Osteoporozda Depresyon ve Yaşam Kalitesine Etkisi

Objective: The aim of this study was to identify risk factors for the development of depression in patients with osteoporosis, and to measure\udthe psychosocial effects to the change in quality of life.\udMaterial and Methods: 125 patients with osteoporosis were included in the study. A questionnaire was completed which was including\udage, sex, marital status, education level, occupation, height, weight, alcohol use, smoking, physical activity level, milk consumption, previous\udfragility fracture of the patients. Bone mineral density of the lumbar spine and femoral neck were measured with DEXA. Back and lumbar\udcompression fractures of the individuals were recorded by back and lumbar radiography. To evaluate back pain, Visual Analog Scale (VAS)\udwas used. To assess depression in patients, Beck Depression Inventory (BDI) was used, and to assess the quality of life the European Council\udof Osteoporosis Quality of Life Questionnaire (QUALEFFO) was used.\udResults: 125 patients were included in the study, 57 patients (45.6%) had depression and 68 patients (54.4%) had not depression. The\udaverage age, illiteracy status, reduced physical activity level were higher in the patients with depression than the patients without depression.\udVertebral compression fracture, family history of fracture, fall predisposition, and osteopenia in the risk factors of osteoporosis were found\udstatistically significantly higher in the group with depression than the group without depression. Both lumbar and femoral T and Z values,\udand VAS values were significantly higher in the patients with depression than the patients without depression (p<0.05). The total value and\udall sub-parameters of quality of life scale QUALEFFO were significantly higher in patients with depression than patients without depression\ud(p<0.05). Positive significant correlation was found between BDI scores and sub-parameters of QUALEFFO scores (p<0.05).\udConclusion: Depression in individuals with increased bone loss was shown to lead to a further decrease in the quality of life. (Turkish Journal\udof Osteoporosis 2013;19: 58-64