Bone mineral density in a normal Turkish female population

SELİM, Nedim; TÜZÜN, Fikret; KARACAN, ILHAN; TUZUN, SANSIN

Bone mineral density in a normal Turkish female population

Şansın TÜZÜN, (İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

İlhan KARACAN, (Bezm-i Alem Valide Sultan Vakıf Gureba Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, İstanbul, Türkiye)

Nedim SELİM, (Bestaş Grup, Lunar, İstanbul, Türkiye)

Fikret TÜZÜN (İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

16 0

Yıl: 2004 Cilt: 50 Sayı: 1 Sayfa Aralığı: 10 - 16 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Bone mineral density in a normal Turkish female population

Öz:

Bu çalışmanın amacı normal Türk kadın popülasyonunda kemik mineral yoğunluğu (KMY) aralığını saptamak ve Amerika Birleşik Devletleri (ABD) ve Kuzey Avrupa verileri ile karşılaştırmaktı. Ülkenin 19 farklı merkezinde Lunar DPX dansitometri cihazı ile 20-79 yaş arası 339 kadında KMY ölçümü yapıldı. Özellikle postmenopozal dönemde KMY ile vücut ağırlığı ve vücut kitle indeksi arasında doğrusal korelasyon saptandı. Spinal doruk kemik kütlesine (DKK) 30-39 yaş grubunda, fakat femoral DKK’ne 20-29 yaş grubunda ulaşılmaktaydı. Tüm ölçüm bölgelerinde, menopozla ilişkili olarak 50 yaşından sonra belirgin KMY kaybı saptandı. KMY yaşla parabolik azalma göstermekteydi. Menopoz süresi ile ilişkili olarak tüm bölgelerde KMY’unda kubik azalma olmaktaydı. ABD ve Kuzey Avrupa ülkeleri ile karşılaştırıldığında Türk kadınlarda lomber bölge KMY daha düşük bulundu, fakat femoral KMY 5. ve 7.dekadda Kuzey Avrupalılardan daha düşük, ABD’lilerle ise benzer düzeyde idi.

Anahtar Kelime: Kemik yoğunluğu Kadınlar Türkiye

Konular: Rehabilitasyon

Normal Türk kadın popülasyonunda kemik mineral yoğunluğu

Öz:

The aim of this study was to determine the range of bone mineral density (BMD) in a normal Turkish female population and to compare them to USA and Northern European data. BMD measurements were performed at four sites (antero-posterior spine, femur, ultradistal radius, total body) in 339 women aged 20-79 years using a Lunar DPX densitometer at 19 different centers from different areas of the country. There was a linear correlation between BMD and both body weight and body mass index especially in postmenopausal stage. Spinal peak bone density (PBD) was reached in the 30-39 year age group whereas femoral PBD was reached in the 20-29 age group. The major fall in the BMD was observed after 50 years related to the menopause at all measurement sites. BMD showed a parabolic decline with aging. There was a cubic decreasing trend in BMD values at all sites related to the time since menopause. In comparison with USA and Northern European data, BMD values in Turkish women were lower at lumbar spine, whereas their femoral BMDs were similar to USA values but lower than Europeans in the 5th and 7th decades.

