Impact of osteoporosis and bone fracture on health-related quality of life in postmenopausal women

Palacios, Santiago; Neyro, José Luís; Cabo, Susana Fernández de; Chaves, J. M.; Rejas, Javier

doi:10.3109/13697137.2013.808182

Cited by 40 publications

(19 citation statements)

References 24 publications

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“…Tal estudo observou ainda que as mulheres utilizando moduladores seletivos dos receptores de estrógeno, tipo de terapia medicamentosa para a osteoporose, apresentaram menor impacto da osteoporose na qualidade de vida, particularmente no domínio físico, avaliado pelo SF-12v2 Health Survey e no domínio sexualidade, avaliado a partir da Cervantes Scale. Esse dado confirma o achado da atual pesquisa, o que mostra a influência da osteoporose sobre a sexualidade feminina 28 .…”

Section: Discussionunclassified

Função sexual e fatores associados à disfunção sexual em mulheres no climatério

Cavalcanti¹,

Farias²,

Ithamar³

et al. 2014

Rev. Bras. Ginecol. Obstet.

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ResumoOBJETIVO: Avaliar a função sexual e os fatores associados à disfunção sexual de mulheres no período do climatério. MÉTODOS: Foi realizado um estudo de corte transversal incluindo 173 mulheres, na faixa etária de 35 a 65 anos, com parceiro fixo nos últimos 6 meses, alfabetizadas, sem comprometimento cognitivo e com atividade sexual há pelo menos 6 meses. O instrumento utilizado para avaliar o desempenho sexual foi o Quociente Sexual, versão feminina. A associação entre disfunção sexual e dados sociodemográficos, antecedentes pessoais e obstétricos e história sexual foi realizada por meio do teste do χ 2 de Pearson e da força de associação, por meio do odds ratio (OR) com intervalo de confiança de 95% (IC95%). RESULTADOS: Neste estudo, 46,2% das mulheres apresentaram disfunção sexual. Houve uma diminuição da chance de disfunção sexual para a faixa etária entre 35 e 49 anos (OR=0,3; IC95% 0,2-0,6) e para as mulheres que se sentiam à vontade para falar sobre sexo (OR=0,5; IC95% 0,2-0,8). Entretanto, presença de osteoporose (OR=3,3; IC95% 1,5-7,6), incontinência urinária (OR=2,0; IC95% 1,1-3,7) e correções cirúrgicas do assoalho pélvico (OR=2,2; IC95% 1,1-4,5) elevaram essa chance. CONCLUSÕES: A frequência de disfunção sexual em mulheres na faixa etária entre 35 e 65 anos foi 46,2% e fatores como osteoporose, incontinência urinária e correções cirúrgicas do assoalho pélvico aumentaram a chance de disfunção sexual. Abstract PURPOSE:To evaluate the sexual function and factors associated with sexual dysfunction in climacteric women. METHODS: A cross-sectional study was conducted on 173 women aged 35 to 65 years old, with a steady partner during the last 6 months, who are literate, without cognitive impairment, and with sexual activity for at least 6 months. The instrument used to assess sexual performance was the Sexual Quotient, female version. The association between sexual dysfunction and sociodemographic data, personal, obstetric and sexual history was determined by Pearson's χ 2 test and strength of association by the odds ratio (OR) with a 95% confidence interval (95%CI). RESULTS: In this study, 46.2% of the women reported sexual dysfunction. There was a decrease in the chance of sexual dysfunction for the age group between 35 and 49 years old (OR=0.3; 95%CI 0.2-0.6) and for women who felt comfortable talking about sex (OR=0.5; 95%CI 0.2-0.8). However, the presence of osteoporosis (OR=3.3; 95%CI 1.5-7.6), urinary incontinence (OR=2.0; 95%CI 1.1-3.7), and surgical corrections of the pelvic floor (OR=2.2; 95%CI 1.1-4.5) increased this chance. CONCLUSIONS: The frequency of sexual dysfunction in women aged 35 to 65 years old was 46.2% and factors such as osteoporosis, urinary incontinence and surgical corrections of the pelvic floor increased the chance of sexual dysfunction.

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Section: Discussionunclassified

Função sexual e fatores associados à disfunção sexual em mulheres no climatério

Cavalcanti¹,

Farias²,

Ithamar³

et al. 2014

Rev. Bras. Ginecol. Obstet.

