The Effect of Nutritional Habits on Bone Minerals Density in Women with Postmenaposal Osteoporosis

Main Article Content

Gökhan Doğukan Akarsu
Özlem Şahan
Rukiye Höbek Akarsu
Eylem Yalman

Keywords

Bone Mineral Density, Osteoporosis, Biochemistry, Anatomy, Nursing

Abstract

Study Objectives: It was stated that the effect of dietary habits is of great importance in the prevention, pathogenesis, and treatment of osteoporosis. This descriptive and cross-sectional study was conducted to determine the effect of nutritional habits on bone mineral density in postmenopausal women with osteoporosis. Methods: The research was completed with 158 women who applied to the orthopedics and traumatology outpatient clinic with the diagnosis of postmenopausal osteoporosis between October 2020 and April 2021 in a practice and research hospital in Central Anatolia. The data were collected with the DEXA result reports in the patient files and the Patient Identification Form created by the researchers by scanning the literature. Results: 94.3% of the women included in the study smoked, 98.1% did not drink alcohol, 48.1% occasionally consumed coffee, 54.4% daily 3 cups of tea, 45.6% decently consumed cereals and cereal products, 39.3% sometimes consumed milk and dairy products. 82.3% of participants do not receive vitamin D and 88% do not receive calcium support therapy. Conclusion: It was determined that smoking, tea consumption, and BMI of women did not affect bone mineral density (p>0.05). It was determined that coffee consumption, frequently consumed food type, and taking vitamin D and calcium supplements affected bone mineral density (p<0.05).

