Male osteoporosis is encountered as an important problem in clinical medicine in the recent years. Our purpose was to evaluate bone mineral density (BMD) of vertebrae (L2-L4) and femur (neck and Wards) distributed according to age groups in males who applied to physical therapy and rehabilitation and osteoporosis units. Age, height, weight of the patients were measured. Patients with diseases causing secondary osteoporosis were excluded. Lomber vertebral and femoral scores of 110 patients between ages of 22-87 were measured with Lunar DPX 6956 (DEXA). They were classified as normal, osteopenic and osteoporotic based on WHO criteria. Rate of osteopenia and osteoporosis on the basis of lomber t scores were 55.6% and 11.1% in patients between 20-29 years, 40% and 10% in patients between 30-39 years, 18.2% and 27.3% in patients between 40-49 years, 26.3% and 36.8% in patients between 50-59 years, 40.9% and 27.3% in patients 60-69 years, 33.3% and 23.3% in patients 70-79 years, 14.3% and 14.3% in patients between 80-89 years respectively. Rate of osteopenia and osteoporosis on the basis of femur t scores were 11.1% and 11.1% in patients between 20-29 years, 30% and 10% in patients between 30-39 years, 36.4% and 18.2% in patients between 40-49 years, 63.2% and 15.8% in patients between 50-59 years, 54.5% and 31.8% in patients between 60-69 years, 46.9% and 25% in patients between 70-79 years, 28.6% and 28.6% in patients between 80-89 years. As a conclusion of our study we want to draw attention to age at which a decrease in the bone mineral density of male patients starts, and we suggest that neccessary precautions must be taken.Key Words: Osteoporosis, men, bone mineral density.
Article in Turkish(Use the link for full-text in Turkish)
GIRIS
Osteoporoz, kemigin kemigin kirik riskini arttiran ve kirilgan bir yapi haline gelmesine neden olan,kemik yapisinin mikromimarisinin bozulmasi ve düsük kemik kütlesi ile karakterize sistemik bir iskelet sistemi hastaligidir (1). Erkek osteoporozu,özellikle son yillarda klinik tipta önemli bir sorun olarak görülmesine karsin, kadinlardakine oranla çok daha az ilgiye sahiptir.Tüm vertebra kompresyon kiriklarinin % 14’ü ve tüm kalça kiriklarinin %25-30’u erkeklerde görülmekte ve önemli bir oranda morbidite ve mortaliteye neden olmaktadir (2-4). Osteoporoz erkekler için ciddi bir saglik problemidir (5). Kadin osteoporozu ile ilgili pek çok çalisma olmasina ragmen,son zamanlarda erkek osteoporozu ile ilgili arastirmalara agirlik verilmeye baslanmistir (6). Çalismamizdaki amacimiz, çesitli nedenlerle Fizik Tedavi ve Rehabilitasyon (FTR) poliklinigine ve Osteoporoz ünitesine basvuran erkeklerin kemik mineral yogunlugu (KMY) degerlerini yas gruplarina göre degerlendirmekti.
MATERYAL VE METOD
Çalismaya S.B. Ankara Egitim ve Arastirma Hastanesi FTR Poliklinigi ve Osteoporoz Ünitesine basvuran, yaslari 22-87 arasinda degisen toplam 110 erkek olgu alindi.Lunar DPX 6956 (DEXA) cihazi ile olgularin lomber ve femur KMY ölçümleri yapildi.Sonuçlar Dünya Saglik Örgütü (WHO) degerlerine göre normal,osteopenik ve osteoporotik olarak siniflandirildi (7).Olgularin yas, boy, kilo, vücut kitle indeksi (VKI) degerleri kaydedildi. Sekonder osteoporoza yol açabilecek hastaligi ya da ilaç kullanimi olanlar çalisma kapsamina alinmadi.Olgularin yas gruplarina göre ortalama degerleri ve KMY degerlerine göre normal, osteopeni ve osteoporoz yüzde dagilimlari SPSS for windows paket programi kullanilarak yapildi.
