title: Osteoporosis and Silent Vertebral Fractures in Nursing Home Resident Elderly Men in Turkey.
abstract: Osteoporosis is an important cause of vertebral fractures and there is an increased risk for osteoporosis in nursing home residents. Most of the men with osteoporosis and osteoporotic fractures are not diagnosed and do not receive treatment. Our study aim was to determine osteoporosis and silent vertebral fracture prevalence in male nursing home residents in Corum, Turkey. This cross-sectional study included 2 groups of patients: 71 male nursing home residents (nursing home group) with a mean age of 76.0 ± 0.8 years and 44 men living in their own homes (control group) with a mean age of 74.4 ± 0.7 years. Bone mineral densitometry was performed in all subjects, and results were evaluated according to the World Health Organization criteria. Vertebral deformity was evaluated using the spinal deformity index, and fracture risk was calculated using the Fracture Risk Assessment Tool. In all participants, serum calcium, phosphorus, 25 (OH) vitamin D, parathyroid hormone, and alkaline phosphates levels were measured and medical histories were recorded. Osteoporosis was detected in 25.3% of men residing in nursing homes and in 8.8% of men living in their own homes. Silent vertebral fracture was present in 27.8% of patients older than 65 years. Vertebral fracture rate was higher in nursing home residents (42.2%) than men living in their own homes (17.6%); 5.6% of nursing home group and 8.9% of control group patients were aware of their fractures. Our results demonstrated that male nursing home residents are at a higher risk for both osteoporosis and vertebral fractures compared to the men living in their own homes.
authors.affiliation: Department of Endocrinology, Hitit University Faculty of Medicine, Corum, Turkey. Electronic address: kkucukler74@gmail.com.
authors.forename: Ferit Kerim
authors.initials: FK
authors.lastname: Kucukler
authors.affiliation: Department of Endocrinology, Hitit University Faculty of Medicine, Corum, Turkey.
authors.forename: Yasin
authors.initials: Y
authors.lastname: Simsek
authors.affiliation: Department of Physical Therapy, Hitit University Faculty of Medicine, Corum, Turkey.
authors.forename: Ayla Çaglayan
authors.initials: AÇ
authors.lastname: Turk
authors.affiliation: Department of Endocrinology, Ankara Numune Training and Research Hospital, Ankara, Turkey.
authors.forename: Ayse
authors.initials: A
authors.lastname: Arduc
authors.affiliation: Department of Endocrinology, Hitit University Faculty of Medicine, Corum, Turkey.
authors.forename: Serdar
authors.initials: S
authors.lastname: Guler
mesh_terms: D000368:Aged; D015519:Bone Density; D001851:Bone Diseases, Metabolic / Q000453:epidemiology; D002118:Calcium / Q000097:blood; D003430:Cross-Sectional Studies; D006620:Hip Fractures / Q000453:epidemiology; D006801:Humans; D057187:Independent Living / Q000706:statistics & numerical data; D008297:Male; D009735:Nursing Homes / Q000706:statistics & numerical data; D010024:Osteoporosis / Q000097:blood / Q000150:complications / Q000453:epidemiology*; D058866:Osteoporotic Fractures / Q000097:blood / Q000453:epidemiology* / Q000209:etiology; D010281:Parathyroid Hormone / Q000097:blood; D015995:Prevalence; D018570:Risk Assessment; D012307:Risk Factors; D012907:Smoking / Q000453:epidemiology; D016103:Spinal Fractures / Q000097:blood / Q000453:epidemiology* / Q000209:etiology; D014421:Turkey / Q000453:epidemiology; D014807:Vitamin D / Q000031:analogs & derivatives / Q000097:blood
chemical_list: D010281:Parathyroid Hormone; D014807:Vitamin D; C104450:25-hydroxyvitamin D; D002118:Calcium
keywords: Nursing home; old men; osteoporosis; vertebral fracture