Gül PINAR, Tevfik PINAR, Nevin DOĞAN, Azize KARAHAN, Lale ALGIER, Aysel ABBASOĞLU, Esra KUŞÇU

Kırk beş yaş ve üstü kadınlarda osteoporoz risk faktörleri

Amaç: Tüm dünyada nüfusun yaşlanması ile birlikte osteoporozun sosyal ve ekonomik yükü artmaktadır. Osteoporoza ve osteoporotik kırıklara karşı önlem alabilme- nin ilk koşulu osteoporoz risk faktörleri hakkında sağlık personeli ve bireylerin farkındalık bilincinin oluşmasıdır. Çalışmamızda Başkent Üniversitesi Menopoz Polikliniği’nde 45 yaş ve üstü kadınlarda osteoporoz risk faktörlerinin saptanması amaçlanmıştır. Gereç ve Yöntem: Çalışmaya 45 yaş ve üstü 272 postmenapozal kadın alındı ve içlerinden lumbar ve femur boynu kemik yoğunluğu -2.5 SD altında olan 146 osteoporotik hastada risk faktörleri araştırıldı. Bulgular: Kadınların yaş ortalaması 53.9±8.3 yıl idi (4582) %87.9’u evli ve %55,1’i lise ve üzeri eğitime sahipti. Kadınların %68.8’i menopoza girmiştir. Osteoporoz tanısı alanların oranı %53,7’dir. Ailesinde osteoporoz öyküsü (%60,8), ailesinde minör travmaya bağlı kırık öyküsü (%69,8), kendinde düşme ve çarpmaya bağlı kırık öyküsü olanlarda (%71,0), osteoporoz dışında kronik hastalığı olan (%59,9), düzenli ilaç kullanan (%61,0), uzun süre yatağa bağımlı olan (%67,3), 3 cm ve üzerinde boyda kısalma (%77,3) sırt-bel ağrısı (%61,1) ve sırtta kamburlaşması olanlarda (%70,9) osteoporoz daha sık idi (p5 olanlarda osteoporoz görülme sıklığı da artmış bulundu (p

Osteoporosis risk factors in the women over 45-years old

Aim: The social and economic burden of osteoporosis is increasing worldwide, as the population ages. The clinical evaluation of osteoporosis in clinical practise is depend on the avareness of patients and health staff. The aim of this study was to determine osteoporosis risk factors on the female patients over 45-year old admitted to the menopauses outpatient clinic at Baskent University. Materials and methods: A total of 272 patient over 45 years of age with the complaint of menopause were included and Osteoporosis risk factors of 146 women who had lumbar and femoral neck bone density of <2.5 SD were investigated. Results: The mean age was 53.9±8.3 (range 45- 82) years. Patients characteristics were 87.9% married, 68.8% in menopauses, 53.7% with the diagnosis of osteoporosis, and 55.1% graduate of high school or university. All subjects had at least one risk factor of osteo- porosis such as family history of osteoporosis (60.8%), fracture due to minor trauma (69.8%), history of fall related fracture (71.0%), chronic disease other than osteoporosis (59.9%), chronic medication (61.0%), dependent on bed for a long time (67.3%), loss of height of 3 cm or more (77.3%), back pain (61.1%), and stoop (70.9%). Osteoporosis was diagnosed more in this group and difference was statistically significant (p<0.05). Coincidence of more risk factors (>5) led increased incidence of osteoporosis (p<0.05). Conclusions: The individuals with risk factors of osteoporosis should be regularly controlled and preventive measures should be advised.

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