Evaluation of Bone Mineral Density in Perimenopausal Period | ||
The Archives of Bone and Joint Surgery | ||
مقاله 11، دوره 6، شماره 1، فروردین 2018، صفحه 57-62 اصل مقاله (695.89 K) | ||
نوع مقاله: RESEARCH PAPER | ||
شناسه دیجیتال (DOI): 10.22038/abjs.2017.19433.1506 | ||
نویسندگان | ||
Zhaleh Shariati-Sarabi1؛ Hamid Etemad Rezaie2؛ Nasrin Milani3؛ Farnaz Etemadrezaee3؛ Ali Etemad Rezaie4 | ||
1Internal Medicine Department, Imam Reza hospital, Mashhad University of Medical Sciences, Mashhad, Iran Rheumatic Diseases Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran | ||
2Neurosurgery Department, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran | ||
3Internal Medicine Department, Imam Reza hospital, Mashhad University of Medical Sciences, Mashhad, Iran | ||
4Rosalind Franklin University of Medicine and Science, North Chicago,USA | ||
چکیده | ||
Background: The menopausal transition called perimenopause, happens after the reproductive years, and is specified with irregular menstrual cycles, perimenopause symptoms and hormonal changes. Women going through peri menopausal period are vulnerable to bone loss. Osteoporosis is one of the most common debilitating metabolic bone diseases ,especially in the women almost around 50 years .This study was intended to evaluate the prevalence of osteopenia/osteoporosis amongst asymptomatic individuals during the menopause transition period. Methods: A total of 714 asymptomatic peri-menopausal female volunteers were recruited through a billboard invitation for participation in the study. The subjects were selected based on already defined inclusion and exclusion criteria. The project, which was conducted between 2010 and 2014 was affiliated to the Educational and Therapeutic Center, Imam Reza Hospital, Mashhad, Iran. Bone Mineral Densitometry (BMD) measured by DEXA (dual-energy X-ray absorptiometry) was carried out on two distinct sites, the proximal femur and the lumbar vertebrae from L1 to L4. Pertained data were analyzed. Results: The mean age of the subjects was 49.7±2.years. The overall prevalence of osteopenia and osteoporosis in these peri-menopausal individuals were 37.6 % and 10% respectively. Thirty five point two percent of 714 women presented with osteopenia and eight percent of them have osteoporosis in the femoral neck, respectively. Nonetheless, BMD values at the lumbar spine indicated 41.6% and 12% of individual participants being affected by osteopenia and osteoporosis. Conclusion: In general osteopenia or osteoporosis, occurred in 48% of this study population, implying that special attention is required for the bone health status of Iranian women who undergo menopause. | ||
کلیدواژهها | ||
Bone mineral densitometry؛ Osteopenia؛ Osteoporosis؛ Peri-menopause | ||
مراجع | ||
1. Bromberger JT, Schott LL, Kravitz HM, Sowers M, Avis NE, Gold EB, et al. Longitudinal change in reproductive hormones and depressive symptoms across the menopausal transition: results from the Study of Women’s Health Across the Nation (SWAN). Arch Gen Psychiatry. 2010; 67(6):598- 607. 2. Janiszewska M, Firlej E, Dziedzic M, Zolnierczuk- Kieliszek D. Health beliefs and sense of one’s own efficacy and prophylaxis of osteoporosis in peri- and post-menopausal women. Ann Agric Environ Med. 2016; 23(1):167-73. 3. Van Voorhis BJ, Santoro N, Harlow S, Crawford SL, Randolph J. The relationship of bleeding patterns to daily reproductive hormones in women approaching menopause. Obstet Gynecol. 2008; 112(1):101-8. 4. Castro JP, Joseph LA, Shin JJ, Arora SK, Nicasio J, Shatzkes J, et al. Differential effect of obesity on bone mineral density in White, Hispanic and African American women: a cross sectional study. Nutr Metab. 2005; 2(1):9. 5. Khoury MJ. Genetic and epidemiologic approaches to the search for gene-environment interaction: the case of osteoporosis. Am J Epidemiol. 1998; 147(1):1-2. 