Risk Factors for Low Bone Mineral Density Determined in Patients in a General Practice Setting.

Published on Oct 1, 2019in Acta Medica Okayama0.642
· DOI :10.18926/AMO/57370
Akemi Ando2
Estimated H-index: 2
(Okayama University),
Toshiharu Mitsuhashi11
Estimated H-index: 11
(Okayama University)
+ 5 AuthorsFumio Otsuka3
Estimated H-index: 3
(Okayama University)
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Abstract
Osteoporosis increases the risk of bone fractures. It is diagnosed based on an individual's bone mineral density (BMD) or a fracture without trauma. BMD is usually measured by the dual energy X-ray absorptiometry (DXA) method. Here we investigated factors for the earliest possible prediction of decreased BMD by examining the relationships between patients' BMD values and changes in the patients' physical and laboratory values. We retrospectively reviewed the medical records of 149 patients who visited our department in 2014-2015 for a variety of reasons and underwent an area BMD examination by DXA. We analyzed the relationships between decreasing BMD and the patients' gender, age, body mass index (BMI), medical background, hemoglobin, electrolytes, and thyroid function. Thirty-nine of the patients were diagnosed with osteoporosis based on their T-scores. An adjusted analysis showed that female gender, aging, and increased serum calcium level were significantly related to decreasing femoral BMD, whereas high BMI was associated with an increase in femoral BMD. Collectively the results indicate that for the early detection of low BMD, it is important for general-practice physicians to consider conducting a BMD checkup when treating female and elderly patients with a low BMI and/or elevated serum calcium level.
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#1Ryosuke Kawai (Asahi University)H-Index: 3
#2Itaru Kawashima (Nagoya University)H-Index: 1
Last. Takashi Tsukahara (Asahi University)H-Index: 2
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Abstract Objective Closing-wedge high tibial osteotomy (CWHTO) for medial osteoarthritis of the knee is one of the effective osteotomy methods, especially for patients with cartilage damage of the patellofemoral joint, flexion contracture, and requiring a large correction angle.While the bone union at the osteotomy site is finally obtained after CWHTO, there are often differences in the period of the bone union. The purpose of the present study is to investigate the factors affecting the timing ...
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