Association between passive smoking in adulthood and phalangeal bone mineral density: results from the KRAM study—the Danish Health Examination Survey 2007–2008

Holmberg, Teresa; Bech, Mickael; Curtis, Tine; Juel, Knud; Grønbæk, Morten; Brixen, Kim

doi:10.1007/s00198-010-1506-9

Cited by 32 publications

(21 citation statements)

References 40 publications

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“…Peripheral densitometry is an accessible and inexpensive method to measure phalengeal BMD in osteoporosis screening. Moreover it has the advantages of portability and low X-ray exposure (<0.02μSv per examination) (14). For an exposure, the patient removes any jewellery (when possible) from the non-dominant hand, and places the hand on the moulded support plate (13).…”

Section: Methodsmentioning

confidence: 99%

Comparison of Bone Mineral Density Levels in Maraş Powder (Smokeless Tobacco) Users and Smokers in Healthy Men

Bakan¹,

Sucakli²,

Özkan³

et al. 2013

Tod

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Amaç: Sigara ve dumansız tütün kullanımı düşük kemik mineral yoğunluğu (KMY) ve osteoporoz için tanımlanmış iki risk faktörüdür. Türkiye'de 'Maraş Otu' (MO) olarak adlandırılan dumansız tütün türünün, özelikle Kahramanmaraş ve çevresindeki illerde birçok bağımlısı bulunmaktadır. Bu çalışmada MO kullanımı ile sigara içiminin KMY üzerine olan etkisi araştırıldı. Gereç ve Yöntem: Yüz yirmi sağlıklı erkek (MO kullanan 60 kişi, sigara içen 60 kişi) çalışmaya alındı. Çalışmaya katılan kişilere; demogra k bilgileri, sağlık durumları, alkol, tütün alışkanlıkları ve kullandıkları ilaçları sorgulayan bir anket formu uygulandı. KMY'yi etkileyecek herhengi bir patolojisi olanlar çalışma dışı bırakıldı. KMY non-dominant elden falangial radyogra k absorbsiyometri cihazı ile ölçüldü. MO kullananların KMY(gr/cm 2 ) değerleri, sigara içenlerlerin KMY değerleri ile karşılaştırıldı. Bulgular: Ortalama MO kullanma süresi ve MO kullananların yaş ortalaması sırası ile 30,6±14,4 yıl ve 64,4±9,8 yıldı. Ortalama sigara kullanma süresi ve sigara kullananların yaş ortalaması sırası ile 33,7±11,0 yıl ve 61,6±10,4 yıldı. MO kullananların falangial KMY değerlerinin ortalaması (0,31±0,04 g/cm 2 ), sigara kullananlara (0,33±0,03 g/cm 2 , p=0,004) göre anlamlı derecede daha düşüktü. Sonuç: MO kullanan erkeklerin KMY değerleri sigara kullananlara göre daha düşüktü. Sonuçlarımız başka çalışmalarla desteklenirse, MO kullanımı osteoporoz için sigaradan daha güçlü bir risk faktörü olduğu söylenebilir. (Türk Os te opo roz Dergisi 2013;19: 12-6) Anah tar ke li me ler: Maraş otu, dumansız tütün, sigara, falangial radyogra k absorpsiyometri, kemik mineral yoğunluğu Aim: Smoking and smokeless tobacco use are two recognized risk factors for low bone mineral density (BMD) and osteoporosis. Maras powder (MP), a kind of smokeless tobacco, has a lot of addicts in the city of Kahramanmaraş and its surroundings, Turkey. This is the study investigating the effects of MP on BMD and comparing with smoking. Meterial and Methods: A total of 120 healthy male subjects (60 MP users, 60 smoker) from Maras City, Turkey were included in the study. All subjects information on demographics, health history, alcohol and tobacco use and medication use were obtained by an interviewer-administered questionnaire. Subjects who had any pathology that might affect BMD, were excluded from the study. Measurements of bone mineral density were obtained by phalangeal radiographic absorptiometry of the nondominant hand. BMD values (g/cm 2 ) of MP users were compared with those of smokers. Results: The mean duration of MP use and the mean age of MP users were 30.6±14.4 years and 64.4±9.8 years, respectively. The mean duration of smoking and the mean age of smokers were 33.7±11.0 years and 61.6±10.4 years, respectively. The mean phalangeal BMD in MP users (0.31±0.04 g/cm 2 ) was signi cantly lower than that in the smokers (0.33±0.03 g/cm 2 , p=0.004). Conclusion: In MP user males, BMD is lower compared to the smoker males. If our results are supported by other studies, it may be claimed ...

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Section: Methodsmentioning

confidence: 99%

Comparison of Bone Mineral Density Levels in Maraş Powder (Smokeless Tobacco) Users and Smokers in Healthy Men

Bakan¹,

Sucakli²,

Özkan³

et al. 2013

Tod

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“…The database contains data on 1,500 healthy females, aged 20-85 years, and T-scores were calculated from the group aged 20-39 years. This peripheral densitometry device has the advantages of low cost, portability and low X-ray dose (<0.02 μSV per examination) 19) .…”

