineral density and subclinical vertebral fractures. Osteoporos Int. 2004;15:975-980.
  • Mezuk B. Affective disorders, Bone metabolism and Osteoporosis. Clin Rev Bone Miner Metab. 2008;6(3-4):101-113.
  • Adıgüzel D, Gündüz HO, Bodur H, Yücel M. Quality of life in osteoporosis. Romatizma. 2000;15:173-179.
  • Koçyiğit H, Gülseren S, Erol A, Memiş A. The reliability and validity of the Turkish version of quality of life questionnaire of the European Foundation for Osteoporosis (QUALEFFO). Clin Rheumatol. 2003;22:18-23.
  • Lips P, Cooper C, Agnusdei D, Caulin F, Egger P, Johnell O, et al. Quality of life in patients with vertebral fractures: validation of the quality of life questionnaire of the European Foundation for Osteoporosis (QUALEFFO). Osteoporos Int 1999;10(2):150–160.
  • Nagammai T, Mohazmi M, Liew SM, Chinna K, Siew P, Lai M. Validation of the Quality of life Questionnaire of the European Foundation for osteoporosis (QUALEFFO-41) in Malaysia. Qual Life Res. 2015;24:2031-2037.
  • Altındağ Ö, Soran N. Osteoporosis significantly reduces quality of life. Gaziantep Med J. 2014;20(3):217-220.
  • Başaran S, Güzel R, Coşkun Benlidayı İ, Güler Uysal F. Postmenopozal ve senil osteoporozlu kadınlarda yaşam kalitesinin ve belirleyicilerinin değerlendirilmesi. Türk Fizik Tıp Rehab Der. 2006;52:31-36.
  • Aranha LLM, Miron Canelo JA, Alonso Sardon M, Del Pino Montes J, Sáenz González MC. Health-related quality of life in Spanish women with osteoporosis. Rev Saude Publica. 2006;40(2):298-303.
  • Won Go S, Cha YH, Lee JA, Park HS. Association between Sarcopenia, Bone Density, and Health-Related Quality of Life in Korean Men. Korean J Fam Med. 2013;34(4):281-288.
  • Haczynski J, Jakimiuk A. Vertebral fractures: a hidden problem of osteoporosis. Med Sci Monit. 2001;1108-1117.

The Effect of Bone Mineral Density on Quality of Life in Postmenopausal Women

Yıl 2021, Cilt: 7 Sayı: 1, 70 - 77, 05.01.2021
https://doi.org/10.30934/kusbed.844831

Öz

Aim: In this study, it was aimed to investigate the effect of bone mineral density (BMD) and other related factors as predictors of quality of life in postmenopausal women.
Methods: A total of 164 postmenopausal women, without history of fracture due to osteoporosis were included in the study. BMD measurements were obtained with results of measurements from lumbar spine (L1-4), femoral neck and total proximal femur by DEXA technique. Quality of life was evaluated with SF-36 and QUALEFFO-41 scales. According to World Health Organization criteria, those with a t-score≥-1.00 SS (normal BMD) and those with a t score<-1.00 SS in at least one of the L1-4 vertebrae, femoral neck or femur total regions to the average of adults of the same sex (low BMD) were examined in 2 groups.
Results: Forty-eight cases with normal BMD (DEXA t score≥-1) and 116 cases with low BMD (DEXA t score<-1) were detected. Between two groups, statistically significant difference was found in physical and emotional role limitation parameters of SF-36 scale (p=0.012, for both parameters). It was determined that all parameters of the QUALEFFO-41 scale were lower in the normal BMD group, but difference between the two groups reached statistical significance only in the parameters of pain, mental function and total score (p=0.021, p=0.023, p=0.024, respectively).
Conclusion: It was shown that the quality of life of postmenopausal women was also reduced. It has been determined that BMD is not only predictors of this situation, and the duration of menopause can negatively affect the quality of life.

