Publication: Osteoporotik ve osteopenik hastalarda depresyon ve yaşam tarzı ile ilişkisi
Abstract
Bu çalışmada osteoporotik ve osteopenik hastalarda depresyon sıklığını araştırmak ve bu durumun yaşam tarzı, alışkanlıkları ve eğitim düzeyi ile ilişkisini belirlemek amaçlanmıştır. Bu retrospektif çalışmaya 61 osteoporotik veya osteopenik postmenopozal kadın dahil edildi. Kişilerin yaşam tarzları, risk faktörleri, sırt ağrısı ve depresyon düzeyleri yaşam tarzı sorgulama formu, Görsel Analog Skala (GAS) ve Beck Depresyon Ölçeği (BDO) ile değerlendirildi. Kadınlar WHO kriterlerine göre osteopenik ve osteoporotik olmak üzere iki gruba ayrıldılar. Kadınların yaş ortalaması 61,7±5,2 ve ortalama menopoz süreleri 18,9±9,7 yıl idi. Kemik yoğunluk ölçümüne göre kadınların %46'sı oseoporotik iken geri kalanı osteopenik idi. Yaşam tarzı sorgulama formu sonucuna göre kadınların %73,8'i ev hanımı, %45,9'u ilkokul mezunu olup, %14,8'inin düzenli egzersiz yap-makta olduğu görüldü. Ortalama GAS skoru 5,4±2,01 cm olup, ortalama BDO skoru ise 17,2±9,8 idi. BDÖ'e göre kişilerin, %30,8'inin depresif, %7,7'sinin ise ağır depresif olduğu görüldü. BDO skoru ile eğitim durumu (r=-0,300, p=0,031)ve egzersiz öyküsü (r=-0,285, p=0,041) arasında negatif bir korelasyon saptandı. Bunun yanı sıra, egzersiz öyküsü ile eğitim durumu (r=0,340, p=0,007) ve Hormon Replasman Tedavisi (HRT) kullanma öyküsü arasında (r=0,430 p=0,001) pozitif korelasyon olduğu bulundu. Sonuç olarak, osteoporotik ve osteopenik hastalarda depresyon sık görülen bir klinik durum olup hastaların tedavi ve takiplerinde göz önünde bulundurulmalı ve bu hastalarda eğitim, giyinme, HRT kullanma öyküsü, egzersiz gibi yaşam tarzı özelliklerinin de birbirleriyle ve depresyon ile ilişkisi bulunabileceği dikkate alınmalıdır.
The aims of this study were to investigate the frequency of depression in osteoporotic and osteopenic women and to determine the relationship between depression and lifestyle, level of education and some risk factors of osteoporosis. Sixty-one osteopenic or osteoporotic postmenopausal women were included in this retrospective study. Patients' lifestyle, risk factors, pain and depression levels were evaluated by means of lifestyle questionnaire, Visual Analog Scale (VAS) and Beck Depression Inventory (BDI), respectively. The women were divided into two groups as osteopenic and osteoporotic according to VVHO criteria. The mean age and menopause duration of the subjects were 61.7±5.2 and 18.9±9.7 years, respectively. Fourty-six percent of wo-men were found to be osteoporotic and the remainig were osteopenic according to the bone density measurement. As the results of lifestyle questionnaire, 73.8% of the patients were housewife, 45.9% graduated from primary school, and 14.8% were exercising regularly. The mean VAS and BDI scores were 5.4±2.01 cm and 17.2±9.8, respectively. According to BDI scores, 30.8% of women had moderate, and 7.7% had severe depression. There were negative correlations between BDI score and education level (p= -0.300, p= 0.031 ), as well as BDI and history of exercise (r=-0.285, p=0.041). However, positive correlations were found between exercise and level of education (r=0.340 p=0.007), and Hormone Replacement Therapy (HRT) (r=0.430 p=0.001). In conclusion, depression being commonly seen in osteoporotic and osteopenic patients should be taken into account in the treatment and follow-up of patients. In these patients it should be taken into consideration that lifestyle properties like education, dressing, HRT usage, and exercise could have a relation with depression and with each other.
The aims of this study were to investigate the frequency of depression in osteoporotic and osteopenic women and to determine the relationship between depression and lifestyle, level of education and some risk factors of osteoporosis. Sixty-one osteopenic or osteoporotic postmenopausal women were included in this retrospective study. Patients' lifestyle, risk factors, pain and depression levels were evaluated by means of lifestyle questionnaire, Visual Analog Scale (VAS) and Beck Depression Inventory (BDI), respectively. The women were divided into two groups as osteopenic and osteoporotic according to VVHO criteria. The mean age and menopause duration of the subjects were 61.7±5.2 and 18.9±9.7 years, respectively. Fourty-six percent of wo-men were found to be osteoporotic and the remainig were osteopenic according to the bone density measurement. As the results of lifestyle questionnaire, 73.8% of the patients were housewife, 45.9% graduated from primary school, and 14.8% were exercising regularly. The mean VAS and BDI scores were 5.4±2.01 cm and 17.2±9.8, respectively. According to BDI scores, 30.8% of women had moderate, and 7.7% had severe depression. There were negative correlations between BDI score and education level (p= -0.300, p= 0.031 ), as well as BDI and history of exercise (r=-0.285, p=0.041). However, positive correlations were found between exercise and level of education (r=0.340 p=0.007), and Hormone Replacement Therapy (HRT) (r=0.430 p=0.001). In conclusion, depression being commonly seen in osteoporotic and osteopenic patients should be taken into account in the treatment and follow-up of patients. In these patients it should be taken into consideration that lifestyle properties like education, dressing, HRT usage, and exercise could have a relation with depression and with each other.