How does osteoporosis affect physical activity level, balance, kinesiophobia, sarcopenia risk and quality of life in the elderly?- A pilot study

Yıl 2024, Cilt: 41 Sayı: 2, 334 - 339, 19.05.2024

Zeynep Kıraç Ünal Damla Cankurtaran

Öz

Osteoporosis leads to a number of problems, such as falls and fractures. Therefore, it is very important to identify the problems and prevent these risks. With the aging of the world population, senile osteoporosis has gained importance. The aim of this study was to investigate sarcopenia risk, physical activity level, fall risk, kinesiophobia and quality of life in older people with and without osteoporosis. Demographic characteristics of individuals over 65 years of age with and without osteoporosis were noted. The Physical Activity Scale for the Elderly (PASE) questionnaire for the physical activity status of the participants, the Tampa Kinesiophobia Scale (TKS) for fear of movement, the Berg Balance Scale (BBS) for the postural control assessment, the Functional Reach Test (FRT) for the functional balance assessment, the Timed Up and Go Test (TUGT) for functional mobility assessment, the Strength, Assistance, Rise, Climb, Falls (SARC-F) questionnaire for sarcopenia risk, and the QUALEFFO-41 scale for quality of life assessment were used. A total of 71 participants were included in our study. While BBS and FRT results were significantly lower in the osteoporotic group (p=0.02, p=0.01, respectively), SARC-F scores were significantly higher than in the non-osteoporotic group (p=0.03). There was no significant difference in PASE, TKS, TUGT, and QUALLEFO-41 scores between the two groups (p>0.05). In the elderly population, the presence of osteoporosis was associated with the risk of balance impairment and sarcopenia but not with kinesiophobia.

Anahtar Kelimeler

Kinesiophobia, Osteoporosis, Physical Activity Level, Quality of Life, Risk of Sarcopenia

Etik Beyan

The study was performed in accordance with the Declaration of Helsinki, and approved by the Ankara City Hospital Ethics Committee (Approval Date: 25.11.2020, Approval Number: E1-20-1319) and conducted in Ankara Hulusi Alataş Elmadağ State Hospital. The research was conducted ethically in accordance with the World Medical Association Declaration of Helsinki. Informed consent was obtained from all patients before the study.

