The Distal Radial Fracture in Elderly Women and the Bone Mineral Density of the Lumbar Spine and Hip

2004 ◽  
Vol 29 (5) ◽  
pp. 473-476 ◽  
Author(s):  
J. H. HEGEMAN ◽  
J. OSKAM ◽  
J. VAN DER PALEN ◽  
H. J. TEN DUIS ◽  
P. A. M. VIERHOUT
Keyword(s):  
Bone Mineral Density ◽  
Lumbar Spine ◽  
Bone Mineral ◽  
Elderly Women ◽  
Strong Predictor ◽  
Menopausal Status ◽  
Distal Radial Fracture ◽  
Radial Fracture ◽  
Mineral Density ◽  
Distal Radial Fractures

The incidence of distal radial fractures in elderly women is high and is associated with osteoporosis and hip fracture. Osteoporosis can be detected by measuring the bone mineral density (BMD) of the lumbar spine or hip with dual energy X-ray absorptiometry. Low BMD of the lumbar spine or hip is a strong predictor for future vertebral deformities and hip fractures. At present, elderly women with a distal radial fracture are not investigated for osteoporosis on a routine basis. The BMD of the lumbar spine and hip were assessed in 94 women (mean age, 69 years) with a distal radial fracture. A low BMD was found in 85% of the patients, and osteoporosis was diagnosed in 51%. The mean BMD decreased by 0.04 SD per year and there was a significant relationship between post-menopausal status and decreased BMD of the hip. The BMD in patients treated with bisphosphonate medication increased significantly in 1 year. As more than half of the elderly women with a distal radial fracture have osteoporotic BMD values for the lumbar spine or hip, it is our opinion that such patients should be screened for osteoporosis.

scholarly journals Differences in Bone Mineral Density between Adult Vegetarians and Nonvegetarians Become Marginal when Accounting for Differences in Anthropometric Factors

2020 ◽  
Vol 150 (5) ◽  
pp. 1266-1271 ◽  
Author(s):  
Nena Karavasiloglou ◽  
Eliska Selinger ◽  
Jan Gojda ◽  
Sabine Rohrmann ◽  
Tilman Kühn
Keyword(s):  
Bone Mineral Density ◽  
Lumbar Spine ◽  
Waist Circumference ◽  
Femoral Neck ◽  
Bone Mineral ◽  
Statistical Models ◽  
Menopausal Status ◽  
Mineral Density ◽  
Significant Difference ◽  
Race Ethnicity

ABSTRACT Background Persons following plant-based diets have lower bone mineral density (BMD) and higher fracture risk, possibly due to suboptimal nutrient supply. However, anthropometric measures were not considered as potential confounders in many previous studies, and body mass index (BMI) is positively associated with BMD but also generally lower among vegans and vegetarians. Objectives Our objective was to investigate if BMD measurements differ between vegetarians and nonvegetarians from the adult general population when accounting for important determinants of BMD, especially BMI and waist circumference. Methods Using data from the NHANES (cycles 2007–2008 and 2009–2010), we evaluated the differences in BMD (femoral neck, total femoral, and total lumbar spine) between adult vegetarians and nonvegetarians. Linear regression models were used to determine the associations between BMD and diet. Statistical models were adjusted for important factors, i.e., age, sex, race/ethnicity, smoking status, alcohol consumption, serum vitamin D and calcium concentrations, waist circumference, and BMI. Results In statistical models adjusted for age, sex, race/ethnicity, menopausal status, and education level, BMD values were significantly lower among vegetarians than among nonvegetarians (P < 0.001). These differences were attenuated upon adjustment for lifestyle factors, and became statistically nonsignificant upon adjustment for anthropometric variables (BMI and waist circumference) for femoral neck (0.77 compared with 0.79 g/cm2 among vegetarians versus nonvegetarians, P = 0.10) and total femoral BMD (0.88 compared with 0.90 g/cm2, P = 0.12). A small but statistically significant difference remained for total lumbar spine BMD (1.01 compared with 1.04 g/cm2, P = 0.005). Conclusions These findings suggest that lower BMD among adult vegetarians is in larger parts explained by lower BMI and waist circumference.

