Evaluation Of Gynecological Risk Factors In Osteoporosis

OBJECTIVE: To evaluate gynecological risk factors in patients with and without osteoporosis who are older than 50 years of age.
METHODS: One hundred and twenty seven patients with postmenopausal-senile osteoporosis and 53 non-osteoporotic volunteers were included. The subjects were examined in terms of age, body mass index (BMI), risk factors like age at menarche, age at menopause, number of births, numbers of miscarriage and curettage, and history of breast-feeding,
RESULTS: The mean age was statistically higher and the mean BMI level was statistically lower in patients (p<0,05). The mean menopause age was significantly lower, and the breast-feeding period equal or more than 12 months was significantly higher in patients (p<0,05). The mean age at menopause in the patient group was significantly lower (p<0,05). However, there was no difference between the patient and the control groups in terms of age at menarche, number of births, numbers of miscarriage and curettage (p>0,05). Hundred out of 117 patients (85.5%) breastfed equal or more than 12 months; 34 out of 51 volunteers (66.7%) breastfed equal or more than 12 months. This difference was found to be significant (p<0.05).
CONCLUSION: Finding the gynecological risk factors leading to osteoporosis, taking necessary precautions, and increasing the consciousness can decrease the morbidity and mortality ratios of fractures.

Osteoporozda Jinekolojik Risk Faktörlerinin Deðerlendirilmesi

AMAÇ: Bu çalýþmada 50 yaþ üzeri osteoporozu olan ve olmayan olgularda osteoporoz için jinekolojik risk faktörlerini deðerlendirmek amaçlanmýþtýr.
YÖNTEMLER: Çalýþmaya postmenopozal-senil osteoporoz tanýsý alan 127 hasta ve 53 osteoporozu olmayan gönüllü alýndý. Katýlýmcýlar yaþ, vücut kitle indeksi (VKÝ), menarþ yaþý, menopoz yaþý, doðum sayýsý, düþük-küretaj sayýsý, emzirme hikayesi gibi jinekolojik risk faktörleri açýsýndan sorgulandý.
BULGULAR: Hastalarýn yaþ ortalamasý kontrollere göre daha yüksek, VKÝ deðerleri daha düþüktü (p<0,05). Menopoza girme yaþý hastalarda daha düþük, 12 ay ve üzeri emzirme oraný ise daha yüksekti (p<0,05). Hasta grubunun menapoz yaþ ortalamasý kontrol grubundan anlamlý olarak düþük bulundu (p<0,05). Bununla birlikte hasta ve kontrol gruplarý arasýnda menarþ yaþý, doðum sayýsý, düþük-küretaj sayýlarý açýsýndan anlamlý bir fark saptanmadý (p>0,05). Hasta grubunda emziren 117 katýlýmcýnýn 100’ü (%85.5), kontrol grubunda emziren 51 katýlýmcýnýn ise 34’ü (%66.7) 12 ay ve üzeri sürede emzirmiþti, istatistiksel olarak bu fark anlamlý bulundu (p<0,05).
SONUÇ: Osteoporoz için jinekolojik risk faktörlerinin belirlenmesi, gerekli önlemlerin alýnmasý ve bu konudaki bilincin artýrýlmasý ile osteoporoz nedeniyle oluþabilecek kýrýklardan doðan mortalite ve morbidite oranlarý azaltýlabilir.