The importance of physical exercise-bone mass density correlation in reducing the risk of vertebral and non-vertebral fracture in patients with osteoporosis

Abstract

Introduction. Osteoporosis is a systemic health condition, predominantly in the skeleton, characterized by the decreasing bone strength and bone density as well as by the modification of this structure, being prone to an increased fracture risk. The bone strength of the bone depends on the density and quality of the bone. The bone density was measured by DEXA imagery investigation which uses the dual absorptiometry by X-rays. Material and method. The study was conducted over a period of one year on a total of 30 patients diagnosed with osteoporosis, age 50-70 years. For the assessment of the pain, the visual analogue-VAS scale was used to assess the quality of life - the Qualeffo-41 questionnaire and for assessing fracture risk - the FRAX scorer. The bone mineral density was assessed by the DEXA assay in the lumbar spine and femur using the T score. The patients received pharmacological treatment with bisphosphonates and performed a kinetotherapy program 2 times a week. Results. Patients participating in the study were 60 years old. The repartition depending on the life environment has revealed a greater frequency of the disorder in rural areas than the urban area. The values of the T-student test were statistically significant for the spine (p=0.0006) and for the hip (p=0.03) Conclusions. Research was based on the use of diagnostic utility indices such as bone mineral density, data that correlate with DEXA investigation and fracture risk. Determination of fracture risk with the FRAX score is important in order to identify those patients who need therapy and at the same time to assess the efficiency/cost ratio for the applied therapy. Osteoporosis is a public health problem requiring early diagnosis to optimize therapeutic strategies