BONE MINERAL DENSITY IN PATIENTS WITH CHRONIC LOW BACK PAIN

Objective: To determine mean bone mineral density in patients with chronic low back pain presenting at Armed Forces Institute of Rehabilitation Medicine Rawalpindi based on dual energy x-ray absorptiometry studies. Study Design: Cross sectional study. Place and Duration of Study: Armed Forces Ins...

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Autores principales: Tariq Aziz, Saira Jilani, Atif Ahmed Khan, Mahmood Ahmad, Sara Iqbal, Hina Kanwal Shafaat
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Lenguaje:EN
Publicado: Army Medical College Rawalpindi 2018
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Acceso en línea:https://doaj.org/article/f10e73b7a2924c878b0304f3d343387f
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spelling oai:doaj.org-article:f10e73b7a2924c878b0304f3d343387f2021-12-02T06:41:20ZBONE MINERAL DENSITY IN PATIENTS WITH CHRONIC LOW BACK PAIN0030-96482411-8842https://doaj.org/article/f10e73b7a2924c878b0304f3d343387f2018-10-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/2307/2002https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine mean bone mineral density in patients with chronic low back pain presenting at Armed Forces Institute of Rehabilitation Medicine Rawalpindi based on dual energy x-ray absorptiometry studies. Study Design: Cross sectional study. Place and Duration of Study: Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi from Apr 2015 to Mar 2016. Patients and Methods: Two hundred and forty patients having low back pain of more than 6 months duration fulfilling the inclusion criteria were included both from indoor and outdoor departments through non-probability consecutive sampling. Bone mineral density was measured at lumbar spine by dual energy x-ray absorptiometry studies by the same technical staff using the same equipment. A written informed consent was taken from each patient. Data were collected and recorded on specialized proforma by the principal investigator. Results: Spine BMD on DXA scan ranged from 0.90 to 0.98 g/cm2 with a mean of 0.95 ± 0.02 as shown in. When stratified, the mean BMD decreased significantly with increasing age and severity of LBP; 20-30 years vs. 31-40 years (0.95 ± 0.01 vs. 0.92 ± 0.02; p=0.001). However, there was no significant difference in mean BMD across genders; male vs. female (0.94 ± 0.01 vs. 0.94 ± 0.02; p=0.680). Similarly there was no significant difference in mean BMD across various durations of low back pain; 7-10 vs. 11-14 months (0.94 ± 0.03 vs. 0.93 ± 0.01; p=0.617). Conclusion: The mean bone mineral density at spine was found to be lower in patients with chronic low back pain. It was significantly lower in older patients and those with severe low back pain. However, it didn’t change significantly with various durations of low back pain or gender.Tariq AzizSaira JilaniAtif Ahmed KhanMahmood AhmadSara IqbalHina Kanwal ShafaatArmy Medical College Rawalpindiarticlebone mineral densitychronic low back paindual energy x-ray absorptiometryMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 68, Iss 5, Pp 1278-1281 (2018)
institution DOAJ
collection DOAJ
language EN
topic bone mineral density
chronic low back pain
dual energy x-ray absorptiometry
Medicine
R
Medicine (General)
R5-920
spellingShingle bone mineral density
chronic low back pain
dual energy x-ray absorptiometry
Medicine
R
Medicine (General)
R5-920
Tariq Aziz
Saira Jilani
Atif Ahmed Khan
Mahmood Ahmad
Sara Iqbal
Hina Kanwal Shafaat
BONE MINERAL DENSITY IN PATIENTS WITH CHRONIC LOW BACK PAIN
description Objective: To determine mean bone mineral density in patients with chronic low back pain presenting at Armed Forces Institute of Rehabilitation Medicine Rawalpindi based on dual energy x-ray absorptiometry studies. Study Design: Cross sectional study. Place and Duration of Study: Armed Forces Institute of Rehabilitation Medicine (AFIRM), Rawalpindi from Apr 2015 to Mar 2016. Patients and Methods: Two hundred and forty patients having low back pain of more than 6 months duration fulfilling the inclusion criteria were included both from indoor and outdoor departments through non-probability consecutive sampling. Bone mineral density was measured at lumbar spine by dual energy x-ray absorptiometry studies by the same technical staff using the same equipment. A written informed consent was taken from each patient. Data were collected and recorded on specialized proforma by the principal investigator. Results: Spine BMD on DXA scan ranged from 0.90 to 0.98 g/cm2 with a mean of 0.95 ± 0.02 as shown in. When stratified, the mean BMD decreased significantly with increasing age and severity of LBP; 20-30 years vs. 31-40 years (0.95 ± 0.01 vs. 0.92 ± 0.02; p=0.001). However, there was no significant difference in mean BMD across genders; male vs. female (0.94 ± 0.01 vs. 0.94 ± 0.02; p=0.680). Similarly there was no significant difference in mean BMD across various durations of low back pain; 7-10 vs. 11-14 months (0.94 ± 0.03 vs. 0.93 ± 0.01; p=0.617). Conclusion: The mean bone mineral density at spine was found to be lower in patients with chronic low back pain. It was significantly lower in older patients and those with severe low back pain. However, it didn’t change significantly with various durations of low back pain or gender.
format article
author Tariq Aziz
Saira Jilani
Atif Ahmed Khan
Mahmood Ahmad
Sara Iqbal
Hina Kanwal Shafaat
author_facet Tariq Aziz
Saira Jilani
Atif Ahmed Khan
Mahmood Ahmad
Sara Iqbal
Hina Kanwal Shafaat
author_sort Tariq Aziz
title BONE MINERAL DENSITY IN PATIENTS WITH CHRONIC LOW BACK PAIN
title_short BONE MINERAL DENSITY IN PATIENTS WITH CHRONIC LOW BACK PAIN
title_full BONE MINERAL DENSITY IN PATIENTS WITH CHRONIC LOW BACK PAIN
title_fullStr BONE MINERAL DENSITY IN PATIENTS WITH CHRONIC LOW BACK PAIN
title_full_unstemmed BONE MINERAL DENSITY IN PATIENTS WITH CHRONIC LOW BACK PAIN
title_sort bone mineral density in patients with chronic low back pain
publisher Army Medical College Rawalpindi
publishDate 2018
url https://doaj.org/article/f10e73b7a2924c878b0304f3d343387f
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AT mahmoodahmad bonemineraldensityinpatientswithchroniclowbackpain
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