The aim of this study was to evaluate the differences between patients with obstructive sleep apnea syndrome (OSAS) and phenotypically similar subjects without OSAS in terms of bone mineral density (BMD) and bone turnover markers. The study was conducted on 30 males diagnosed with OSAS and 20 healthy males. All subjects underwent polysomnographic testing. Calcium, phosphorus parathyroid hormone, thyroid stimulating hormone, bone-specific alkaline phosphatase, 25-hydroxyvitamin D3, osteocalcin, and beta-CrossLaps (β-CTx) were measured. BMD in the lumbar spine (L1-L4) and femoral neck was measured by dual energy X-ray absorptiometry. There was no statistically significant difference between the two groups in terms of demographic data with the exception of bone mass index and waist circumference. (p< 0.05). Analyses showed significantly lower BMD measurements in the femoral neck and T-scores in the femoral neck in patients diagnosed with OSAS. Serum β-CTx levels were found to be statistically significantly higher in the OSAS group (p = 0.017). In multivariate assessments performed for apnea/hypopnea index values, mean saturation O2 levels were found to be significantly associated with osteocalcin levels and neck BMD. OSAS patients might represent a risk group with respect to loss of BMD and bone resorption. It is important to evaluate bone loss in these patients. Further studies should be carried out on larger study populations to evaluate the effects of chronic hypoxia on BMD in detail.

SummaryObjectives: The aim of the present study was to identify prevalence of musculoskeletal system diseases and related factors among mothers of children with cerebral palsy. Methods: Eighty-five mothers of children with cerebral palsy were included as the treatment group, and 42 mothers of healthy children were included as the control group. Sociodemographic characteristics of all subjects were recorded. Musculoskeletal system pain was evaluated by the standardized Nordic Musculoskeletal Questionnaire, and level of depression was evaluated according to Beck's Depression Scale. Results: Musculoskeletal system pain and depression scores of the treatment group were significantly higher than those of the control group. Most frequently reported by mothers in the treatment group was low back pain (44.7%). In multiple regression analysis, number of children, age, and functional level of the child with cerebral palsy, as well as depression level of the mother were identified as independent risk factors for musculoskeletal system pain. Conclusion: Mothers of children with cerebral palsy are at higher risk for musculoskeletal system pain and depression. Prevalence of musculoskeletal system pain in these mothers, especially those with older children who have lower functional statuses, should be kept in mind.Keywords: Cerebral palsy; children; mothers; pain. Özet amaç:Amacımız serebral palsili çocuğa sahip olan annelerde görülen musküloiskeletal sistem ağrıları ve bunlarla ilişkili faktörlerin belirlenebilmesidir. Gereç ve Yöntem: Çalışmamıza serebral palsili çocuğa sahip 85 kadın ile, kontrol grubu sağlıklı çocuğa sahip 42 kadın dahil edilmiştir. Tüm annelerin sosyodemografik özellikleri kaydedilmiştir. Kas iskelet sistem ağrıları standardize edilmiş İskandinav Kas-İskelet Sistemi Anketi ile, depresyon düzeyleri Beck depresyon skalasına göre değerlendirilmiştir. Bulgular: Serebral palsili çocuğa sahip annelerde kas iskelet sistem ağrıları ve depresyon skorları, kontrol grubuna göre istatistiksel olarak anlamlı oranda yüksek bulunmuştur. Serebral palsili çocuğa sahip annelerde en sık görülen ağrı bel ağrısıydı (%44.7). Yapılan multipl regresyon analizinde serebral palsili çocuğa sahip annelerde kas iskelet sistemi ağrılarında; çocuk sayısı, serebral palsili çocuğun yaşı, çocuğun fonksiyonel düzeyi ve anne depresyon düzeyi bağımsız risk faktörleri olarak bulunmuştur. Sonuç: Serebral palsili çocuğa sahip anneler sağlıklı çocuklara sahip annelere göre kas iskelet sistem ağrıları ve depresif bulgular açısından risk altındadırlar. Özellikle fonksiyonel düzeyi kötü, yaşca büyük serebral palsili çocuğa sahip annelerde kas iskelet sistemine ait ağrılarının daha sık gözlendiği unutulmamalıdır.