6. Castrogiovanni P, Trovato FM, Szychlinska MA, Nsir H, Imbesi R, Musumeci G. The importance of physical activity in osteoporosis. From the molecular pathways to the clinical evidence. Histol Histopathol. 2016; 31(11):1183-94. 7. Larijani B, Tehrani MR, Hamidi Z, Soltani A, Pajouhi M. Osteoporosis, prevention, diagnosis and treatment. J Reprod Infertil. 2005; 6(1):5-24. 8. Tsao LI. Relieving discomforts: the help‐seeking experiences of Chinese perimenopausal women in Taiwan. J Adv Nurs. 2002; 39(6):580-8. 9. Smeets-Goevaers CG, Lesusink GL, Papapoulos SE, Maartens LW, Keyzer JJ, Weerdenburg JP, et al. The prevalence of low bone mineral density in Dutch perimenopausal women: the Eindhoven perimenopausal osteoporosis study. Osteoporos Int. 1998; 8(5):404-9. 10. Shariat-Sarabi Z. Understanding osteoporosis aims to boost our bone health. J Case Reports Pract. 2016; 4(3):19-21. 11. Akbarian M. Epidemiology and the importance of osteoporosis Rheumatology Research Center. Tehran: Andishmand, Tehran University of Medical Sciences; 2002. 12. Shirazi KK, Wallace LM, Niknami S, Hidarnia A, Torkaman G, Gilchrist M, et al. A home-based, transtheoretical change model designed strength training intervention to increase exercise to prevent osteoporosis in Iranian women aged 40-65 years: a randomized controlled trial. Health Educ Res. 2007; 22(3):305-17. 13. Soltani A, Sedaghat M, Adibi H, Hamidi Z, Shenazandi H, Khalilifar A, et al. Risk factor analysis of osteoporosis in women referred to bone densitometry unit of Endocrinology and Metabolism Research Center of Tehran University of Medical Sciences. Iran South Med J. 2002; 5(1):82-91. 14. Sharami SH, Milani F, Alizadeh A, Ranjbar ZA, Shakiba M, Mohammadi A. Risk factors of osteoporosis in women over 50 years of age: a population based study in the north of Iran. J Turkish German Gynecol Assoc. 2008; 9(11):38-44. 15. Amiri M, Nabipour I, Larijani B, Beigi S, Assadi M, Amiri Z, et al. The relationship of absolute poverty and bone mineral density in postmenopausal Iranian women. Int J Public Health. 2008; 53(6): 290-6. 16. Rowe SM, Jung ST, Lee JY. Epidemiology of osteoporosis in Korea. Osteoporos Int. 1997; 7(Suppl 3):S88-90. 17. Sadat-Ali M, Al-Habdan IM, Al-Mulhim FA, El-Hassan AY. Bone mineral density among postmenopausal Saudi women. Saudi Med J. 2004; 25(11):1623-5. 18. Limpaphayom KK, Taechakraichana N, Jaisamrarn U, Bunyavejchevin S, Chaikittisilpa S, Poshyachinda M, et al. Prevalence of osteopenia and osteoporosis in Thai women. Menopause. 2001; 8(1):65-9. 19. Larijani B, Hossein-Nezhad A, Mojtahedi A, Pajouhi M, Bastanhagh MH, Soltani A, et al. Normative data of bone Mineral Density in healthy population of Tehran, Iran: a cross sectional study. BMC Musculoskelet Disord. 2005; 6(1):38. 20. El-Desouki MI. Osteoporosis in postmenopausal Saudi women using dual x-ray bone densitometry. Saudi Med J. 2003; 24(9):953-6. 21. Cui LH, Choi JS, Shin MH, Kweon SS, Park KS, Lee YH, et al. Prevalence of osteoporosis and reference data for lumbar spine and hip bone mineral density in a Korean population. J Bone Miner Metab. 2008; 26(6):609-17. 22. Guzman Ibarra M, Ablanedo Aguirre J, Armijo Delgadillo R, Garcia Ruiz Esparza M. Prevalence of osteopenia and osteoporosis assessed by densitometry in postmenopausal women. Ginecol Obstet Mex. 2003; 71(1):225-32. 23. D’Amelio P, Spertino E, Martino F, Isaia GC. Prevalence of postmenopausal osteoporosis in Italy and validation of decision rules for referring women for bone densitometry. Calcif Tissue Int. 2013; 92(5):437-43. 24. Looker AC, Melton LJ 3rd, Harris TB, Borrud LG, Shepherd JA. Prevalence and trends in low femur bone density among older US adults: NHANES 2005- 2006 compared with NHANES III. J Bone Miner Res.2010; 25(1):64-71. 25. Brown JP, Fortier M, Frame H, Lalonde A, Papaioannou A, Senikas V, et al. Canadian consensus conference on osteoporosis, 2006 update. J Obstet Gynaecol Can. 2006; 28(2 Suppl 1):S95-112. | ||
آمار تعداد مشاهده مقاله: 611 تعداد دریافت فایل اصل مقاله: 546 |