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“…Osteoporosis is responsible for fragility fractures, which are associated with decreased physical and social functions [8]. Because of high costs of their treatment, osteoporotic fractures constitute a serious problem, both for the public health and health care system.…”

Section: Introductionmentioning

confidence: 99%

Knowledge about osteoporosis prevention among women screened by bone densitometry

Janiszewska

Firlej

Żołnierczuk-Kieliszek

et al. 2016

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IntroductionOsteoporosis is an illness characterized by the handicapped endurance of the bones, causing an increased risk of fracture.Aim of the studyAim of the study was to establish the level of knowledge about osteoporosis prevention among women screened by bone densitometry and to answer the question whether the level of knowledge is dependent on socio-demographic factors.Material and methodsThe research was realized by means of a survey method, a poll technique in 2014. The study involved 292 women aged 51-83. The examined women were patients undergoing bone densitometry in the healthcare centres in Lublin. The osteoporosis knowledge test (OKT, revised 2011) by Phyllis Gendler was used as a research tool. Gathered material was subject to descriptive and statistical analysis. Tukey's test, t-Student test and variance analysis (ANOVA) were all applied. A statistical significance level was set at α = 0.05.Results and conclusionsRespondents presented the basic exercise knowledge (M = 9.97) and low knowledge concerning risk factors, screening and treatment of osteoporosis (M = 7.87). The calcium knowledge remained on an average level (M = 14.03). Better educated women, city inhabitants as well as women having very good or good social and welfare conditions showed a significantly higher level of knowledge about osteoporosis prevention. Even women undergoing bone densitometry examination present insufficient knowledge about osteoporosis prevention.

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“…The GINERISK study by Palacios et al with 4157 Spanish osteoporotic postmenopausal women showed a lower score in both the specific Cervantes Scale and the generic SF-12v2 Health Survey in those with osteoporosis. Interestingly, the HRQL loss was greater in women with prior osteoporosis fractures (Palacios et al, 2014). The Australian study AusICUROS applied the EQ-5D-3L questionnaire to both sexes adults over 50 years and described a low to moderate reduction in HRQL in subjects who suffered a low-impact fracture.…”

Section: Discussionmentioning

confidence: 99%

“…As the population ages, bone fractures also remain a significant health condition that impacts a high burden of the quality of life in obese subjects (Nielson et al, 2012, Compston et al, 2014, Palacios et al, 2014). The proportion of fractures occurring in obese people is significant, considering that clinical risk factors for fracture are similar in obese and non-obese subjects, although patterns of fracture and falling may diverge (Premaor et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Low health related quality of life associated with fractures in obese postmenopausal women in Santa Maria, Brazil

et al. 2017

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Although health-related quality of life is well studied in subjects with obesity or fractures, there are few studies approaching both diseases together. The aim of this study was to evaluate the health-related quality of life (HRQL) in obese postmenopausal women with fractures. A cross-sectional study was carried out at Santa Maria, Brazil. Postmenopausal women aged 55 years or older were recruited from March 1st to August 31st, 2013. Women with cognitive impairment were excluded. The Short-Form Health Survey (SF-36) were applied (QM0 16,471). Height and weight were measured according to the World Health Organization protocol. Bone fractures (excluding hand, feet, and head) that occur after age 45 years were considered as the outcome.Of the 1057 women allocated to study, 975 had their weight and height measured. Obese women with fractures had significantly lower SF-36 physical component scores when compared with non-obese subjects with fracture, obese subjects without fractures, and non-obese non-fracture subjects. Both obesity and fractures were independently associated with a lower SF-36 physical component score in the regression model. In conclusion, fractures appear to have an adverse effect on quality of life which is more pronounced in obese postmenopausal women.

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Impact of osteoporosis and bone fracture on health-related quality of life in postmenopausal women

Abstract: The HRQoL analysis results in this study demonstrated a loss of quality of life in postmenopausal women with osteoporosis and confirmed that this loss is greater in women with prior osteoporotic fracture.

Cited by 40 publications

References 24 publications

Função sexual e fatores associados à disfunção sexual em mulheres no climatério

Função sexual e fatores associados à disfunção sexual em mulheres no climatério

Knowledge about osteoporosis prevention among women screened by bone densitometry

Low health related quality of life associated with fractures in obese postmenopausal women in Santa Maria, Brazil

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