Kaynakça

• Cosman F, de Beur SJ, LeBoff MS, Lewiecki EM, Tanner B, Randall S, et al. National Osteoporosis Foundation. Clinician’s Guide to Prevention and Treatment of Osteoporosis. Osteoporos Int. 2014; 25: 2359-2381.
• Günendi Z, Eker D, Tecer D, Karaoglan B, Ozyemisci-Taskıran O. Is the word "osteoporosis" a reason for kinesiophobia? Eur J Phys Rehabil Med. 2018; 54(5): 671-675.
• Cruz-Jentoft AJ, Landi F, Schneider SM, Zúñiga C, Arai H, Boirie Y, et al. Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing. 2014; 43(6): 748-759.
• Oksuz S, Unal E. The effect of the clinical pilates exercises on kinesiophobia and other symptoms related to osteoporosis: Randomised controlled trial. Complement Ther Clin Prac. 2017; 26: 68-72.
• Berk E, Koca TT, Sağıroğlu Güzelsoy S, Nacitarhan V, Demirel A. Evaluation of the relationship between osteoporosis, balance, fall risk, and audiological parameters. Clin Rheumatol. 2019; 38(11): 3261-3268.
• Sinaki M, Brey RH, Hughes CA, Larson DR, Kaufman KR. Balance disorder and increased risk of falls in osteoporosis and kyphosis: significance of kyphotic posture and muscle strength. Osteoporos Int. 2005; 16: 1004-1010.
• Giray E, Akyüz G. Postmenopozal Osteoporozlu Hastalarda Spinopelvik Radyolojik Parametrelerle Denge, Yürüme ve Düşme Etkinliğinin İlişkisinin İncelenmesi. Turk J Osteoporos. 2018; 24: 84-91.
• Qadir A, Liang S, Wu Z, Chen Z, Hu L, Qian A. Senile Osteoporosis: The Involvement of Differentiation and Senescence of Bone Marrow Stromal Cells. Int J Mol Sci. 2020; 21(1): 349.
• Kanis JA. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. WHO Study Group. Osteoporos Int. 1994; 368-381.
• Ayvat E, Kilinç M, Kirdi N. The Turkish version of the Physical Activity Scale for the Elderly (PASE): its cultural adaptation, validation, and reliability. Turk J Med Sci. 2017; 47(3): 908-915.
• Yılmaz ÖT, Yakut Y, Uygur F, Uluğ N. Turkish version of the Tampa Scale for Kinesiophobia and its test-retest reliability. Fizyoterapi Rehabilitasyon. 2011;22:44-49.
• Sahin F, Yilmaz F, Ozmaden A, Kotevolu N, Sahin, T, Kuran B. Reliability and validity of the Turkish version of the Berg Balance Scale. J Geriatr Phys Ther. 2008; 31(1),:32-37.
• Lin YH, Chen TR, Tang YW. A reliability study for standing functional reach test using modified and traditional rulers. Percept Mot Skills. 2012; 115(2): 512-520.
• Lin MR, Hwang HF, Hu MH, Wu HDI, Wang YW, Huang FC. Psychometric comparisons of the timed up and go, one-leg stand, functional reach, and Tinetti balance measures in community-dwelling older people. J Am Geriatr Soc. 2004; 52:1343-1348.
• Tütüneken YE, Buran Çirak Y, Kardeş K, Işikci B, Binbuğa R, Çetrefli E, et al. The Reliability and Validity of the Timed Up & Go Test and the 30-S Sit-To-Stand Test Performed via Tele-Assessment in Ambulatory Patients with Stroke. Measurement in Physical Education and Exercise Science. 2024; 1–8.
• Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2 (2019). Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019; 48(4): 601.
• Bahat G, Yilmaz O, Kılıç C, Oren MM, Karan MA. Performance of SARC-F in regard to sarcopenia definitions, muscle mass and functional measures. J Nutr Health Aging. 2018; 22: 898-903.
• Fielding RA, Vellas B, Evans WJ, Bhasin S, Morley JE, Newman AB, et al. Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia. J Am Med Dir Assoc. 2011; 12(4): 249-256.
• Koçyiğit H, Gülseren S, Erol A, Hizli N, Memis 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.
• Turgay T, Günel Karadeniz P. The Effect of Kinesiophobia on Quality of Life in Women with Postmenopausal Osteoporosis. KSU Med J. 2020; 15(3): 40-46.
• Kirk B, Zanker J, Duque G. Osteosarcopenia: epidemiology, diagnosis, and treatment- facts and numbers. J Cachexia Sarcopenia Muscle. 2020; 11: 609-618.
• Daly RM. Exercise and nutritional approaches to prevent frail bones, falls and fractures: an update. Climacteric. 2017; 20: 119-124.
• Kutsal YG, Özdemir O, Sarıdoğan M, Gunendı Z, Kucukdeveci A, Kirazli Y, et al. Osteosarkopeni: Klinik Perspektif. Turk J Osteoporos. 2020; 26: 47-57.
• Silsupadol P, Siu KC, Shumway-Cook A, Wooollacoot MH. Training of balance under single- and dual-task conditions in older adults with balance impairment. Phys Ther. 2006; 86: 269-281.
• Dogruoz Karatekin B, Yasin S, Yumusakhuylu Y, Bayram F, Icagasıoglu A. Validity of the Korebalance® Balance System in Patients with Postmenopausal Osteoporosis. Medeniyet Med J. 2020; 35(2): 79-84.
• Gadelha AB, Neri S, Oliveira RJ, Bottaro M, David AC, Vainshelboim B, et al. Severity of sarcopenia is associated with postural balance and risk of falls in community-dwelling older women. Exp Aging Res. 2018; 44(3): 258-269.
• Go SW, Cha YH, Lee JA, Park HY. Association between Sarcopenia, Bone Density, and Health-Related Quality of Life in Korean Men. Korean J Fam Med. 2013; 34(4): 281-288.
• Başaran S, Güzel R, Coşkun Benlidayı İ, Uysal GF. Postmenopozal ve senil osteoporozlu kadınlarda yaşam kalitesinin ve belirleyicilerinin değerlendirilmesi. Turk J Phys Med Rehabil. 2006; 52(1): 31-36.
• Sezer N, Tomruk Sütbeyaz S, Kibar S, Koseoglu F, Aras M. Determinants of Quality of Life in Postmenapousal Osteoporosis. JPMR Sci. 2009; 12: 19-25.
• Bize R, Johnson JA, Plotnikoff RC. Physical activity level and healthrelated quality of life in the general adult population: a systematic review. Prev Med. 2007; 45: 401-415