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    Evaluation of Quality of Life in Postmenopausal Women with and without Osteoporosis using the QUALEFFO-41 Scale
    (Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2014) Pamuk, Gulseren; Kutlu, Ruhusen; Civi, Selma
    Objective: Osteoporosis (OP) is a disease of bones that leads increasing risk of the bone fracture, decreasing of mineral density (BMD) and deterioration of bone microarchitecture. In this study, it is aimed to assess the quality of life by using QUALEFFO-41 scale in postmenopaused women with and without osteoporosis. Material and Methods: This cross-sectional analytic survey was conducted on 280 postmenopaused women. BMD of the patients was diagnosed and osteoporosis-specific quality of life criteria (QUALEFFO-41) was used to determine the quality of life. Results: In our study, the mean age of the participants was 56.9 +/- 8.3. Of the participants, 38 (13.6%) were osteoporotic, 156 (55.7%) were osteopenic, 86 (30.7%) were normal. While the age and menopause duration increased, osteoporosis frequency increased (p<0.001), but while body mass index (BMI) increased, osteoporosis frequency decreased (p<0.001). When their activities increased, osteoporosis frequency decreased (p=0.006) and osteoporosis frequency was higher in having previous fracture history (p=0.015). When the women's quality of life compared with the results of DXA, a negative, moderate significant relationship was found. The quality of life was decreasing in the individuals having older age and lower education level. Quality of life of was higher in workers, individuals having high income level, having exercise and high activities (p<0.001). Conclusion: While OP was higher with aging, menopause duration, having previous fracture history; OP was lower for high activitiy and for high BMI. While the quality of life was higher in workers, individuals having high income, having exercise regularly; the quality of life was lower in aging, OP and lower educational level.
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    Frequency of Osteoporosis and Calculation of 10-Years Fracture Probability by Using FRAX™ Tool in Postmenopausal Women
    (Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2012) Kutlu, Ruhusen; Civi, Selma; Pamuk, Gulseren
    Objective: This study was designed to assess the frequency of osteoporosis and 10-years fracture probability in postmenopausal women by using the WHO fracture risk assessment tool (FRAX (TM)). Materials and Methods: Our study group consisted of 254 postmenopausal women who attended to the family outpatient clinic. Bone mineral density (BMD) was measured by dual-energy X-ray absorptiometry (DXA). 10-years fracture probability was assessed using the WHO fracture risk assessment tool (FRAX (TM)) with or without the measurement of BMD, separately. Results: The mean age of the participants was 56.82+/-7.79 (min=36, max=78) years, 81.9% of subjects (n=208) were housewives, 57.5% (n=146) were obese and 19.3% (n= 46) were smokers. The prevalence of osteoporosis and osteopenia was 14.9% and 39.2%, respectively. When we investigated T-score of L1-L4, we found that 38.2% (n=97) were between -1 and -2.5 (osteopenia), 21.3% (n=54) were below -2.5 (osteoporosis) and 40.6% (n=103) were -1 and over (normal). Femur DXA measurements showed that 17.38% (n=44) of the participants were osteoporotic and 45.7% (n=116) were osteopenic. In trochanter, 6.3% (n=16) was osteoporotic and 33.5% (n=85) was osteopenic. For a major osteoporotic fracture, the probability ranged from 0.5% to 12.0% and from 0.1% to 7.1% with or without the measurement of BMD, respectively. For hip fracture, the probability ranged from 0.0% to 10.0% and from 0.0% to 5.6% with or without the measurement of BMD, respectively. Conclusion: Early detection of osteoporosis and prediction of fracture risk among postmenopausal women is very important for clinical practice both in terms of preventing the undesirable health effects and decreasing substantial morbidity, mortality, and medical costs caused by osteoporosis. Turk J Phys Med Rehab 2012;58:126-35.