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Wien Klin Wochenschr. 2016 Feb;128(3-4):114-9. doi: 10.1007/s00508-015-0867-7. Epub 2015 Oct 5.

Assessment of smoking for low bone mineral density in postmenopausal Turkish women.

Author information

1
Department of Obstetrics and Gynecology, Tepecik Training and Research Hospital, Izmir, Turkey.
2
Department of Obstetrics and Gynecology, School of Medicine, Erzincan University, Erzincan, Turkey. drumit75@hotmail.com.
3
, Yavuz Selim Mah. Ersite Asude Yapı Kooperatifi B blok K:2 D:4, 24180, Erzincan, Turkey. drumit75@hotmail.com.
4
Department of Obstetrics and Gynecology, School of Medicine, Erzincan University, Erzincan, Turkey.

Abstract

OBJECTIVE:

To investigate the effect of cigarette smoking on bone mineral density (BMD) in postmenopausal Turkish women.

STUDY DESIGN:

A total of 175 postmenopausal Turkish women admitted to Tepecik Training and Research Hospital for a routine menopausal checkup were included in this study. All participants completed a questionnaire regarding their age, educational status, parity, number of abortus, time since menopause, caffeine intake, tobacco use, alcohol consumption, history of a previous fracture related to trauma, and taking any medication for menopause and osteoporosis. Of all subjects, 23.3% (n = 39) were smokers and 77.7% (n = 136) were nonsmokers. T-scores and Z-scores of vertebra and femur neck were assessed using dual energy X-ray absorptiometry (DXA). For analyzing the results, Student t-test, one-way ANOVA, Mann-Whitney U test, Pearson correlation, and Kruskal-Wallis test were performed.

RESULTS:

Femur T-scores (- 0.78 ± 1.07 vs. - 0.32 ± 1.56) and vertebra T-scores (- 2.26 ± 1.23 vs. - 1.82 ± 1.04) were significantly lower in smoking women than nonsmoking women (p < 0.05). However, there were no significant difference between duration of smoking, number of cigarettes consumed per day, and BMD (p > 0.05) CONCLUSION: Cigarette smoking is one of the modifiable risk factors influencing bone density in postmenopausal Turkish women. "Cessation of cigarette" should be recommended for lifestyle modifications to prevent postmenopausal osteoporosis.

KEYWORDS:

Body mass index; Osteoporosis; Postmenopause; Smoking

PMID:
26438103
DOI:
10.1007/s00508-015-0867-7
[Indexed for MEDLINE]

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