Section: Methodsmentioning

confidence: 99%

The Osteoporotic Effect of Maras Powder (Turkish Smokeless Tobacco) Consumption in Healthy Males

et al. 2012

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Abstract. [Purpose] This study analyzed the effect of Maraş powder on bone mineral density. [Subjects and Methods] One hundred and eighty-three healthy male subjects (93 Maras powder users, 90 nonusers) were included in the study. The information on demographics, health history, alcohol and tobacco use and medication use were obtained by an interviewer-administered questionnaire. Subjects who had any pathology that might affect bone mineral density, were excluded from the study. Mesurements of bone mineral density were obtained by phalangeal radiographic absorbtiometry of the nondominant hand. The bone mineral density values (g/cm 2 ) of Maraş powder users were compared with those of nonusers.[Results] The mean duration of Maraş powder use was 26 ± 13 years, and the mean age of Maraş powder users was 59 ± 11years. The mean age of nonusers was 58 ± 11years. The mean phalangeal bone mineral density in Maraş powder users (0.32 ± 0.03 g/cm 2 , range 0.22-0.39 g/cm 2 ) was significantly lower than that in the nonusers (0.34 ± 0.03 g/cm 2 , range 0.25-0.43 g/cm 2 , p=0.00).[Conclusion] Bone mineral density is lower in the Maraş powder users than in the nonusers. Maraş powder appears to be a potential risk factor for low bone mineral density in populations where its use is prevalent.

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“…The database contains data on 1.500 healthy females aged 20-85 years and T-scores were calculated from the group aged 20-39 years. This peripheral densitometry device has the advantages of low cost, portability and low X-ray dose (<0.02 µ SV per examination) (11).…”

Section: Methodsmentioning

confidence: 99%

The Osteoporotic Effect of Arteriovenous Fistula on the Ipsilateral Upper Extremity in Hemodialysis Patients

...

2012

Tftr

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Objective: Hemodialysis requires an arteriovenous fistula (AVF), the presence of which may influence the structure of nearby bone. This study analyzed the effect of AVF on ipsilateral upper extremity bone mineral density (BMD), as measured by phalangeal radiographic absorptiometry (RA). Materials and Methods:In this cross-sectional study, phalangeal BMD was measured in both arms by RA in a convenience sample of end-stage renal disease (ESRD) patients with a forearm AVF. Patients were excluded if the patient had pathology which might affect distal arm circulation. BMD values (g/cm 2 ) from forearms with AVF were compared with values from forearms without AVF. Predialysis values of complete blood count, calcium, phosphorus, alkaline phosphatase, parathyroid hormone, urea, creatinine, potassium, albumin, total cholesterol, HDL cholesterol, and LDL cholesterol were determined in all patients; dialysis adequacy values were also calculated. Results: One hundred and sixteen patients agreed to participate in the study. Thirty-three patients were excluded, thus, data were analyzed from 83 patients (59% male, 41% female, mean hemodialysis time: 156±6 months, mean age: 53±16 years). AVFs were located in the nondominant hand in all patients. Phalangeal BMD in forearms with AVF (0.28±0.05 g/cm 2 , range: 0.14-0.40) was significantly lower than that in the contralateral forearm (0.30±0.04 g/cm 2 , range: 0.19-0.40, p<0.05). Conclusion: In ESRD patients on hemodialysis, BMD is lower in the ipsilateral-to-AVF hand compared to the contralateral-to-AVF hand. In these patients, further investigations should be made to ascertain the ability of BMD assessment in determining fracture risk and to prompt physicians to initiate treatments which will preserve BMD and reduce fractures. Turk J Phys Med Rehab 2013;59:236-41. Key Words: Osteoporosis, bone mineral density, phalangeal radiographic absorptiometry, arteriovenous fistula Özet Amaç: Hemodiyaliz hastalarındaki arterio-venöz fistül (AVF), çevresindeki kemik dokunun yapısını etkileyebilir. Bu çalışmada falangial radyografik absorbsiyometri (RA) ölçümü ile AVF'nin ipsilateral üst ekstremite kemik mineral yoğunluğu (KMY) üzerine etkisi araştırılacaktır. Gereç ve Yöntem: Bu kesitsel çalışmada, ön kollarında AVF olan son dönem böbrek yetmezlikli hastaların (SDBY) falangial KMY değerleri her iki koldan RA ile ölçüldü. Distal kol dolaşımını etkileyebilecek herhangi bir patolojisi olan hastalar çalışma dışı bırakıldı. Fistüllü kol falangial KMY değerleri (g/ cm 2 ) fistülsüz kol falangial KMY değerleri (g/cm 2 ) ile karşılaştırıldı. Tüm hastalara diyaliz öncesi tam kan sayımı yapıldı, kalsiyum, fosfor, alkalen fosfataz, paratiroid hormon, üre, kreatinin, potasyum, albümin, total kolesterol, HDL kolesterol ve LDL kolesterol değerleri ölçüldü; diyaliz yeterliliği değerleri hesaplandı. Bulgular: Çalışmaya 116 hasta katıldı. Otuz üç hasta çalışma dışı bırakıldı, 83 hastanın sonuçları değerlendirildi. Hastaların %59'u erkek, %41'i kadın olup, hemodiyalize girme süreleri 156± 6 ay ve yaşları 53±...

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Association between passive smoking in adulthood and phalangeal bone mineral density: results from the KRAM study—the Danish Health Examination Survey 2007–2008

Abstract: Our study supports a potential negative effect of long-term passive smoking in adulthood at home on phalangeal BMD.

Cited by 32 publications

References 40 publications

Comparison of Bone Mineral Density Levels in Maraş Powder (Smokeless Tobacco) Users and Smokers in Healthy Men

Comparison of Bone Mineral Density Levels in Maraş Powder (Smokeless Tobacco) Users and Smokers in Healthy Men

The Osteoporotic Effect of Maras Powder (Turkish Smokeless Tobacco) Consumption in Healthy Males

The Osteoporotic Effect of Arteriovenous Fistula on the Ipsilateral Upper Extremity in Hemodialysis Patients

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