scholarly journals ASSESSMENT OF MUSCULOSKELETAL CHANGES IN MENOPAUSE– A CROSS SECTIONAL STUDY

Author(s):  
Doley Lakhiprova ◽  
Sarma Tikendrajit ◽  
Baishya Pranabjyoti

Menopause is associated with a natural decline in estrogen, progesterone and testosterone. These leads to certain health concern signs and symptoms like vasomotor symptoms, urogenital atrophy, cardiovascular diseases, psychological changes, decrease bone mass density leading to osteoporosis and fracture, diminished of muscle mass and strength. In Ayurveda, Rajanivritti is the word found in relation with menopause. In female, ageing influences Rajanivritti where Dhatuksyaya has observed. There is limitation of presence of sign and symptoms of Rajanivritti, except the age which is mentioned as 50 years. Increased of Vata dosa, imbalance in Pitta and Kapha with subsequence Anulumakkshyay are observed in ageing, leading to abnormalities in all Dhatus specially Mamsa and Asthidhatu. In this work muscle strength, joint movement, bone mass density (BMD) has observed in 60 menopause women, where significant alteration noted in muscle strength of upper extremities and bone mass density (BMD) shows osteopenia.

2020 ◽  
Vol 11 (4) ◽  
pp. 224
Author(s):  
MohitKishore Srivastava ◽  
Neetu Singh ◽  
Dileep Kumar ◽  
Ganesh Yadav ◽  
SudhirRamkishore Mishra ◽  
...  

2017 ◽  
Vol 33 (6) ◽  
pp. 267
Author(s):  
Widya Asih Lestari ◽  
Diah Mulyawati Utari

Dominant factors of hypercholesterolemia among pre-elderly in working area of Rangkapanjaya public health center in DepokPurposeThis study aimed to analyze the dominant factors of hypercholesterolemia among 45-59 years old elderly persons.MethodA cross-sectional study was conducted, involving 160 elderlies aged 45-49 years old in Rangkapanjaya. The data collection used Accutrend GC, BoneScan QUS, questionnaires, food recall, and Food Frequency Questionnaire. The data analysis used chi-square and logistic regression tests.ResultsThe factors most influencing hypercholesterolemia were vegetable intake frequency, body mass index, physical activity and bone mass density.ConclusionPeople with low total bone mass density have higher risk of getting hypercholesterolemia.


2014 ◽  
Vol 95 (2) ◽  
pp. 141-152 ◽  
Author(s):  
Niels Frederik Breum Jakobsen ◽  
Lars Rolighed ◽  
Emil Moser ◽  
Peter H. Nissen ◽  
Leif Mosekilde ◽  
...  

2019 ◽  
Vol 13 (2) ◽  
pp. 72-77
Author(s):  
Maral F Thabit

Background: Anaemia is a major public health concern and is one of the most prevalent health issue in women within reproductive age group. Objective: to assess maternal knowledge related to anaemia during pregnancy. Type of the study: A cross –sectional study. Method: The study including 200 mothers who attended selected primary health care centres, Baghdad during November and December 2015, they completed a previously prepared questionnaire coveringsocio-demographic characteristics and knowledge regarding anaemia in 4 main domains. The responses were analysed by using frequency, percentage and percent score for each statement and overall percent score for each domain and mean overallpercent score for all the four domains. Results: the main source of information of the participated mothers was health personal (59.5%).The overall percent score for the main domains was good 71% for aetiology of disease, excellent 91% for signs and symptoms of anaemia, good 75% for complications of anaemia and very good 75% regarding ways of prevention and treatment. Conclusion: Satisfactory knowledge level of mothers regarding anaemia during pregnancy.


