The association between bone mineral density, quality of life, quality of sleep and fatigue.
OBJECTIVE
This study was undertaken to examine quality of life (QoL), the quality of sleep and fatigue level in postmenopausal women with osteoporosis (OP) but without fractures, to assess the associations between these parameters and to compare the results with those for subjects who have osteopenia or normal bone mineral density (BMD).


METHODS
In this study, 113 postmenopausal osteoporosis (PMO) subjects without fractures, 172 subjects with osteopenia and 102 subjects with normal BMD were included. The severity of pain, QoL, quality of sleep and fatigue were assessed using the visual analogue scale (VAS), the QoL Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41), the Pittsburgh Sleep Quality Index (PSQI) and the Checklist of Individual Strength (CIS) questionnaire.


RESULTS
No statistically significant differences between the three groups were found in terms of VAS and QUALEFFO-41 total scores (p > 0.05). On the other hand, PSQI and CIS total scores were significantly different in the PMO and osteopenia groups (P = 0.015 and 0.007, respectively) compared to the group with normal BMD.


CONCLUSIONS
During the follow-up and treatment of women with PMO or osteopenia, QoL, quality of sleep and fatigue should be assessed and incorporated into treatment decisions, even in the absence of fractures.
a Selcuk University Medical Faculty , Department of Physical Medicine and Rehabilitation , Konya , Turkey.
Ilknur
I
Albayrak
a Selcuk University Medical Faculty , Department of Physical Medicine and Rehabilitation , Konya , Turkey.
Mehmet
M
Aydogmus
a Selcuk University Medical Faculty , Department of Physical Medicine and Rehabilitation , Konya , Turkey.
Onder Murat
OM
Ozerbil
a Selcuk University Medical Faculty , Department of Physical Medicine and Rehabilitation , Konya , Turkey.
Funda
F
Levendoglu
D015502:Absorptiometry, Photon; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015519:Bone Density; D001851:Bone Diseases, Metabolic / Q000503:physiopathology* / Q000523:psychology; D005221:Fatigue; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae / Q000000981:diagnostic imaging; D008875:Middle Aged; D015663:Osteoporosis, Postmenopausal / Q000503:physiopathology* / Q000523:psychology; D010146:Pain; D011788:Quality of Life; D012890:Sleep
Fatigue; Osteoporosis; Quality of life; Quality of sleep