Kaynakça

  • Christiansen C, Lindsay R, Melton LJ, Genant H, Kanis J, Glüer CC, et al. Consensus Development Statement. Who are candidates for prevention and treatment of osteoporosis? Osteoporos Int. 1997;7:1-6.
  • International Osteoporosis Foundation. https://www.iofbonehealth.org/facts-statistics#category-14 Ocak 2018’de basıldı. 9 Aralık 2020’de ulaşıldı.
  • Park H. The impact of osteoporosis on health-related quality of life in elderly women. Biomed Res. 2018;29(16):3223-3227.
  • Paolucci T, Saraceni VM, Piccinini G. Management of chronic pain in osteoporosis: challenges and solutions. J Pain Res. 2016;1(9):177-186.
  • Ström O, Borgström F, Kanis JA, Compston C, McCloskey EV, Jönsson B. Osteoporosis: burden, health care provision and opportunities in the EU: a report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos. 2011;6:59–155.
  • Testa MA, Simonson DC. Assessment of Qality-of-life Outcomes. N Engl J Med. 1996;334(13):835-840.
  • Lips P, Cooper C, Agnusdei D, Caulin F, Egger P, Johnell O, Kanis JA et al. Quality of life as outcome in the treatment of osteoporosis: the development of a questionnaire for quality of life by the European Foundation for Osteoporosis. Osteoporos Int.1997;7:36–38.
  • Lips P, Natasja M, Schoor V. Quality of life in patients with osteoporosis. Osteoporos Int. 2005;16(5):447–455.
  • Wilson S, Sharp AC, Dawie MWJ. Health related quality of life in paitents with osteoporosis in the absence of vertebral fracture: a systematic review. Osteoporos Int. 2012;23:2749-2768.
  • Bianchi M, Orsini M, Saraifoger S, Ortolani S, Radaelli G, Betti S et al. Quality of life in postmenapusal osteoporosis. Health Qual Life Outcomes. 2005;3(1):78
  • Lombardi I, oliviera LM, Mayer FA, Jardim JR, Natour J. Evaluation of pulmonary function and quality of life in women with osteoporosis. Osteoporos Int. 2005;16:1247-1253.
  • de Oliveira Ferreira N, Arthuso M, da Silva R, Pedro AO, Neto AM, Costa-Paiva L. Quality of life in women with postmenopausal osteoporosis: Correlation between QUALEFFO-41 and SF-36. Maturitas. 2009;62:85-90.
  • Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-483.
  • Ware JE Jr, Kosinski M, Bayliss MS, McHorney CA, Rogers WH, Raczek A. Comparison of methods for the scoring and statistical analysis of SF-36 health profile and summary measures: summary of results from the Medical Outcomes Study. Med Care. 1995;33(4 Suppl):264-279.
  • Kıllıan TS, Turner J, Cain R. Depressive symptoms of caregiving women in midlife: role physical health. J Women Aging. 2005;17(1-2):115-127.
  • Başaran S, Güzel R, Sarpel T. Yaşam kalitesi ve sağlık sonuçlarını değerlendirme ölçütleri. Romatizma. 2005;29(1):55-63.
  • Scharla S, Oertel H, Helsberg K, Kessler F, Langer F, Nickelsen T. Skeletal pain in postmenopausal women with osteoporosis: prevalance and course during raloxifene treatment in a prospective observational study of 6 months duration. Curr Med Res Opin. 2006;22(12):2393-2402.
  • Gold DT. The clinical impact of vertebral fractures: quality of life in women with osteoporosis. Bone.1996;18:185-189.
  • Küçükdeveci AA. Rehabilitasyonda yaşam kalitesi. Türk Fiz Tıp Rehab Derg. 2005;51:223-229.
  • Romagnoli E, Carnevale IN, D’Erasmo E, Paglia F, De Geronimo S, Pepe J, et al. Quality of life in ambulatory postmenopausal women: the impact of reduced bone mineral density and subclinical vertebral fractures. Osteoporos Int. 2004;15:975-980.
  • Mezuk B. Affective disorders, Bone metabolism and Osteoporosis. Clin Rev Bone Miner Metab. 2008;6(3-4):101-113.
  • Adıgüzel D, Gündüz HO, Bodur H, Yücel M. Quality of life in osteoporosis. Romatizma. 2000;15:173-179.
  • Koçyiğit H, Gülseren S, Erol A, Memiş A. The reliability and validity of the Turkish version of quality of life questionnaire of the European Foundation for Osteoporosis (QUALEFFO). Clin Rheumatol. 2003;22:18-23.
  • Lips P, Cooper C, Agnusdei D, Caulin F, Egger P, Johnell O, et al. Quality of life in patients with vertebral fractures: validation of the quality of life questionnaire of the European Foundation for Osteoporosis (QUALEFFO). Osteoporos Int 1999;10(2):150–160.
  • Nagammai T, Mohazmi M, Liew SM, Chinna K, Siew P, Lai M. Validation of the Quality of life Questionnaire of the European Foundation for osteoporosis (QUALEFFO-41) in Malaysia. Qual Life Res. 2015;24:2031-2037.
  • Altındağ Ö, Soran N. Osteoporosis significantly reduces quality of life. Gaziantep Med J. 2014;20(3):217-220.
  • Başaran S, Güzel R, Coşkun Benlidayı İ, Güler Uysal F. Postmenopozal ve senil osteoporozlu kadınlarda yaşam kalitesinin ve belirleyicilerinin değerlendirilmesi. Türk Fizik Tıp Rehab Der. 2006;52:31-36.
  • Aranha LLM, Miron Canelo JA, Alonso Sardon M, Del Pino Montes J, Sáenz González MC. Health-related quality of life in Spanish women with osteoporosis. Rev Saude Publica. 2006;40(2):298-303.
  • Won Go S, Cha YH, Lee JA, Park HS. Association between Sarcopenia, Bone Density, and Health-Related Quality of Life in Korean Men. Korean J Fam Med. 2013;34(4):281-288.
  • Haczynski J, Jakimiuk A. Vertebral fractures: a hidden problem of osteoporosis. Med Sci Monit. 2001;1108-1117.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Özgün Araştırma / Tıp Bilimleri
Yazarlar

