Osteoporose autorreferida em população idosa: pesquisa de base populacional no município de Campinas, São Paulo

Rodrigues, Iara Guimarães; Barros, Marilisa Berti de Azevedo

doi:10.1590/1980-5497201600020007

Cited by 11 publications

(10 citation statements)

References 44 publications

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“…Last, sleep duration was not related to BMD in our study. So far, previous research concerning the relationship between sleep duration and BMD obtained conflicting results, with some reporting the independent risk of short sleep for OP15,16,19–22 and others showing an independent risk in long sleepers 17,18,23–26. Our present work, to our knowledge, was the first to find that long sleep onset latency was an independent risk for reduced BMD.…”

Section: Discussioncontrasting

confidence: 62%

“…However, the NHANES study of 5,288 adults aged ≥50 years found that a sleep duration of <6 hours per night was associated with a significantly increased risk of OP, but only in the older age group (>65 years) 17. In line with NHANES study, Rodrigues and Barros demonstrated that a higher prevalence of OP was seen in older people who slept <7 hours/day or in patients with insomnia 18. Therefore, based on the above results, it is necessary to further determine the relationship between sleep status and BMD in elderly patients.…”

Section: Introductionmentioning

confidence: 79%

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Sleep onset latency is related with reduced bone mineral density in elderly people with insomnia: a retrospective study

Tong¹,

Wu²,

Wu³

et al. 2018

CIA

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PurposeInconsistent outcome about association between insufficient sleep and bone mineral density (BMD) has been reported. The present study aimed to determine whether BMD was associated with score of Pittsburgh Sleep Quality Index (PSQI).MethodsA total of 410 patients (mean age 81.6±5.9 years) attending our hospital for evaluation of sleep were retrospectively studied. Dual-Energy X-ray Absorptiometry was used to measure BMD and T-score at femoral neck and lumbar spines over L2–L4 regions. Subjective sleep status was evaluated by the PSQI questionnaires. The Mann–Whitney U test and chi-square analysis were used to compare continuous variables and categorical variables, respectively. Spearman correlation test was conducted to find the relationship between BMD and other clinical factors. Multinomial logistic regressions analysis was performed to analyze independent factors predicting BMD.ResultsMajority of the participants with osteoporosis (OP) were female and had lower body mass index (BMI) and higher sleep onset latency score. Spearman correlation test showed that gender, BMI, score of total PSQI, and sleep onset latency were significantly related to BMD and T-score in femoral neck and lumbar region L2–L4. Finally, multinomial logistic regression analysis demonstrated that gender and age were independent factors for OP and osteopenia and that after adjustment for gender, age, and BMI, sleep onset latency of <15 minutes (OR: 0.38; 95% CI: 0.15–0.96; P=0.04) and 16–30 minutes (OR: 0.37; 95% CI: 0.17–0.79; P=0.01) were less likely to have reduced BMD.ConclusionThere was a significant association between BMD and sleep onset latency, suggesting that, in elderly patients with sleep problem, BMD measurement and intervention for OP might be valuable.

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Section: Discussioncontrasting

confidence: 62%

Section: Introductionmentioning

confidence: 79%

Sleep onset latency is related with reduced bone mineral density in elderly people with insomnia: a retrospective study

Tong¹,

Wu²,

Wu³

et al. 2018

CIA

View full text Add to dashboard Cite

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“…Both osteopenia and AS are serious public health problems that can threaten people's health and quality of life. 14 , 15 Previous studies have proved a clear link between AS and BMD. In a retrospective study including 1,335 elderly patients, the incidence of CAD increased in low BMD patients, compared with patients with normal BMD.…”

Section: Discussionmentioning

confidence: 99%

Association of Severity of Coronary Lesions with Bone Mineral Density in Postmenopausal Women

