رابطه ترکیب بدنی و پوکی استخوان در زنان یائسه
محورهای موضوعی : میکروبیولوژی مواد غذاییماندانا غلامی 1 , ندا قاسم بگلو 2 , حجت الله نیک بخت 3 , فریبا اسلامیان 4
1 - استادیار دانشگاه آزاد اسلامی، واحد علوم و تحقیقات تهران، گروه تربیت بدنی و علوم ورزشی، تهران، ایران
2 - کارشناس ارشد فیزیولوژی ورزش، دانشگاه آزاد اسلامی، واحد علوم و تحقیقات تهران، ایران
3 - دانشیار دانشگاه آزاد اسلامی، واحد علوم تحقیقات تهران، ایران
4 - دانشیار دانشگاه علوم پزشکی تبریز، متخصص طب فیزیکی و توانبخشی، مرکز تحقیقات طب فیزیکی و توانبخشی
کلید واژه: پوکی استخوان, تراکم استخوانی, ترکیب بدنی, زنان,
چکیده مقاله :
مقدمه: پوکی استخوان یک بیماری سیستم اسکلتی است که با کاهش تراکم توده استخوانی مشخص می شود. نتیجه عمده این بیماری شکستگی های استخوان در نواحی تحمل کننده وزن بدن مانند مهره ها، ران و حتی مفاصلی است که وزنی را تحمل نمی کنند مثل مچ دست. هدف از این مطالعه توصیف رابطه ترکیب بدنی با پوکی استخوان در زنان یائسه بود. مواد و روش‌ها: این مطالعه مقطعی شامل 50 زن یائسه مبتلا به پوکی استخوان در سنین 65-45 سال از بیمارستان سینا در تبریز انتخاب شدند. جرم بدن، جرم چربی بدن، جرم بدون چربی بدن، و تراکم استخوانی فقرات و ران اندازه گیری شد. ارزیابی ضخامت چین پوستی با استفاده از کالیپر ارزیابی شد. تراکم استخوان با استفاده از روشDEXA در ناحیه ستون مهره ها و سر استخوان ران انجام گرفت.برای بررسی رابطه بین اجزاء ترکیب بدنی با تراکم استخوانی فقرات و ران از مدل رگرسیون چندگانه استفاده شد. یافته ها: از اجزاء ترکیب بدنی فقط جرم بدون چربی با تراکم استخوانی گردن ران (0.05>P و0.271=R2) و فقرات (0.05>P و 0.088=R2) رابطه معنی دار داشت. نتیجه‌گیری: یافته‌های ما نشان می دهد که از بین عوامل ترکیب بدنی؛ جرم بدون چربی، یکی از پیش‌بینی کننده‌های قدرتمند پوکی استخوان می باشد. با استفاده از این مدل، می توان زنان در معرض خطر استئوپروز را شناسایی کرد، بنابراین اقدامات پیشگیری و درمانی هم زودتر مقدور است؛ هم چنین می توان از صرف هزینه های اضافی تشخیصی برای افرادی که در معرض خطر نیستند جلوگیری به عمل آورد.
Introduction: Osteoporosis is a skeletal system disease that is characterized by the low bone mass. The major consequence of this disease is bone fractures that occur more in weightbearing areas such as vertebrae, femur and even non weight-bearing joints such as wrist. The purpose of this study was to describe the relationship of body composition and osteoporosis in postmenopausal women.Materials and Methods: This cross-sectional study involved 50 postmenopausal women with osteoporosis, aged between 45 and 65 years who were recruited from Sina hospital in Tabriz. Body mass, fat mass, lean body mass, and bone mineral density at the spine and femoral neck were measured. Skinfold thickness was determined by caliper. Bone mineral density was measured by DEXA at the spine and femoral neck. Association between parameters of body composition and bone mineral density analyzed using a multiple regression analysis.Results: The body composition parameters indicated that only lean body mass had a significant relationship with osteoporosis in the femoral neck (R2 =0.271, P<0.05) and in the lumbar spine (R2=0.088, P<0.05).Conclusion: Our data indicated that from the body composition parameters, lean body mass is a powerful predictor of osteoporosis. Using this model, females at risk of osteoporosis can be identified; therefore early prevention and treatment are possible. This can also prevent unnecessary expenses of diagnostic procedures for people without the risks of osteoporosis.
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