Osteoporozisli hastalarda beslenme ve kalsiyum metabolizması arasındaki ilişkisi

Abstract

69 SUMMARY Calcium and other dietary consumption and dietary habits of 60 osteoporosis patients attending to out patient clinics of Aegean University Medical Faculty Physical Therapy of Rehabilitation Clinic were determined and the data was compared with those of control group of 25 healthy volunteers with similar age and sex. Risk factors that were thought to affect absorption and usage of dietary calcium were compared between research and control groups. Also effects on calcium bioavailability was investigated by determination of by serum calcium levels, calcium levels in 24 hour-urine and Ca+2/creatinine ratio of research of control group patients. The results of food consumption research showed us that calcium intake of osteoporosis patients was with in the recommended limits (100-1500 mg./day) but calcium intake of control group was statistically significant difference between phosphorus, protein, fiber, sodium, vitamin C and vitamin A consumption (p < 0.05, p < 0.01). Only four out of 24 calcium containing foods showed difference in consumption of research and control groups. It was found that 63.33 % of patients consumed milk, the best source of absorbable calcium, everyday regulary never consumed sausage and of all due to increased risk of cardiovascular disease and consumed globe artichoke and celery more often. There was no significant difference between groups when yogurt and cheese, other important sources of calcium, consumption were compared. Also no difference was found between pekmez, green vegetable and leguminosae compumtion which were other calcium sources.70 Early menopouse age (46.21 + 5.61 years of age in research group and 49.00 ± 4.63 years of age in control group), sedentary life, less exposure to sun and consumption of bottle water were found to be risk factors for osteoporosis. Cigarette, alcohol and caffeine including drinks (coffee, coke and dark tea) were consumed less often in research group than control group. Mean serum calcium levels in research and control groups were with in normal limits. Calcium levels in 24 hour urine were less in research group probably due to calcitonin (Miacalcic ampule or nasal sprey) and vitamin D treatment. Calcitonin may have an estrogen-like effect, activate osteoclastic metabolism with active form of vitamin D and increase absorption of calcium from intestine. Also there was no significant correlation between calcium excretion in 24 hour urine and dietary calcium, phosphorus, protein, vitamin C, fiber and sodium intake in research group.

69 SUMMARY Calcium and other dietary consumption and dietary habits of 60 osteoporosis patients attending to out patient clinics of Aegean University Medical Faculty Physical Therapy of Rehabilitation Clinic were determined and the data was compared with those of control group of 25 healthy volunteers with similar age and sex. Risk factors that were thought to affect absorption and usage of dietary calcium were compared between research and control groups. Also effects on calcium bioavailability was investigated by determination of by serum calcium levels, calcium levels in 24 hour-urine and Ca+2/creatinine ratio of research of control group patients. The results of food consumption research showed us that calcium intake of osteoporosis patients was with in the recommended limits (100-1500 mg./day) but calcium intake of control group was statistically significant difference between phosphorus, protein, fiber, sodium, vitamin C and vitamin A consumption (p < 0.05, p < 0.01). Only four out of 24 calcium containing foods showed difference in consumption of research and control groups. It was found that 63.33 % of patients consumed milk, the best source of absorbable calcium, everyday regulary never consumed sausage and of all due to increased risk of cardiovascular disease and consumed globe artichoke and celery more often. There was no significant difference between groups when yogurt and cheese, other important sources of calcium, consumption were compared. Also no difference was found between pekmez, green vegetable and leguminosae compumtion which were other calcium sources.70 Early menopouse age (46.21 + 5.61 years of age in research group and 49.00 ± 4.63 years of age in control group), sedentary life, less exposure to sun and consumption of bottle water were found to be risk factors for osteoporosis. Cigarette, alcohol and caffeine including drinks (coffee, coke and dark tea) were consumed less often in research group than control group. Mean serum calcium levels in research and control groups were with in normal limits. Calcium levels in 24 hour urine were less in research group probably due to calcitonin (Miacalcic ampule or nasal sprey) and vitamin D treatment. Calcitonin may have an estrogen-like effect, activate osteoclastic metabolism with active form of vitamin D and increase absorption of calcium from intestine. Also there was no significant correlation between calcium excretion in 24 hour urine and dietary calcium, phosphorus, protein, vitamin C, fiber and sodium intake in research group.