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), s164.

P20
EVALUATION QUALITY OF LIFE IN POST-MENOPAUSAL OSTEOPOROSIS WOMAN WITH ARTHRITIS OF KNEE

Popovic B.1, Milenovic N.1, Devecerski G.2, 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, arthritis of knee, quality if life, postmenopausal woman

Introduction
Arthritis of the knee is one specific disease which demand specific way of living which is connected with limitation of movement and some level of physical inactivity which is result as nature of disease. This specific way of living may lead to reduced Bone Mineral Density (BMD) and osteoporoses changes which may influenced on quality of life.
Aim
The aim of study was to establish how reduction of BMD and osteoporosis changes influence on evaluation quality of life in postmenopausal woman with arthritis of knee.
Material and methods
We examined 72 post-menopausal women age 63.2 (40-75) who were in post-menopause more than 12 months. All patients had arthritis of knee which was verified and now in grade II and III of Kellgren & Lawrence radiographic scale. Analysis of BMD was performed with „Sahara” ultrasound osteodesitometry and all patients had T score more than -2.5. We used EQ5D scale for evaluation quality of life.
Results
Average body mass was 77.43 kg (45.5-106.5) and body height was 1.60 cm (1.44-1.75) which was indicated that our patient was globally short female. Average BMI was 32.67 kg/m2 which indicate that we had patient with obesity grade I, but there was no statistically significant correlation between obesity and self evaluation of disease, although obesity can reduce daily activity. We found that the 97.1% of our patient had some problem with mobility. Also 67,7% indicate that had some problem with self-care (washing and dressing) activity but they were able to perform this by themselves. We found that 85.3% had no problem with performing their usual activities as housework, family and leisure work. 85.3% of patients reported moderate pain and discomfort and 79.4% reported moderate anxiety and depression. Patients self evaluated their state of health with average value on 56.82. We only found statistically significant correlation (r= 0.465; p=0.006) between self care and self-evaluation which can indicate that that washing and dressing can be main problem for patients which can has the influence on negative evaluation of their state oh health.
Conclusion
Result of self-report of health osteoporosis female with arthritis of knee can indicate not good condition their state of health and at the same time „open the door” for important acting on the field to improve their quality of life.

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), s182.

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.