scholarly journals Alcohol consumption and bone mineral density in elderly women

2012 ◽  
Vol 16 (4) ◽  
pp. 704-712 ◽  
Author(s):  
Isolde Sommer ◽  
Arja T Erkkilä ◽  
Ritva Järvinen ◽  
Jaakko Mursu ◽  
Joonas Sirola ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Lumbar Spine ◽  
Alcohol Consumption ◽  
Femoral Neck ◽  
Bone Mineral ◽  
Alcohol Intake ◽  
Elderly Women ◽  
Mineral Density ◽  
Lifestyle Questionnaire

AbstractObjectiveFindings regarding alcohol consumption and bone mineral density (BMD) in elderly women have been inconsistent. The objective of the present study was to explore the association of alcohol intake with BMD in elderly women.DesignThis cohort study included women from the population-based Kuopio Osteoporosis Risk Factor and Prevention – Fracture Prevention Study (OSTPRE-FPS). Alcohol intake and potential confounders were assessed at baseline and after 3 years of follow-up using a lifestyle questionnaire. In addition, an FFQ was distributed in the third year to measure dietary intake, including alcohol. Women underwent BMD measurements at the femoral neck and lumbar spine at baseline and after 3 years of follow-up.SettingKuopio Province, Finland.SubjectsThree hundred elderly women (mean age 67·8 years) who provided both BMD measurements and FFQ data.ResultsAlcohol consumption estimated from the FFQ and lifestyle questionnaire was significantly associated with BMD at both measurement sites after adjustment for potential confounders, including lifestyle and dietary factors (P < 0·05). Using the FFQ, women drinking >3 alcoholic drinks/week had significantly higher BMD than abstainers, 12·0 % at the femoral neck and 9·2 % at the lumbar spine. Results based on the lifestyle questionnaire showed higher BMD values for all alcohol-consuming women at the femoral neck and for women drinking 1–3 alcoholic beverages/week at the lumbar spine, compared with non-users.ConclusionsThe results from OSTPRE-FPS suggest that low to moderate alcohol intake may exert protective effects on bone health in elderly women.

Impact of degenerative spinal diseases on bone mineral density of the lumbar spine in elderly women

2004 ◽  
Vol 15 (9) ◽  
Author(s):  
Shigeyuki Muraki ◽  
Seizo Yamamoto ◽  
Hideaki Ishibashi ◽  
Toshiyuki Horiuchi ◽  
Takayuki Hosoi ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Lumbar Spine ◽  
Bone Mineral ◽  
Elderly Women ◽  
Spinal Diseases ◽  
Mineral Density

scholarly journals High Bone Mineral Density of the Lumbar Spine Is Positively Associated with Breast Cancer

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Larissa Vaz Gonçalves ◽  
Karine Anusca Martins ◽  
Jordana Carolina Marques Godinho-Mota ◽  
Raquel Machado Schincaglia ◽  
Ana Luisa Lima Sousa ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Bone Mineral Density ◽  
Lumbar Spine ◽  
Femoral Neck ◽  
Bone Mineral ◽  
Menopausal Status ◽  
Total Sample ◽  
University Hospital ◽  
High Bone Mineral Density ◽  
Mineral Density

Objective. The objective of this study was to verify possible associations between bone mineral density (BMD) and breast cancer in recently diagnosed women in the Brazilian Mid-west region, considering the menopausal status of patients. Methods. A case-control study was conducted with 142 cases of breast cancer and 234 controls matched by for age, body mass index (BMI), and menopausal status (pre- and postmenopause), performed in a university hospital in the Brazilian Mid-west. Lumbar spine (L1–L4), femoral neck, and total femur BMD were measured by the dual-energy X-ray absorptiometry (DXA) method. For association, a logistic regression analysis was used. Results. Women in the highest lumbar spine BMD quartile presented had a higher chance of developing breast cancer (OR = 2.31; 1.02–5.25; p = 0.045), after adjusting for the confounding variables. Nonetheless, there were no statistically significant differences in the association between pre- and postmenopause in that quartile and breast cancer. Conclusions. High lumbar spine BMD was positively associated with breast cancer in the total sample. In evaluating the BMD of the femoral neck and total femur, such an association was not observed.