Xu¹,

Cheng²,

Zhang³

et al. 2018

Arquivos Brasileiros De Cardiologia

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BackgroundCoronary artery disease (CAD) and osteoporosis (OP) are common diseases in postmenopausal women. In both cross-sectional and longitudinal epidemiologic studies, low bone mass has been related to increased frequency of CAD. However, available data on the relationship between bone mineral density (BMD) and severity of coronary lesions is limited.ObjectiveTo investigate association between the BMD and severity of coronary lesions assessed by Gensini score in postmenopausal women.MethodsThis study included 122 postmenopausal women who were diagnosed with CAD. These patients were divided into two groups according to the severity of coronary lesions assessed by the Gensini score - patients with mild coronary lesions (Gensini score < 25) and patients with severe coronary lesions (Gensini score ≥ 25). Femoral neck mineral density was measured with dual energy X-ray absorptiometry (DXA).ResultsThe study included postmenopausal women aged 64.31 ± 4.71 years, 85 of whom (69.7%) exhibited severe coronary lesions. Participants with severe coronary lesions had a significantly higher T score than did those with mild coronary lesions at the femoral neck (p < 0.05). The mean T-score was −0.84 ± 1.01 in mild coronary lesions group, −1.42 ± 1.39 in severe coronary lesions group (p < 0.05). Multivariable logistic regression analysis showed that osteopenia-osteoporosis at the Femoral neck (odds ratio 2.73; 95% confidence interval 1.06 to 6.13) was associated with an increased risk of developing severe coronary lesions. The multiple regression model showed that T-scores (b = −0.407, SE = 0.151, p=0.007) were the independent predictors of Gensini score.ConclusionThe relationship between severity of coronary lesions and BMD was significant in postmenopausal women. BMD, a low-cost technique involving minimal radiation exposure, widely used for osteoporosis screening, is a promising marker of severity of coronary lesions.

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“…Um estudo realizado com 85 mulheres com idade entre 50-82 anos, evidenciou que cerca de 60% da amostra tem distúrbios do sono devido à gravidade da osteoporose localizada nas costas 32 . Uma possível explicação é a condição inflamatória existente no quadro de osteoporose, há também maior reabsorção óssea secundariamente aos efeitos das citocinas pró-inflamatórias IL-1, IL-6 e TNF-α, presentes em maior quantidade nos pacientes, ocasionando dor e acentuando as alterações do sono 33 . Em contrapartida, uma meta-análise objetivou investigar a associação entre a duração do sono com o risco de osteoporose em mulheres entre 40-86 anos e como desfecho, a duração de sono de oito horas ou mais pode estar associada a um maior risco de osteoporose.…”

Section: Discussionunclassified

Associação Entre Distúrbios Do Sono E Doenças Crônicas Em Pacientes Do Sistema Único De Saúde

Morais¹,

Zanuto²,

Queiroz³

et al. 2017

J Phys Educ

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RESUMOInúmeros fatores estão associados aos distúrbios do sono ocasionando o aumento nos gastos com saúde. O objetivo do trabalho foi analisar a associação dos distúrbios do sono e doenças crônicas não transmissíveis em pacientes com idade superior a 50 anos atendidos por Unidades Básicas ABSTRACTMany factors are associated with sleep disorders causing an increase in health spending. The objective of this study was to analyze an association of sleep disorders and chronic diseases non-transmissible in patients older than 50 years attended by Basic Health Care Units of Presidente Prudente. Participated 363 patients. The history of diseases was self-reported through the use a questionnaire, the level of physical activity was evaluated by the Baecke questionnaire, and sleep quality was assessed using the Mini-Sleep Questionnaire. Anthropometric and body composition data were collected using stadiometer and scale, patients within the 75th percentile were considered obese. The statistical analysis was made by Student t test, chisquare, and binary logistic regression. The results showed that sleep disorders is associated with osteoporosis, arthritis / osteoarthritis, low back pain, depression and obesity. Additionally, obesity and physical inactivity influences the occurrence of chronic diseases non-transmissible. Keywords: Sleep disturbance. Chronic diseases. Brazilian national health system. IntroduçãoSono é um evento de grande complexidade que interfere diretamente no estado clínico do indivíduo 1 . Benefícios do sono são decorrentes de processos neurobiológicos 2 , como manutenção da saúde física e mental, que podem modificar a temperatura corporal, trabalho cardíaco e produção hormonal, levando ao estado restaurador essencial e ao funcionamento adequado do organismo 3 . Fernandes 4 em estudo de revisão, relata que as fases do sono levam em consideração os movimentos não rápidos dos olhos (NREM) e os movimentos rápidos dos olhos (REM), observados no traçado do eletrocardiograma, determinando assim a arquitetura do sono. O ciclo do sono é formado por cinco estágios com duração de 90 minutos cada um e é repetido de quatro a cinco vezes por noite. Cada fase apresenta estágios fisiológicos específicos.

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Osteoporose autorreferida em população idosa: pesquisa de base populacional no município de Campinas, São Paulo

Cited by 11 publications

References 44 publications

Sleep onset latency is related with reduced bone mineral density in elderly people with insomnia: a retrospective study

Sleep onset latency is related with reduced bone mineral density in elderly people with insomnia: a retrospective study

Association of Severity of Coronary Lesions with Bone Mineral Density in Postmenopausal Women

Associação Entre Distúrbios Do Sono E Doenças Crônicas Em Pacientes Do Sistema Único De Saúde

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