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Yaşlı erkeklerde osteoporoz risk faktörlerinin değerlendirilmesi

Analysis of risk factors in older men with osteoporosis

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2010

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Abstract (2. Language): 
There is little information regarding the risk factors of osteoporosis in older men. The aim of this study was to examine the risk factors in older men with osteoporosis. Medical records of 209 older men (mean age: 77.1±6.0 years) who admitted to the Geriatric Clinics of Gulhane Military Medical Academy were examined prospectively. The measurement of bone mineral density was made at the lumbar spine and femur by the DEXA method. Osteoporosis and osteopeny were observed in 64 (30.6%) and 92 (44.0%) of the 209 cases, respectively. Bone mineral density was normal in 53 (25.4%) cases. The last ten-year history revealed fracture in 25 (11.6%) osteoporotic and 14 (6.7%) osteopenic cases. Osteoporosis was more common in those with lower body mass index scores (p<0.05). The incidence of osteoporosis was higher in those who were not making exercise (p<0.05). Age, waist circumference, erythrocyte sedimentation rate, and the levels of ionized calcium, magnesium, phosphor and thyroid stimulating hormone were not related with osteoporosis (p>0.05). In our study it was detected that osteoporosis was less prevalent in older men who had higher body weight index scores and regular physical activity. The results indicate that the primary prevention with exercise and good nourishment is an important factor in preserving bone mineral density in men older than 65 years just as in adults and young subjects.
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Abstract (Original Language): 
Yaşlı erkeklerdeki osteoporoz risk faktörleri ile ilgili bilgiler literatürde sı- nırlıdır. Bu çalışmanın amacı, erkek geriatrik bireylerdeki osteoporoz risk faktörlerini incelemekti. Gülhane Askeri Tıp Akademisi Geriatri polikliniğine başvuran 209 yaşlı erkek olgunun (ortalama yaş: 77.1±6.0 yıl) tıbbi verileri ileriye dönük olarak incelendi. Kemik mineral yoğunluğu ölçümü DEXA yöntemi ile lomber omur ve femurda yapıldı. Bunlar içinde 64 (%30.6) olguda osteoporoz, 92’sinde (%44.0) osteopeni saptandı. Elli üç (%25.4) olguda kemik mineral yoğunluğu normal sınırlar içerisindeydi. Geçmiş 10 yıllık sü- rede osteoporotik 25 (%11.6) olguda, osteopenik 14 (%6.7) olguda kırık öyküsü olduğu öğrenildi. Vücut kitle indeksi düşük olanlarda osteoporoz daha yaygındı (p<0.05). Egzersiz yapmayanlarda osteoporoz insidansı daha yüksekti (p<0.05). Yaş, bel çevresi, eritrosit sedimantasyon hızı, iyonize kalsiyum, magnezyum, fosfor ve tiroid stimüle edici hormon düzeyi osteoporoz ile ilişkili değildi (p>0.05). Çalışmamızda vücut kitle indeksi yüksek olan ve düzenli egzersiz yapan yaşlı erkeklerde osteoporozun daha az gö- rüldüğü tespit edilmiştir. Sonuçlar erişkin ve gençlere benzer şekilde, 65 yaş üstü erkeklerde birincil önlemede egzersizin ve iyi beslenmenin kemik mineral yoğunluğunu korumada önemli faktörler olduğunu göstermektedir.
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  • 3
167-171
  • Turkish

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