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Volume 8
Journal of Novel Physiotherapies
ISSN: 2165-7025
Novel Physiotherapies 2018
March 19-20,, 2018
March 19-20, 2018 | Berlin, Germany
5
th
International Conference and Expo on
Novel Physio
therapies
J Nov Physiother 2018, Volume 8
DOI: 10.4172/2165-7025-C1-024
Bone mineral density difference among reproductive women versus post-menopausal women of
lahore, pakistan
Muhammad Jamil Sabit, Rida Jamil Sabit, S H M Asad Siddiq
and
Umer Maqsood
Al Razi HealthCare, , Pakistan
Background:
In Pakistan, approximately 9.9 million people suffer from Osteoporosis, out of which 7.2 million are women
alone. It has been established that low bone mineral density (BMD) accounts for Osteoporosis. This trend is mostly seen in the
women of postmenopausal age.
Objective:
The purpose of this study is to evaluate and compare the differences in BMD between reproductive and post-
menopausal women from Lahore district.
Rationale:
The rationale of the study is to find out whether there is any significant difference in the BMD among reproductive
and post-menopausal women in the population of Lahore, Pakistan as in western societies these variations are minimized
with awareness programs about role of exercise, proper diet and supplements. This would be the first step in Pakistan and can
be helpful in further studies to assess the other influencing factors. Inclusion criteria includes the study was conducted on
women with complaint of generalized aches and pain after the three-month course of NSAID in reproductive age group and
postmenopausal women after age 51. Exclusion criteria includes women who are pregnant; who had any recent gastrointestinal
contrast studies; bilateral hip replacements or bilateral hip pins or screws would prevent the hip sites from being scanned and;
metallic rods or spinal fusion devices in the lumbar spine prevent scanning.
Materials & Methods:
A cross sectional survey was performed on 196 women of whom 98 were reproductive and 98
postmenopausal. Convenient sampling was employed using the bone density scan questionnaire and DEXA scan. Using the
information gained from these two, T scores were calculated. The population under study consisted mainly of the females
visiting outpatient Department of Pain Center Mayo Hospital, Lahore, Al- Noor Diagnostic Center and Punjab Medical Center.
Further, the data was researched and analyzed using SPSS. The mean and standard deviations of T-score values at lumbar spine
and hip were extrapolated to reproductive and post-menopausal women and used to assess the differences in their BMD.
According to WHO, the normal value of T- score is -1.0 SD, the value for osteopenia is T-score between -1.0 and -2.5 SD and
the value for osteoporosis is T- score of -2.5 SD or below.
Result:
The mean age of reproductive women was 41.00±9.69 (50%) and postmenopausal women 62.30±6.37 (50%).The aim
of the study was to evaluate the BMD difference among these two groups of women. The T- score at lumbar spine shows the
P value of 0.01, which means that we can safely come to a conclusion that there is a significant amount of difference in BMD
between the groups of reproductive and postmenopausal women. However, the T-score at hip shows a P value of 0.08, which
means that there is no essential difference in BMD between reproductive and post-menopausal women.
Conclusion:
This concludes that there is no doubt a profound difference of BMD between reproductive and post-menopausal
women, based on the p value of 0.05. To emphasize, the average T-score for lumbar spine in reproductive and post-menopausal
women is 0.01 and it reinforces the contrast of BMD in this group. On the other hand, the T- score for hip bone in reproductive
and post-menopausal women is 0.08 which further reasons the non-difference in BMD.
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