SummaryObjectives: This study aimed to investigate the occurrence of low back pain in hospital employees during the previous year and its correlation with demographic data, occupational factors and chronic fatigue syndrome. Methods: All participants provided information on their socio-demographic background, occupational characteristics, their experience of low back pain during the previous year, and chronic fatigue syndrome. Results: The study included 365 volunteers (221 male and 144 female). The mean age was 33.1±7.2. Of the 365 participants, 218 (59.7%) had experienced low back pain in the last year. No statistically significant difference was detected in age, height, weight, level of education, smoking habits, occupation, professional working hours, shift work or levels of income between the groups with and without low back pain. Low back pain was more frequent (p<0.05) in male workers. Chronic fatigue syndrome was statistically significant in the group suffering from low back pain (p<0.05), of whom 21.5% had chronic fatigue syndrome. We detected a statistically significant relationship (p<0.05) between chronic fatigue syndrome, occupational duration and shift work. Conclusion: To the best of our knowledge, this is the first to show the relationship between low back pain and chronic fatigue syndrome in hospital employees. Shift work and length of time in occupation are risk factors for chronic fatigue syndrome.Key words: Low back pain; hospital staff; chronic fatigue syndrome. ÖzetAmaç: Amacımız; hastane çalışanlarında son bir yılda geçirilmiş bel ağrısının; demografik veriler, mesleki özellikler ve kronik yorgunluk sendromu ile olan ilişkisini araştırmaktır. Gereç ve Yöntem: Tüm katılımcılar sosyodemografik veriler, mesleki özellikler, son bir yılda geçirilmiş bel ağrıları ve kronik yorgunluk sendromu semptomları yönünden sorgulandılar. Bulgular: Çalışmamıza 144'ü kadın 221'i erkek olmak üzere 365 gönüllü katıldı. Yaş ortalaması 33.1±7.2 idi. İki yüz on sekiz (%59.7) kişide son bir yılda geçirilmiş bel ağrısı vardı. Bel ağrısı olan ve olmayan grup arasında yaş, kilo, boy, medeni durum, eğitim durumu, sigara alışkanlığı, meslek, mesleki çalışma süresi, vardiyalı çalışma, gelir düzeyi, iş memnuniyeti açısından istatistiksel fark bulunmadı. Erkek cinsiyette bel ağrısı istatistiksel oranda fazla görülmekteydi (p<0.05). Bel ağrısı öyküsü olan grupta kronik yorgunluk sendromu istatistiksel açısından anlamlı oranda fazlaydı (p<0.05). Kronik yorgunluk sendromu bel ağrısı olanların %21.5'inde mevcuttu. Kronik yorgunluk sendromu ile mesleki çalışma süresi, vardiyalı çalışma arasında istatistiksel anlamlı ilişki tespit edildi. Sonuç: Bildiğimiz kadarıyla çalışmamız hastane çalışanlarında bel ağrısı ve kronik yorgunluk sendromu ilişkisini gösteren ilk çalışmadır. Mesleki çalışma süresininin uzun olması ve vardiyalı çalışma kronik yorgunluk sendromu için risk oluşturabilir.Anahtar sözcükler: Bel ağrısı; hastane çalışanları; kronik yorgunluk sendromu. Hastane çalışanlarında bel ağrısı sıklığı, bel ağrısının kronik yorgu...

The differences noted between OSAS patients and the control group with respect to myalgic score and the number of tender points suggest that there might be a relation between OSAS and pain sensitivity. There might be an association between low oxygen saturation and total myalgic score.

Increasing awareness of restless legs syndrome among obstetricians is essential as it might be related to obstructive sleep apnea syndrome, which is associated with adverse pregnancy outcomes.