Self-managing osteoporosis treatment for well-being recovery mediated by the (in)visibility of the disease signs

Souza, Luciana Bronzi de; Mazeto, Gláucia Maria Ferreira da Silva; Bocchi, Sílvia Cristina Mangini

doi:10.1590/s0104-11692010000300015

Cited by 3 publications

(1 citation statement)

References 14 publications

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“…However, long-term compliance to this kind of treatment is low, as patients are usually asymptomatic. 14 Since PA has been related to increased BMD, 15 osteoporosis treatment should involve lifestyle changes, including regular PA, which is associated with better health and a reduced rate of falls, particularly among the elderly. 6 In this study, the level of PA was assessed by IPAQ in the osteoporosis and osteopenia groups, which were then compared with the NBD group.…”

Section: Discussionmentioning

confidence: 99%

Physical Activity Level of Post-menopausal Women with Low Bone Mineral Density

Dallanezi¹,

Freire

Nahás

et al. 2016

Rev Bras Ginecol Obstet

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Introduction Proper physical activity is related to the prevention and the treatment of osteoporosis. Purpose To assess the level of physical activity (PA) in post-menopausal women with low bone mineral density (BMD). Methods This cross-sectional clinical study included 123 post-menopausal women. The inclusion criteria were: age of ≥ 45 years with last menses at least 12 months prior to the initiation of the study, and bone density scan (BDS) values measured over the preceding 12 months. Women with severe osteoarthritis were excluded. Women were allocated into three groups, according to BMD measured by BDS [osteoporosis (OP; 54 women), osteopenia (35 women), and normal bone density (NBD; 35 women)], and compared for general, clinical, and anthropometric data, and for PA level. The latter was assessed using the International Physical Activity Questionnaire (IPAQ), in metabolic equivalent of task (MET) units. Participants were classified as sedentary, active or very active. Quantitative variables were compared using ANOVA followed by Tukey's test. Associations between qualitative variables were tested by Chi-square (χ2) or Fisher's exact test. In order to check for differences among groups and IPAQ domains, a generalized linear model with Gamma distribution was adjusted for values in METs. Results The OP group differed from the NBD group regarding age (61.8 ± 10.1 and 52.9 ± 5.4 years), percentage of participants with self-declared white ethnicity (43.9 and 28.0%), body mass index (BMI - 25.7 ± 5.4 and 30.9 ± 5.1 kg/m(2)), and time since menopause (15.5 ± 7.5 and 5.8 ± 4.5 years). Smoking rates were higher in the OP (55.6%) and NBD groups (33.3%) than in the osteopenia group (11.1%). Within the OP group, the rate of subjects with sedentary lifestyles was higher (42.6%), and time spent sitting was greater (344.3 ± 204.8 METs) than in the groups with osteopenia (20.0% and 300.9 ± 230.6 METs) and NBD (17.7% and 303.2 ± 187.9 METs). Conclusions The rate of sedentary lifestyles was higher in post-menopausal women with OP than in those with either osteopenia or NBD. In order to change this physical inactivity profile, strategies should be created to address this group of patients.

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Section: Discussionmentioning

confidence: 99%

Physical Activity Level of Post-menopausal Women with Low Bone Mineral Density

Dallanezi¹,

Freire

Nahás

et al. 2016

Rev Bras Ginecol Obstet

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Understanding osteoporosis and fractures: an introduction to the use of qualitative research

Hoang‐Kim

Schemitsch

Sale

et al. 2013

Arch Orthop Trauma Surg

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We have highlighted how these strategies are implemented in qualitative research on osteoporosis and fractures and are anchored to specific methodological practices. We focus on studies that explore patient psychosocial experiences of diagnosis and treatment, cultural boundaries, and interprofessional communication. After reviewing the research, we believe that action research, that is not frequently used, could also effectively be used by many professions to improve programs and policies affecting those dealing with osteoporosis issues.

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A qualitative systematic review of patients’ experience of osteoporosis using meta-ethnography

2016

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SummaryWe aimed to systematically review qualitative studies exploring the experience of living with osteoporosis to develop new conceptual understanding. We identified themes about the invisibility/visibility of osteoporosis, the experience of uncertainty of living with osteoporosis (OP) and living with an ageing body and the place of gender.PurposeThe aim of this review was to systematically review the body of qualitative studies exploring the experience of living with either osteoporosis or osteopenia and to use meta-ethnography to develop new conceptual understanding.MethodsWe systematically reviewed and integrated the findings of qualitative research from four bibliographic databases (Medline, Embase, Cinahl, Psychinfo) to September 2015 in order to increase our conceptual understanding of the lived experience of osteoporosis and osteopenia. Articles were appraised for quality; each was independently read by two researchers to identify concepts which were compared and developed into a conceptual model.ResultsOur findings demonstrate that coming to terms with a diagnosis of osteoporosis is linked to its relative visibility or invisibility. For some, OP has not become manifest and self-identity is intact (biographical integrity). For others, OP is profoundly manifest and self-identity is no long intact (biographical fracture). We also demonstrate that overwhelming uncertainty pervades the experience of OP. Our final theme demonstrates how the experience of OP is set within a cultural context with certain views about ageing and gender.ConclusionsOur synthesis has highlighted the wealth of qualitative data about osteoporosis and osteopenia. Despite the increasing body of literature on the subject, there remains a need to adjust our interactions with patients. This will allow clinicians to understand how patients can be helped to receive and understand their diagnosis and move forward in partnership with healthcare providers to promote optimal management of the disease.

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Self-managing osteoporosis treatment for well-being recovery mediated by the (in)visibility of the disease signs

Cited by 3 publications

References 14 publications

Physical Activity Level of Post-menopausal Women with Low Bone Mineral Density

Physical Activity Level of Post-menopausal Women with Low Bone Mineral Density

Understanding osteoporosis and fractures: an introduction to the use of qualitative research

A qualitative systematic review of patients’ experience of osteoporosis using meta-ethnography

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