2017 ◽  
Vol 3 (4) ◽  
pp. 200
Author(s):  
Nadia Ayu Mulansari ◽  
Nanang Sukmana ◽  
Bambang Setyohadi ◽  
Siti Setiati

Pendahuluan. Tingginya angka kejadian HIV/AIDS pada usia muda yang mencapai 50% dari total kasus HIV/AIDS di Indonesia menjadi permasalahan yang serius, khususnya terkait kualitas hidup pasien. Selain infeksi oportunistik, keadaan osteopenia dan juga osteoporosis sering ditemukan pada pasien dengan HIV/AIDS. Namun demikian, penelitian mengenai gambaran massa tulang pada pasien HIV/AIDS di Indonesia sampai saat ini belum didapatkan.Metode. Studi potong lintang dilakukan pada pasien dewasa dengan infeksi HIV naif antiretroviral di Rumah Sakit dr. Cipto Mangunkusumo (RSCM) Jakarta pada Februari-Mei 2008. Pemeriksaan bone mineral density (BMD) dilakukan dengan menggunakan DXA scanning. Hasil. Berdasarkan pemeriksaan BMD didapatkan sebanyak 29,3% subjek ostopenia, 1,3% osteoporosis dan sisanya normal. Osteopenia/osteoporosis didapatkan lebih besar pada subjek yang mengonsumsi alkohol, merokok, hitung limfosit CD4+ <200 sel/mm3 dan IMT<18,5 dengan proporsi masing-masing secara berturut-turut yaitu 53,6%; 36,9%; 35,5%; dan 37,6%. Lama infeksi HIV pada penelitian ini tidak menunjukkan hasil yang berbeda.Simpulan. Didapatkan keadaan osteopenia dan osteoporosis pada pasien dengan HIV/AIDS. Pada pasien HIV/AIDS dengan riwayat merokok, konsumsi alkohol, hitung limfosit CD4+ <200 sel/mm3 dam IMT rendah, didapatkan angka osteopenia/osteoporosis yang lebih tinggi.Kata kunci: HIV, naif antiretroviral, osteopenia/osteoporosis Bone Mass Density in HIV/AIDS PatientsIntroduction. Indonesia has a high incidence of young HIV-positive population which is 20-29 years of age is in the highest group (50%). For this reason, it is important to make a better quality of life for them. Unfortunately, beside all the opportunistic infection, it was proved that osteopenia/osteoporosis has become a new emerging metabolic condition for HIV-infected patients. There is still no study about the description of bone mass density in HIV/AIDS patients in Indonesia. Methods. A cross sectional study was conducted in a total of 75 HIV-seropositive antiretroviral-naïve patients. Bone mineral density (BMD) was determined by dual energy X-ray absorptiometry in lumbar spine. Results. Seventy-five subjects had been recruited. Low BMD was found in 29.3% HIV-seropositive patients with osteopenia and 1,3% with osteoporosis. There was a higher number of osteopenia/osteoporosis in subjects who consume alcohol, smoking, lymphocyte CD4 <200 cells/mm3 and low body mass index (BMI). Duration of infection did not show any differences in both HIV with osteopenia/osteoporosis and subjects with normal bone condition. Conclusions. Osteopenia and osteoporosis were found in patients with HIV/AIDS in RSCM with lower bone density in subjects who consumed alcohol, smoke, lymphocyte CD4 <200 cells/mm3 and low BMI. Keywords: HIV, antiretroviral naïve, osteopenia/osteoporosis 


2011 ◽  
pp. 53-62
Author(s):  
Thi Quynh Huong Tran ◽  
Thi Le Nguyen ◽  
Dinh Hung Vu

Background: Osteoporosis is a serious and costly public health problem. This is a disease of bone system characterized by low bone mass density, damaged and changed bone tissue structure, gradual decrease of bone tolerance and increased bone fracture risk. Osteoporosis usually occurs in elderly people, especially women during the premenopausal and postmenopausal. But osteoporosis is a preventable disease because of the risky factors of diseases caused by lifestyle and diet, these factors can be controlled by each individuals. Aims: The aims of this research are (1) to estimate the osteoporosis rate in 50-year-old women to recommend educational measures and to help them detect early osteoporosis; (2) to find out currently the relations among osteoporosis and other risky factors, (3) to evaluate their knowledge in osteoporosis prevention. It is one of important steps in propaganda prevention. Methods: Cross sectional study in 1096 over 50-year-old women was measured bone density by Quantitative Computed tomography the lumbar spine in Thong Nhat hospital - Dong Nai province. Osteoporosis is defined according to WHO standards (1994). Results: Overall rate of osteoporosis in the study is 61.4%, the rate of bone loss increases with age. Some factors: old age, menopause, underweight, overweight or obesity; less physical exercise; the women gave births more than 3 times ; drinking coffee > 3 times a day; other chronic digestive diseases, diabetes, rheumatoid arthritis, long time corticoid therapy. They are the risky factors relating to osteoporosis. The osteoporosis knowledge in over 50-year-old women in the research is very low (7.9%). Key words: osteoporosis, bone mineral density, Quantitative Computed Tomography (QCT), risky factor.


