Tag: physical activity - Osteoporoza.pl

II Środkowo Europejski Kongres Osteoporozy i Osteoartrozy oraz XIV Zjazd Polskiego Towarzystwa Osteoartrologii i Polskiej Fundacji Osteoporozy, Kraków 11-13.10.2007
Streszczenia:
Ortopedia Traumatologia Rehabilitacja 2007, vol 9 (Suppl. 2), s144-145.

L49
EVALUATION OF IMPROVING BONE MINERAL DENSITY IN OSTEOPENIC PATIENT WITH RHEUMATOID ARTHRITIS

Vasic B.1, Popovic B.1, Devecerski G.2, Milenovic N.1

1 Institute for Rheumatology, High School of Medicine, University of Novi Sad, Serbia
2 Clinic for Medical Rehabilitation, High School of Medicine, University of Novi Sad, Serbia

Keywords: RA, osteopenia, physical activity

Introduction
Rheumatoid arthritis (RA) is chronicle, autoimmune, inflammatory arthropathy of unknown etiology. RA is characterized by progressive destruction of the affected joints, deformity, disability which requires specific way of living. Current treatment for RA includes nonspecific, anti-inflammatory agents (e.g. NSIAD or glikocoticoides) and disease-modifying antirheumatic drug (eg. MTX) which may influenced on reduced Bone Mineral Density (BMD)
Aim
The aim of study was to evaluate effect of risk factors on BMD in osteopenic patient with RA.
Material and methods
We examined 100 patients 64.73 years old (50-83years) who suffered from RA 3,88 years (1-9 years). Analysis of BMD was performed with „Sahara” ultrasound osteodesitometry. We used Body Mass Index (BMI) scale, National Health Center Statistic Criteria and self-evaluation of health by patients.
Results
Average body height was 1.61 cm (1.46-1.71) which was indicated that our patient was globally short. Average body mass was 70.45 kg (47-88) and BMI was 27.218 kg/m2 which indicate that we had overweight patient. We found that 54.45% of our patient did not expose on sun minimum 15 minutes daily. Also we found that 69.7% of patient intake daily more that 200ml milk or milk products but it was shown as insufficient intake. When we evaluated patient daily physical activity we found that 24.25% of patient was almost physically inactive and 48,5% walked less then 2 km per day. Average T-score was -2.34 and Z-score was -1.58 which was shown high level of osteopenia. Estimated BMD was 0.317g/cm2 (SD ±0.071). We did not find statistically significant correlation between parameter of daily activity and BMD.
Conclusion
We can conclude that increase daily physical activity and intake of milk have to be suggested to the osteopenic with RA in way to improve BMD. Also, because of nature of disease, for some patient antiresoprptive drug has to be including as regular therapy of RA.

P37
INFLUENCE OF DAILY PHISICAL ACTIVITY ON BONE MINERAL DENSITY IN POSTMENOPAUSAL WOMAN WITH COXARTHRISIS

Milenovic N.1, Devecerski G.2, Popovic B.1, Vasic B.1

1 Institute for Rheumatology, High School of Medicine, University of Novi Sad, Serbia
2 Clinic for Medical Rehabilitation, High School of Medicine, University of Novi Sad, Serbia

Key words: osteoporosis, coxarthrosis, physical activity, postmenopausal woman

Introduction
One of common problem in postmenopausal woman is problem with reduced Bone Mineral Density (BMD). This could be more outstanding in patient with coxarthrosis, in who special way of living, which was cause on nature disease, could produce many problems in daily activity and also leave patient physically less active.
Aim
The aim of study was to establish how daily physical activity influence on BMD in postmenopausal woman with coxarthrtosis.
Material and methods
We examined 80 post-menopausal women (age 40-80) who were in post-menopause more than 12 months. All patients had coxarthrosis which was verified and now in grade II and III of Kellgren & Lawrence radiographic scale. Analysis of BMD was performed with „Sahara” ultrasound osteodesitometry. We used scale Body Mass Index (BMI), National Health Center Statistic Criteria and self-evaluation of health by patients.
Results
Average body mass was 73.125 kg (55.5-97.1) and body height was 1.56 cm (1.45-1.67) which was indicated that our patient was globally short female. Average BMI was 29.843 kg/m2 (23.32-37.89) which indicate that we had overweight patient (around 50% of our patient were belong in group of overweight patient). In 60% of our patient menopause started before 45 years old, and our entire patient were in post-menopause more than 12 months. Estimated BMD was 0.353g/cm2 (0.176-0.779). Average T-score was -2.25 (-3.6 till -0.2) which was indicated on osteopenia, which was also be in correlation with value of Z-score -1.485 (-2.7 till -0.1). We could find any statistically significant correlation between period of starting menopause and value of T and Z score. We found statistically significant correlation (r=0.447: p=0.0048) between BMI and estimated BMD which indicated that patient with higher value of BMI could have better BMD, which is in aggregation with fact that underweight could be risk factor for osteoporosis. Evaluating daily physical activity, according to walking more that 5 km per day, we found that 70% of our patient did not walk more than 5 km per day, which may be cause of their basic disease, and we did not find significant influence on BMD and T or Z score but in group of patient who daily practice static exercises, which was around 60% of our patients, we found statistically significant correlation between daily exercise and BMD (r=0.445, p=0.039) and T score (r=0.429; p=0.049) which indicated positive influence on BMD.
Conclusion
Daily practice of static exercises patient with coxarthrosis could positively influenced on increase BMD and bettering state of their bone which reduced many complications which is connected with basic disease.