The Serbian version of the MFES is a reliable and valid instrument that can be used in both clinical practice and research to describe and measure self-perceived fear of falling in older individuals.
Introduction/Objective. Osteoporosis is a systemic disease of bone tissue, which leads to an increase in bone fragility and higher risk of fractures. The aim of the study was to determine adherence to calcium, vitamin D, and drugs for osteoporosis in patients with reduced bone mineral density, as well as to analyze reasons for low adherence. Methods. The study conducted in the Special Hospital for Rheumatic Diseases, Novi Sad, Serbia, involved 80 postmenopausal women with reduced bone mineral density measured by dual-energy X-ray absorptiometry. Each patient filled out a specially designed questionnaire. Assessment of adherence to calcium, vitamin D, and drugs for osteoporosis was done by the Morisky scale. In the statistical analysis we used the SPSS program v. 20. Results. All the patients were female; 67.5% had osteoporosis and 32.5% had osteopenia; 62.5% of women said that they use calcium supplementation, 81.3% vitamin D, and 62.3% drugs; 81.2% of women who used supplementation had low adherence to calcium, 82.8% low adherence to vitamin D, and 65.8% low adherence to drugs for osteoporosis. Adherence to medication for osteoporosis is better in relation to the adherence of vitamin D and calcium (p < 0.05, ?2 test). The reasons for low adherence are mainly the cost of preparation and forgetfulness. Patients who received drugs intravenously had better adherence than patients who received drugs subcutaneously or orally. Conclusion. Adherence to vitamin D, calcium, and drugs for osteoporosis is presently low in investigated population and the understanding of the causes of low adherence is still insufficiently explored.
¹Specijalna bolnica za reumatske bolesti Novi Sad,²Dom zdravlja "Novi Sad" Novi Sad,³Klinika za ortopediju i traumatologiju Novi Sad, Klinički centar Vojvodine, 4 Dom zdravlja Žitište Sažetak UVOD: Osteoporozu odlikuje smanjena mineralna koštana gustina (BMD), povećana fragilnost i sklonost ka prelomima. Veliki uticaj u nastanku osteoporoze imaju i faktori rizika među koje spada nizak indeks telesne mase (BMI). CILJ: Utvrditi značaj indeksa telesne mase u nastanku osteoporoze. MATERIJAL I METOD: Prospektivno ispitivanje je rađeno u Specijalnoj bolnici za reumatske bolesti u Novom Sadu i obuhvatilo je 1 323 pacijenta oba pola, prosečne starosne dobi 64 godine, kojima je merena mineralna koštana gustina (BMD) na lumbalnom delu kičme i na kuku. Rezultati osteodenzitometrijskog nalaza su interpretirani prema važećoj definiciji osteoporoze. Takođe, svim ispitanicima je merena telesna masa, telesna visina i određen im je indeks telesne mase. Posmatrana je povezanost između BMI i BMD. Svi podaci su unošeni u Bonlink bazu podataka. U statističkoj obradi podataka korišćena je deskriptivna statistika, mere centralne tendencije i Pirsonov koeficijent korelacije. REZULTATI: Većinu ispitanika su činile žene, 96%, a svega 4% muškarci. Što se tiče stepena uhranjenosti pacijenata: 43% je bilo prekomerno uhranjenih, 20% gojaznih, 35% normalno uhranjenih i 2% pothranjenih. Najveći broj ispitanika je imao T skor kuka ( 66%) i T skor kičme ( 61%) na nivou osteopenije. Korelacija posmatranih parametara T skora i BMI je pozitivna i pokazuje statističku povezanost na nivou p<0,01. ZAKLJUČAK: Ispitanici sa nižom telesnom masom imaju manju mineralnu koštanu gustinu, što svrstava nisku telesnu masu u značajan faktor rizika za nastanak osteoporoze.KLJUČNE REČI: osteoporoza, indeks telesne mase, mineralna koštana gustina. UvodOsteoporoza je skleletno, metaboličko oboljenje koje karakteriše smanjena koštana gustina usled čega je povećan rizik za nastanak preloma (Pilipović 2011). Za postavljanje dijagnoze osteoporoze, kao "zlatni standard" preporučen od strane Svetske zdravstvene organizacije je osteodenzitometrijski pregled (WHO Study grour 1994). Osteodenzitometrija se bazira na nisko energetskom X-zračenju (DEXA) i meri mineralnu koštanu gustinu (BMD) izražavajući je u g/cm 2 . Mesta merenja su tela kičmenih pršljenova i vrat femura ili ceo kuk. Dobijeni rezultati se interpretiraju u vidu T skora u standradnim devijacijama (SD), a to znači da se dobijeni rezultati upoređuju sa vrednostima koštane gustine zdrave osobe starosne dobi od 20 do 40 godina. Analizira se i Z skor, gde se dobijene vrednosti upoređuju sa vrednostima koštane gustine osobe iste starosne dobi (Hamdy i sar, 2002;Blake,Fogelman 2010).
Introduction. Hand osteoarthritis is a joint degenerative disease characterized by hand deformities affecting the hand strength and function, leading to greater disability and increased healthcare utilization. The objective of this study was to estimate the impact of different risk factors on the incidence of hand osteoarthritis. Material and Methods. The study was a prospective cross-sectional study conducted at the Special Hospital for Rheumatic Diseases Novi Sad, Serbia, during a one year period (2017 - 2018). It included 100 postmenopausal women aged 60 to 70 years presenting with pain in the hands ? 3 according to the visual analogue scale. All respondents were divided into two groups, according to radiographic findings graded using the Kellgren-Lawrence scale. Risk factors responsible for the development of hand osteoarthritis were examined and the research procedure included medical history data, physical examination of the hand joints, anthropometric measurements, and laboratory tests. Statistical processing and analysis was performed using Statistical Package for the Social Sciences ver. 25. Results. Statistically significant differences were found between the two groups in relation to positive family history of degenerative changes in the hand joints (p = 0.000), as well as in relation to metabolic syndrome (p = 0.001). Conclusion. A positive family history of degenerative changes of the hands and presence of metabolic syndrome are significant risk factors for the development of hand osteoarthritis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.