2019 ◽  
Vol 27 (1) ◽  
pp. 39-45
Author(s):  
Tadeusz Fiłon ◽  
Łukasz Rogowski ◽  
Mariusz Kusztal ◽  
Katarzyna Bulińska ◽  
Weronika Pawlaczyk ◽  
...  

2021 ◽  
Vol 24 (8) ◽  
pp. 599-606
Author(s):  
Saeid Amirkhanlou ◽  
Gholamreza Roshandel ◽  
Mehrdad Aghaei ◽  
Hossein Mohebi ◽  
Sahab-Sadat Tabatabei ◽  
...  

Background: End-stage renal disease (ESRD) is a condition in which bone turnover and metabolism is impaired; thus, osteoporosis and low bone density are subsequently inevitable. We aimed to determine bone mineral density (BMD) and biochemical markers, and associated factors in hemodialysis (HD) patients. Methods: Patients aged 30-70 years undergoing HD between 2015 to 2019 were enrolled in this cross-sectional study. BMD measured by dual energy x-ray absorptiometry (DEXA) and biochemical laboratory tests were assessed in 200 patients undergoing HD. Statistical analysis was based on t test, Pearson, regression and Mann-Whitney tests using SPSS 16. Results: Two hundred patients were investigated. Sixty percent of the patients were female. Mean ± SD of participants’ age was 58.6 (±11.63) years and mean ± SD for duration of HD was 45.69 (± 43.76) months. Osteoporosis was found in 48% (n=96) and low bone density in 36% (n=76) of our patients. General osteoporosis was more frequent in those undergoing HD for more than 3 years, although not significantly (P=0.093, odds ratio [OR]=0.37). However, regional osteoporosis in hip and femoral neck, but not spine vertebrae, were significantly higher after three years of HD (P=0.036, OR=0.27; P=0.042, OR=0.27; and P=0.344, OR=0.56, respectively). Increased body mass index (BMI) correlated negatively with osteoporosis (P=0.050). Conclusion: With increasing age and duration of HD, BMD decreases. Higher BMI was associated with higher bone mass density. Bone density assessment seems to be necessary in patients undergoing HD.


Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 109
Author(s):  
Alberto Forte ◽  
Giuseppe Sarli ◽  
Lorenzo Polidori ◽  
David Lester ◽  
Maurizio Pompili

Background and objectives: Suicide in adolescents represents a major public health concern. To date, a growing number of suicide preventive strategies based on the use of new technologies are emerging. We aimed to provide an overview of the present literature on the use of new technologies in adolescent suicide prevention. Materials and methods: An electronic search was run using the following keywords: Technology OR Technologies OR APP OR Application OR mobile application) AND (Adolescent OR youth OR puberty) AND (Suicid* OR Self-harm OR self-destruction). Inclusion criteria were: English language, published in a peer-reviewed journal, suicide prevention with the use of new technologies among adolescents. Results: Our search strategy yielded a total of 12 studies on the use of telemedicine, 7 on mobile applications, and 3 on language detection. We also found heterogeneity regarding the study design: 3 are randomized controlled trials (RCT), 13 are open-label single group trials, 2 are randomized studies, and 1 is a cross-sectional study. Telemedicine was the most adopted tool, especially web-based approaches. Mobile applications mostly focused on screening of depressive symptoms and suicidal ideation, and for clinical monitoring through the use of text messages. Although telepsychiatry and mobile applications can provide a fast and safe tool, supporting and preceding a face-to-face clinical assessment, only a few studies demonstrated efficacy in preventing suicide among adolescents through the use of these interventions. Some studies suggested algorithms able to recognize people at risk of suicide from the exploration of the language on social media posts. Conclusions: New technologies were found to be well accepted and tolerated supports for suicide prevention in adolescents. However, to date, few data support the use of such interventions in clinical practice and preventive strategies. Further studies are needed to test their efficacy in suicide prevention among adolescents and young adults.


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