Ilgın Sade 0000-0002-9004-8248

Eren Çifçi 0000-0003-1178-3170

Murat İnanır 0000-0002-9162-7129

Barın Selçuk 0000-0002-6732-3125

Yayımlanma Tarihi 5 Ocak 2021
Gönderilme Tarihi 22 Aralık 2020
Kabul Tarihi 28 Aralık 2020
Yayımlandığı Sayı Yıl 2021 Cilt: 7 Sayı: 1

Kaynak Göster

APA Sade, I., Çifçi, E., İnanır, M., Selçuk, B. (2021). Postmenopozal Kadınlarda Kemik Mineral Yoğunluğunun Yaşam Kalitesi Üzerine Etkisi. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 7(1), 70-77. https://doi.org/10.30934/kusbed.844831
AMA Sade I, Çifçi E, İnanır M, Selçuk B. Postmenopozal Kadınlarda Kemik Mineral Yoğunluğunun Yaşam Kalitesi Üzerine Etkisi. KOU Sag Bil Derg. Ocak 2021;7(1):70-77. doi:10.30934/kusbed.844831
Chicago Sade, Ilgın, Eren Çifçi, Murat İnanır, ve Barın Selçuk. “Postmenopozal Kadınlarda Kemik Mineral Yoğunluğunun Yaşam Kalitesi Üzerine Etkisi”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 7, sy. 1 (Ocak 2021): 70-77. https://doi.org/10.30934/kusbed.844831.
EndNote Sade I, Çifçi E, İnanır M, Selçuk B (01 Ocak 2021) Postmenopozal Kadınlarda Kemik Mineral Yoğunluğunun Yaşam Kalitesi Üzerine Etkisi. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 7 1 70–77.
IEEE I. Sade, E. Çifçi, M. İnanır, ve B. Selçuk, “Postmenopozal Kadınlarda Kemik Mineral Yoğunluğunun Yaşam Kalitesi Üzerine Etkisi”, KOU Sag Bil Derg, c. 7, sy. 1, ss. 70–77, 2021, doi: 10.30934/kusbed.844831.
ISNAD Sade, Ilgın vd. “Postmenopozal Kadınlarda Kemik Mineral Yoğunluğunun Yaşam Kalitesi Üzerine Etkisi”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 7/1 (Ocak 2021), 70-77. https://doi.org/10.30934/kusbed.844831.
JAMA Sade I, Çifçi E, İnanır M, Selçuk B. Postmenopozal Kadınlarda Kemik Mineral Yoğunluğunun Yaşam Kalitesi Üzerine Etkisi. KOU Sag Bil Derg. 2021;7:70–77.
MLA Sade, Ilgın vd. “Postmenopozal Kadınlarda Kemik Mineral Yoğunluğunun Yaşam Kalitesi Üzerine Etkisi”. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, c. 7, sy. 1, 2021, ss. 70-77, doi:10.30934/kusbed.844831.
Vancouver Sade I, Çifçi E, İnanır M, Selçuk B. Postmenopozal Kadınlarda Kemik Mineral Yoğunluğunun Yaşam Kalitesi Üzerine Etkisi. KOU Sag Bil Derg. 2021;7(1):70-7.