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Differences in the frequency of osteoporosis according to the skeletal site evaluated. Analysis in 987 Spanish postmenopausal women referred to a bone densitometry unit
Diferencias en la frecuencia de osteoporosis según la región esquelética evaluada. Análisis de 987 mujeres posmenopáusicas remitidas a una unidad de densitometría
Dolors Martínez-Aguilà, Carmen Gómez-Vaquero
, Javier Narváez, Montserrat Romera, Antoni Rozadilla, Joan M. Nolla
Department of Rheumatology, IDIBELL-Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain
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Analysis in 987 Spanish postmenopausal women referred to a bone densitometry unit" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "63" "paginaFinal" => "65" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Dolors Martínez-Aguilà, Carmen Gómez-Vaquero, Javier Narváez, Montserrat Romera, Antoni Rozadilla, Joan M. Nolla" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Dolors" "apellidos" => "Martínez-Aguilà" ] 1 => array:3 [ "nombre" => "Carmen" "apellidos" => "Gómez-Vaquero" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "Javier" "apellidos" => "Narváez" ] 3 => array:2 [ "nombre" => "Montserrat" "apellidos" => "Romera" ] 4 => array:2 [ "nombre" => "Antoni" "apellidos" => "Rozadilla" ] 5 => array:2 [ "nombre" => "Joan M." "apellidos" => "Nolla" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Department of Rheumatology, IDIBELL-Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Diferencias en la frecuencia de osteoporosis según la región esquelética evaluada. Análisis de 987 mujeres posmenopáusicas remitidas a una unidad de densitometría" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-02-23" "fechaAceptado" => "2008-07-17" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec112024" "palabras" => array:5 [ 0 => "Osteoporosis" 1 => "Bone mineral density" 2 => "Densitometry" 3 => "Postmenopausal women" 4 => "Diagnosis" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec112025" "palabras" => array:5 [ 0 => "Osteoporosis" 1 => "Densidad mineral ósea" 2 => "Densitometría" 3 => "Mujeres posmenopáusicas" 4 => "Diagnóstico" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To analyze the differences in the frequency of osteoporosis according to the skeletal site evaluated in a group of Spanish postmenopausal women.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We reviewed the data of 987 postmenopausal women (mean age, 53.8 [5.5 years]). BMD status was evaluated by DXA. We used the WHO thresholds to classify the patients. T-score was obtained from the single evaluation of each lumbar vertebra (L2, L3, and L4), the mean value of lumbar spine (L2-L4), femoral neck and total hip.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">In 144 (14.7%) women, discrepancies were observed when we considered the single vertebral analysis versus the L2-L4 analysis; 62 (6%) women who presented osteoporosis in at least 1 vertebra would have been due to the osteopenia category when L2-L4 value was selected. In 271 (27.8%) women, discrepancies were observed when we considered the total hip analysis versus the femoral neck analysis. The frequency of osteoporosis ranged from 3% when only the analysis of the total hip was considered to 16% when the results of L2-L4 and proximal femur (total hip or femoral neck) measurements were selected.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Frequency of osteoporosis varies notably according to the skeletal zone considered.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Analizar, en un grupo de mujeres posmenopáusicas, las diferencias en la frecuencia de osteoporosis según la localización anatómica utilizada para realizar el diagnóstico.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Se recopilaron las características demográficas y los valores de la densidad mineral ósea (DMO) de 987 mujeres posmenopáusicas (media de edad, 53,8<span class="elsevierStyleHsp" style=""></span>±<span class="elsevierStyleHsp" style=""></span>5,5 años). La DMO se evaluó mediante absorciometría fotónica dual de fuente de rayos X (DXA). Se utilizaron las categorías de la OMS para clasificar a las pacientes. Se calcularon los <span class="elsevierStyleItalic">T-score</span> de cada vértebra lumbar de forma individualizada (L2, L3 y L4), del valor medio del análisis de la columna lumbar (L2-L4), del cuello femoral y de la cadera total.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">En 144 (14,7%) mujeres, se observaron discrepancias entre el análisis individualizado de cada vértebra lumbar y el análisis de L2-L4; 62 (6%) mujeres que presentaban osteoporosis en al menos una vértebra se adscribían a la categoría osteopenia al considerar el valor medio del análisis de L2-L4. En 271 (27,8%) mujeres, se observaron discrepancias entre el análisis de la cadera total y el cuello femoral. La frecuencia de osteoporosis osciló entre el 3% cuando se consideró sólo los resultados de la cadera total y el 16% cuando se tuvo en cuenta los valores del análisis de L2-L4 y del tercio proximal del fémur (cadera total o cuello femoral).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">La frecuencia de osteoporosis varía notablemente según la región esquelética considerada.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:9 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Important determinants of bone strength: beyond bone mineral density" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "A.W. 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| 2011 October | 1 | 0 | 1 |
| 2011 June | 5 | 0 | 5 |
| 2011 May | 1 | 0 | 1 |
| 2011 April | 3 | 0 | 3 |
| 2011 March | 4 | 0 | 4 |
| 2011 February | 3 | 0 | 3 |
| 2011 January | 1 | 0 | 1 |
| 2010 December | 6 | 0 | 6 |
| 2010 November | 2 | 0 | 2 |
| 2010 October | 4 | 0 | 4 |
| 2010 September | 4 | 0 | 4 |
| 2010 August | 3 | 0 | 3 |
| 2010 July | 2 | 0 | 2 |
| 2010 June | 1 | 0 | 1 |
| 2010 May | 7 | 0 | 7 |
| 2010 April | 8 | 0 | 8 |
| 2010 March | 3 | 0 | 3 |
| 2010 January | 8 | 0 | 8 |
| 2009 December | 3 | 0 | 3 |
| 2009 November | 15 | 0 | 15 |
| 2009 October | 26 | 0 | 26 |
| 2009 September | 17 | 0 | 17 |
| 2009 August | 21 | 0 | 21 |
Show all