Anahtar Kelime: Women Turkey Bone Density

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Kanis JA. Osteoporosis. London: Blackwell Science Ltd, 1994. 2. Avioli LV, Kleerekoper M. Osteoporosis: the clinical problem. In: Genant HK, Guglielmi G, Jergas M, eds. Bone densitometry and osteoporosis. Berlin;Springer-Verlag,1998:1-15. 3. Dinç H, Sadikoğlu Y, Savci G, Demirci A et al. Bone mineral density measurement by quantitative computed tomography in a normal Turkish population. Eur J Radiol 1995;21(2):79-83. 4. Scientific Advisory Board of the National Osteoporosis Foundation. Clinical indications for bone mass measurements. J Bone Miner Res 1989 (Supp1 2):1-8. 5. Petley GW, Cotton AM, Murrills AJ, Taylor PA et al. Reference ranges of bone mineral density for women in southern England: the impact of local data on the diagnosis of osteoporosis. Br J Radiol 1996;69(823):655-60. 6. Deleze M, Cons-Molina F, Villa F, Morales-Torres J et al. Geographic differences in bone mineral density of Mexican Women. Osteoporosis Int 2000;11:562-9. 7. Heldan de Moura Castro C, Medeiros Pinherio M, Lucia Szejnfeld V. Quantitative ultrasound of the calcaneus in Brazilian Caucasian Women : Normative data are similar to the manufacturer’s normal range. Osteoporos Int 2000;11:923-8. 8. Maalouf G, Salem S, Sandid M, Attallah P et al. Bone mineral density of the Lebanese reference population. Osteoporos Int 2000;11:756-64. 9. Faulkner KG, McClung MR. Quality of control of DXA instruments in multicenter trials. Osteoporosis Int 1995;5:218-27. 10. Mazess RB, Hanson JA, Barden H. DPX reference data Poster presentation at the 12th International Bone Density Workshop, May 18-22, 1997, Edinburg, Scotland 11. Mazess RB, Chesnut CH III, McClung M, Genant H. Enhanced precision with dual energy x-ray absorbtiometry. Calcif Tissue Int 1992;51:14-7 12. Curiel MD, de la Pena JLC, Perez JH, Mullock BM, et al. Study of bone mineral density in lumbar spine and femoral neck in a Spanish population. Osteoporosis Int 1997; 7:59-64. 13. Yu W, Qin M, Xu L, van Kuijk C , et al. Normal changes in spinal bone mineral density in a Chinese population: Assesment by Quantitative Computed Tomography and Dual Energy X-ray Absorptiometry. Osteoporos Int 1999;9:179-87. 14. Polatti F, Capuzzo E, Viazzo F, Colleoni R, et al. Bone mineral changes during and after lactation. Obstet Gynecol 1999;94(1):52-6. 15. Ghannam NN, Hammami MM, Bakheet SM, Khan BA. Bone mineral density of the spine and femur in healthy Saudi females: relation to vitamin D status, pregnancy, and lactation. Calcif Tissue Int 1999;65(1):23-8. 16. Parazzini F, Bidoli E, Francheschi S, Schinella D et al. Menopause, menstruel and reproductive history and bone density in northern Italy. J Psychosom Res 1999;46(1):29-35. 17. Lofman O, Larsson L, Ross I, Toss G et al. Bone mineral density in normal Swedish women. Bone 1997; 20(2):167-74. 18. O’Neill TW, Felsenberg D, Varlow J, Cooper C, et al. The prevalence of vertebral deformity in European Men and Women: The European vertebral osteoporosis study. J Bone and Miner Res 1996;11:1010-7. 19. Adami S, Braga V. Determinants of bone loss. In: Genant HK, Guglielmi G, Jergas M, eds. Bone densitometry and osteoporosis. Berlin: Springer-Verlag, 1998:127-35. 20. Elffors I, Allander E, Kanis JA, Gullberg B, et al. The variable incidence of hip fracture in Southern Europe: The MEDOS study. Osteoporos Int 1994;4:253-63. 21. Wildner M, Clark DE. Hip fracture incidence in East and West Germany: Reassessement ten years after unification. Osteoporos Int 2001;12:136-9. 22. Koh LKH, Saw S-M, Lee JJM, Leong KH et al. Hip fracture incidence rates in Singapore 1991-1998 Osteoporosis Int 2001;12:311-8. 23. Ross PD, He Y, Yates AJ, Coupland C et al. Body size accounts for most differences in bone density between Asian and Caucasian women. The EPIC (Early Postmenopausal Interventional Cohort ) Study Group. Calcif Tissue Int 1996; 59:339-43. 24. Cummings SR, Cauley JA, Palermo L, Ross PD et al. Racial differences in hip axis lenghts might explain racial differences in rates of hip fracture. Study of Osteoporotic Fractures Research Group. Osteoporosis Int 1994;4:226-9. 25. Çalış HT, Eryavuz M, Can G.The Femoral Geometrical Measurement in Turkish Women: Annals of the Rheumatic Diseases. July 2000 vol 59 suppl 1,Eular 2000 abs. 26. Dilsen G, Aydın R, Oral A, Sepici V et al. Regional differences in hip fracture risk in Turkey. Bone 1993;14:65-68. 27. Perez Cano R, Galan F, Dilsen G. Risk factors for hip fracture in Spanish and Turkish women. Bone 1993;14 (Suppl 1): 69-72. 28. Ungan M, Tumer M.Turkish women’s knowledge of osteoporosis. Fam Pract 2001;18(2):199-203.

APA	TUZUN S, KARACAN I, SELİM N, TÜZÜN F (2004). Bone mineral density in a normal Turkish female population. , 10 - 16.
Chicago	TUZUN SANSIN,KARACAN ILHAN,SELİM Nedim,TÜZÜN Fikret Bone mineral density in a normal Turkish female population. (2004): 10 - 16.
MLA	TUZUN SANSIN,KARACAN ILHAN,SELİM Nedim,TÜZÜN Fikret Bone mineral density in a normal Turkish female population. , 2004, ss.10 - 16.
AMA	TUZUN S,KARACAN I,SELİM N,TÜZÜN F Bone mineral density in a normal Turkish female population. . 2004; 10 - 16.
Vancouver	TUZUN S,KARACAN I,SELİM N,TÜZÜN F Bone mineral density in a normal Turkish female population. . 2004; 10 - 16.
IEEE	TUZUN S,KARACAN I,SELİM N,TÜZÜN F "Bone mineral density in a normal Turkish female population." , ss.10 - 16, 2004.
ISNAD	TUZUN, SANSIN vd. "Bone mineral density in a normal Turkish female population". (2004), 10-16.

APA	TUZUN S, KARACAN I, SELİM N, TÜZÜN F (2004). Bone mineral density in a normal Turkish female population. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 50(1), 10 - 16.
Chicago	TUZUN SANSIN,KARACAN ILHAN,SELİM Nedim,TÜZÜN Fikret Bone mineral density in a normal Turkish female population. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 50, no.1 (2004): 10 - 16.
MLA	TUZUN SANSIN,KARACAN ILHAN,SELİM Nedim,TÜZÜN Fikret Bone mineral density in a normal Turkish female population. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.50, no.1, 2004, ss.10 - 16.
AMA	TUZUN S,KARACAN I,SELİM N,TÜZÜN F Bone mineral density in a normal Turkish female population. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2004; 50(1): 10 - 16.
Vancouver	TUZUN S,KARACAN I,SELİM N,TÜZÜN F Bone mineral density in a normal Turkish female population. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2004; 50(1): 10 - 16.
IEEE	TUZUN S,KARACAN I,SELİM N,TÜZÜN F "Bone mineral density in a normal Turkish female population." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 50, ss.10 - 16, 2004.
ISNAD	TUZUN, SANSIN vd. "Bone mineral density in a normal Turkish female population". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 50/1 (2004), 10-16.