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RISK ASSESSMENT FOR FAIL IN PATIENTS WITH REDUCED BONE MINERAL DENSITY*
PROCENA RIZIKA ZA PAD KOD PACIJENTKINJA SA SMANJENOM MINERALNOM KOŠTANOM GUSTINOM

Authors

 

Nataša Igić1, Jelena Zvekić-Svorcan2
1Department of Medical Rehabilitation, Faculty of Medicine, University of Novi Sad, Serbia.
2Special Hospital for Rheumatic Diseases Novi Sad, Serbia.


 

• The paper was received on 04.05.2016. / Accepted on 12.05.2016.

 

Correspodernce to:
Jelena Zvekić-Svorcan TA MD, MSc
Department of  Medical Rehabilitation.
Faculty of Medicine Novi Sad.
University of Novi Sad, Serbia.
E mail: zvekic.svorcan@gmail.com

*Scientific work was presented on Students Congress of Medical faculty of Novi Sad, March 26, 2016.
Mentor: JelenaZvekić-Svorcan TA MD, MSc

 

 

Abstract

 

Introduction: Reduction in bone mineral density has consequences in bone fragility and increased risk for fractures.
Aim: Assessment of risk factors responsible for falls in patients with reduced bone mineral density.
Material and Methods: Using prospective cross-sectional study, from September to November 2015. inosteodenziotometric studio of Special Hospital for rheumatic diseases Novi Sad, 68 postmenopausal women aged 65 year an older were examined. Bone mineral density was measured by dual X-ray absorptiometry LUNAR device. They signed inrofmed consent for participation in the study and were interviewed about risk factors (begining and duration of menopause, time when was diagnosed and length of treatman of osteoporosis, existance, number and localization fractures), were tested by Berg’s balance scale, Timed Up and Go test and each on scale 0-100 assessed their health condition. Excluding factors: premenopausal women, bone mineral density in the reference values, other metabolic bone and musculosceletal diseases, hypotension, patients with low vision, cataract, Parkinson's disease, stroke, cognitive dissabilities, gait, balance and sensory impairment disorders, visual impairment and hearing that can´t be corrected. Statistical analysis were done in SPSS program ver. 20th.
Results: Examinees aged 72.6±5.47 years, have high degree of risk for fall to TUG test and Berg's balance scale (p<0.05). Examinees that have a high risk for to fall the TUG test (p<0.01) and the Berg balance scale (p<0.05) have a lower quality of life. Examinees who have higher number of fractures have greater risk for to fall (p<0.05) and those with T-score at the level of osteoporosis (p<0.01). Worse quality of life is associated with  number of vertebral fractures (p<0.05) and T-score at the level of osteoporosis (p<0.01).
Conclusion: Older patients with a greater number of fractures, lower bone mineral density and poor quality of life have an increased risk of falling.

 

 

Key words

fall, reduced bone mineral density

 

 

References

 

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PDF Igic N. and Zvekic-Svorcan J. et al • MD-Medical Data 2016;8(2) 077-086

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