scholarly journals Dairy Intake Is Not Associated with Improvements in Bone Mineral Density or Risk of Fractures Across the Menopause Transition

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1500-1500
Author(s):  
Taylor Wallace ◽  
Shinyoung Jun ◽  
Peishan Zou ◽  
Connie Weaver ◽  
Regan L Bailey
Keyword(s):  
Bone Mineral Density ◽  
Lumbar Spine ◽  
Femoral Neck ◽  
Bone Mineral ◽  
Loss Rate ◽  
Menopausal Status ◽  
Mineral Density ◽  
Bone Mineral Density Loss ◽  
Dairy Intake ◽  
Menopause Transition

Abstract Objectives Menopause represents a period in which bone deterioration is accelerated; thus, primary prevention strategies to address age-related bone loss are crucial. Dairy products contain more than a dozen essential nutrients, including calcium, phosphorus, vitamin D, and high-quality protein, as well as bioactive compounds that may promote bone mineralization. However, the relationship between dairy consumption and bone health across the menopause transition remains largely unknown. The purpose of this analysis was to estimate the change in lumbar spine and femoral neck bone mineral density and the risk of bone fracture by the frequency of dairy intakes among women across the menopausal transition using the publicly available data from the Study of Women's Health Across the Nation. Methods A general linear model was used to estimate the association of dairy intake with the 10-year bone mineral density loss rate and a linear mixed model was used to estimate the annualized bone mineral density loss rate of the femoral neck and lumbar spine. A Cox proportional hazard model was applied to calculate hazard ratios and 95% confidence intervals of the nontraumatic fractures. A Poisson regression model with a log link function was used to determine the relative risks and 95% confidence intervals of the nontraumatic fractures. The models were controlled for race/ethnicity, age, height, weight, smoking status, physical activity, alcohol consumption, calcium use, menopausal status, and total caloric intake. Results No significant differences in bone mineral density change were observed, regardless of baseline menopausal status. No significant differences in the risk of nontraumatic fracture were observed. Conclusions In this group of US women undergoing the menopausal transition, dairy food intake was not associated with femoral and spine bone mineral density loss nor the risk of fractures. Funding Sources National Dairy Council.

THE EFFECT OF MAGNETIC THERAPY AND ACTIVE EXERCISE ON BONE MINERAL DENSITY IN ELDERLY WOMEN WITH OSTEOPOROSIS

2012 ◽  
Vol 15 (03) ◽  
pp. 1250016 ◽  
Author(s):  
Al-Sayed A. Shanb ◽  
Enas F. Youssef ◽  
Mohamed G. El-Barkouky ◽  
Rasha M. Kamal ◽  
Ahmed M. Tawfick
Keyword(s):  
Bone Mineral Density ◽  
Lumbar Spine ◽  
Exercise Training ◽  
Bone Mineral ◽  
Elderly Women ◽  
Exercise Group ◽  
Mineral Density ◽  
Significant Difference ◽  
Electro Magnetic ◽  
Magnetic Therapy

Purpose: To evaluate the effect of pulsed electro-magnetic therapy and exercise training on bone mineral density (BMD) in elderly women with osteoporosis. Material and Methods: A total of 30 elderly women with osteoporosis aged from 60 to 70 years old were randomly divided into two groups: A magnetic group consisting of 15 women who received pulsed electro-magnetic therapy at a frequency of 33 Hz and an intensity of 50 gauss for 50 min per session and an exercise group consisting of 15 women who practiced active exercises that included treadmill walking and selected exercises for hip and back muscles for 50 min per session. Both interventions were applied for three sessions/week for three months at a physical therapy clinic. Dual-energy X-ray absorptiometry was used to measure the BMD of the neck of the femur and the lumbar spine (L3-L5) before and after intervention. Results: Statistical analysis revealed that the BMD of the neck of the femur and the lumbar spine significantly increased in the two groups without a significant difference between them. Conclusion: Pulsed electro-magnetic therapy and exercises can increase BMD at the neck of the femur and the lumbar spine in elderly women. Physical therapists could apply pulsed electro-magnetic therapy or exercise training to increase BMD in elderly women.

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