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Prevalence of Osteoporosis in Korean Patients with Chronic Obstructive Pulmonary Disease and Their Health-related Quality of Life According to the Korea National Health and Nutrition Examination Survey 2008-2011
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논문 기본 정보

Type
Academic journal
Author
Journal
The Korean Society of Bone Metabolism 대한골대사학회지 대한골대사학회지 제24권 제4호 KCI Accredited Journals
Published
2017.1
Pages
241 - 248 (8page)

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Prevalence of Osteoporosis in Korean Patients with Chronic Obstructive Pulmonary Disease and Their Health-related Quality of Life According to the Korea National Health and Nutrition Examination Survey 2008-2011
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Background: In this study, we evaluated the prevalence of osteoporosis, risk factors associated with osteoporosis, and health-related quality of life (HRQOL) in clinically stable chronic obstructive pulmonary disease (COPD) patients. Methods: A total of 1,081 COPD patients were recruited from the Korea National Health and Nutrition Examination Survey (KNHANES) from July 2008 to May 2011. Bone mineral densities at the lumbar spine, femoral neck, and total proximal femur were measured using dual energy X-ray absorptiometry. HRQOL was assessed using the EuroQOL-5 dimensions (EQ-5D) questionnaire. To identify factors associated with osteoporosis and HRQOL in patients with COPD, multivariate regression analyses was performed. Results: Of the 1,081 COPD patients, 191 (17.7%) were diagnosed with osteoporosis. There were significant differences in age, sex, smoking status, education level, house income, and body mass index (BMI) between the osteoporotic and non-osteoporotic groups. COPD patients with osteoporosis had significantly lower EQ-5D scores than the controls. In multivariate analyses, patients of male sex (odds ratio [OR]=0.06, P<0.001), high house income (OR=0.75, P=0.045), and high BMI (OR=0.74, P<0.001) were less likely to have osteoporosis. In addition, osteoporosis was associated with poor HRQOL (β=-0.21, P=0.023). Conclusions: The prevalence of osteoporosis in COPD patients based on the 2008 to 2011 KNHANES data were relatively lower than that in physician-diagnosed COPD patients. In these COPD patients, older age, female sex, low household income, and low BMI increased the risk for osteoporosis.
#Bone density #Osteoporosis #Pulmonary disease chronic obstructive #Quality of life

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References (24)

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/ 2001 / NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy / JAMA 285 : 785 ~ 795 google schola Bolton CE / 2004 / Associated loss of fat-free mass and bone mineral density in chronic obstructive pulmonary disease / Am J Respir Crit Care Med 170 : 1286 ~ 1293 google schola Ferguson GT / 2009 / Prevalence and progression of osteoporosis in patients with COPD:results from the TOwards a Revolution in COPD Health study / Chest 136 : 1456 ~ 1465 google schola Franco CB / 2009 / Chronic obstructive pulmonary disease is associated with osteoporosis and low levels of vitamin D / Osteoporos Int 20 : 1881 ~ 1887 google schola Gan WQ / 2004 / Association between chronic obstructive pulmonary disease and systemic inflammation: a systematic review and a meta-analysis / Thorax 59 : 574 ~ 580 google schola

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