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References

1. Xu W, Ni C, Yu R, Gu G, Wang Z, Zheng G. Risk factors for distal radius fracture in postmenopausal women. Der Orthopäde 2017; 46: 447‐50.
2. WHO. World Health Organization. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. WHO technical report series. Geneva: World Health Organization, 1994.
3. Lin CH, Chen KH, Chen CM, Chang CH, Huang TJ, Hsu HC. Low vegetable intake increases the risk of fall‐related fragility fracture in postmenopausal Taiwanese women, a prospective pilot study in the community. Biomedical Journal 2016; 39: 214‐22.
4. Melaku YA, Gill TK, Adams R, Shi Z. Association between dietary patterns and low bone mineral density among adults aged 50 years and above: Findings from the North West Adelaide Health Study (NWAHS). British Journal of Nutrition 2016; 116: 1437‐46.
5. World Health Organization. Assessment Of Osteoporosıs At The Primary Health Care Level. [accessed 2021 Apr 10] https://www.sheffield.ac.uk/FRAX/pdfs/WHO_Technical_Report.pdf
6. Abay H, Kaplan S, Pınar G, Akalın A. Çağın pandemisi: Osteoporoz ve güncel yaklaşımlar. Yıldırım Beyazıt Üniversitesi Hemşirelik e‐dergisi 2015; 2: 1‐12.
7. Mazocco L, Chagas P. Association between body mass index and osteoporosis in women from northwestern Rio Grande do Sul. Rev Bras Reumatol 2017; 57: 299‐305.
8. Hyassat D, Alyan T, Jaddou H, Ajlouni KM. Prevalence and risk factors of osteoporosis among jordanian postmenopausal women attending the national center for diabetes, endocrinology and genetics in Jordan. Bio Research Open Access 2017; 6: 85‐93.
9. Melton JL. Epidemiology of spinalosteoporosis. Spine 1997; 22: 2-11.
10. Fritz MA, Speroff L. Klinik Jinekolojik Endokrinoloji ve İnfertilite. (Translation: Serdar Günalp). Menopoz ve Perimenopozal Geçiş. Ankara: Güneş Kitapevleri, 2014.
11. Gallagher CM, Moonga SB, Kovach SJ. Cadmium Folliclestimulating Hormone and Effects on Bone in Women Age 42–60 Years. National Health and Nutrition Examination Survey 2010; 110(1): 105-111.
12. World Health Organization. Global recommendations on physical activity for health. Geneva: World Health Organization, 2010.
13, Allsworth A. Osteoporosis Nursing Implications. Ġçinde J.D. Kneale ve P.S. Davis (Ed.), Orthopaedic and Trauma Nursing. (2nd Ed.). China: Churchill Livingstone Elcivier, 2005.
14. Avioli LV. Clinician’s Manual on Osteoporosis. (2nd Ed.). London: Science Press. 2002
15. Kutsal YG. Osteoporozda kemik kalitesi. Ankara: Güneş Kitabevi, 2004.
16. Cosman F, de Beur SJ, LeBoff MS, EM Lewiecki, Tanner B, Randall S. Clinician’s guide to prevention and treatment of osteoporosis. Osteoporosis international, 2014; 25(10): 2359- 2381.
17. Fordham, J. Sorularınıza Cevaplar Osteoporoz. Ankara: Güneş Tıp Kitapevleri, 2006.
18. Akan N. Osteoporoz olgusunda hemşirenin bilmesi gerekenler. Cumhuriyet Üniversitesi Hemşirelik Yüksekokulu Dergisi 1999; 3 (2):1-10.
19. Bakırcı N. Osteoporoz. Actual Medicine. Medical Network 2003; 11(1): 18-20.
20. Tussing L, Chapman-Novakofskı K. Osteoporosis prevention education: behavior theories and calcium intake.Journal of the American DieteticAssociation 2005; 105(1): 92-97
21. Hizmetli S, Kaptanoğlu E. Osteoporoz Nedir?. Türkiye Romatizma Araştırma ve Savaş Derneği, [accessed 2021 Oct 3] https://www.trasd.org.tr/hastalik/osteoporoz
22. Ersoy FF, Passadakis SP, Tam P, Memmos ED, Katopodis PK, Ozener C, Bone mineral density and its correlation with clinical and laboratory factors in chronic peritoneal dialysis patients. J Bone Miner Metab 2006; 24: 79-86.
23. Onat ŞŞ, Delialioğlu SÜ, Özel S. Osteoporoz risk faktörlerinin kemik mineral yoğunluğuyla ilişkisi. Turkish Journal of Osteoporosis/Turk Osteoporoz Dergisi 2013; 19(3): 74-80.
24. Wong PKK, Christie JJ, Wark JD. The effects of smoking on bone health. Clinical Science 2007; 113: 233-41.
25. Demirbağ D, Özdemir F, Türe M. Effects of coffee consumption and smoking habit on bone mineral density. Rheumatol Int 2006; 26; 530-5.
26. Pınar G, Pınar T, Doğan N, Karahan A, Algıer L, Abbasoğlu A. Kırk beş yaş üstü kadınlarda osteoporoz risk faktörleri. Dicle Tıp Derg 2009; 36: 258-66.
27. Kaplan S, Sergek E, Sertbaş G. Postemenopozal dönem kadınlarda kalkaneus kemik mineral yoğunluğu etkileyen faktörlerinin belirlenmesi. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi 2005; 8: 76- 89
28. Yang P, Zhang XZ, Zhang K, Tang Z. Associations between frequency of coffee consumption and osteoporosis in Chinese postmenopausal women. International journal of clinical and experimental medicine 2015; 8(9): 15958.
29. Warensjö E, Byberg L, Melhus H, Gedeborg R Mallmin H, Wolk A. Dietary calcium intake and risk of fracture and osteoporosis: prospective longitudinal cohort study. Bmj 2011; 342.
30. Wang L, Yin L, Cheng X, Li K, Wang Y, Zhang Y. (2020). The association of calcium intake with osteoporotic vertebral fractures in a large Chinese cohort. Aging (Albany NY) 2020; 12(6): 5500.
31. Guzel R, Kozanoglu E, Guler-Uysal F, Soyupak S, Sarpel T. Vitamin D status and bone mineral density of veiled and unveiled Turkish women. J Womens Health Gend Based Med 2001; 10: 765-70.
32. Lips P, van Schoor NM. Quality of life in patients with osteoporosis. Osteoporos Int 2005; 16: 447-55.
33. Bischoff-Ferrari HA, Willett CW, Orav EJ, Lips P, Meunier PJ, Lyons RA. A pooled analysis of vitamin d dose requirements for fracture prevention. The New England Journal Medicine 2012; 367(1): 40- 49
34. Murad MH, Drake MT, Mullan RJ, Mauck KF, Stuart LM, Lane MA. Comparative effectiveness of drug treatments to prevent fragility fractures: a systematic review and network meta-analysis. The Journal of Clinical Endocrinology Metabolism 2012; 97(6): 1871- 1880.
35. Lukert B, Higgins J, Stoskopf M. Menopausal bone loss is partially regulated by dietary intake of vitamin D. Calcified tissue international 1992; 51(3): 173-179.