The relation between tooth loss and bone mass in postmenopausal osteoporotic women in Turkey: a multicenter study
Identifieur interne : 000100 ( PascalFrancis/Curation ); précédent : 000099; suivant : 000101The relation between tooth loss and bone mass in postmenopausal osteoporotic women in Turkey: a multicenter study
Auteurs : Ali Gur [Turquie] ; Kemal Nas [Turquie] ; Onder Kayhan [Turquie] ; Mesut Birol Atay [Turquie] ; Gulseren Akyuz [Turquie] ; Dilsad Sindal [Turquie] ; Ramazan Aksit [Turquie] ; Sema Oncel [Turquie] ; Guzin Dilsen [Turquie] ; Remzi Cevik [Turquie] ; O. Hakan Gunduz [Turquie] ; Yuksel Ersoy [Turquie] ; Zuhal Altay [Turquie] ; Cihat Ozturk [Turquie] ; Selami Akkus [Turquie] ; Ozlem Senocak [Turquie] ; Vural Kavuncu [Turquie] ; Mehmet Kirnap [Turquie] ; Ibrahim Tekeoglu [Turquie] ; Ferda Erdogan [Turquie] ; Aysegul J. Sarac [Turquie] ; Levent Demiralp [Turquie] ; Atilla Demirkesen ; Mehmet AdamSource :
- Journal of bone and mineral metabolism : (English ed.) [ 0914-8779 ] ; 2003.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Turquie.
- topic : Adulte, Personne âgée.
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Abstract
The purpose of this study was to investigate the associations of tooth loss with skeletal bone mass, years since menopause, educational level, current smoking status, dietary calcium intake, and number of pregnancies in postmenopausal osteoporotic women in Turkey. The study population consisted of 1171 postmenopausal women aged 40-86 years (mean age, 61.19 ± 7.28 years). A detailed history was obtained from all women, including relevant lifestyle parameters, risk factors, and measurements of weight and height. Women were separated into three groups according to the number of teeth remaining as group 1 (edentulous, 457 women), group 2 (10 or fewer teeth, 232 women), and group 3 (more than 10 teeth remaining, 482 women). There was no significant difference among the three groups in mean age and menopausal age (P < 0.05). Body mass index of group 1 was significantly higher than that of group 2 (P < 0.01). Educational level was significantly different between three groups: groups 1 and 2 (P < 0.001), groups 1 and 3 (P < 0.0001), and groups 2 and 3 (P < 0.001). Educational level was lowest in group 1 and highest in group 3. Despite a low ratio of cigarette smoking in general, a smoking habit was most prevalent in group 3 and least in group 2. The ratio of women receiving adequate calcium was significantly lower in group 1 than in other groups (P < 0.001); mean calcium intake was similar in all groups. The number of pregnancies was significantly higher in group 1 than in other groups (P < 0.001). Lumbar bone mineral density (BMD) of group 1 was significantly lower than that of groups 2 and 3 (P < 0.001). Although no significant difference was found between groups 1 and 3, femoral neck BMD of group 2 was less than in others, and differences between groups 1 and 2 and between groups 2 and 3 (P < 0.001) were significant. Lumbar bone mineral content (BMC) of group 1 was significantly lower than that of groups 2 and 3 (P < 0.001), and lumbar BMC in group 2 was significantly higher than in group 3 (P < 0.05). Femoral neck BMC in group 1 was significantly higher than in groups 2 and 3 (P < 0.001). In conclusion, lumbar BMD and BMC in the edentulous group were significantly lower, whereas femoral neck BMD and BMC were significantly higher in edentulous group compared with the others. Our findings indicated that improvement in lifestyle factors and nutritional strategies for the treatment and prevention of osteoporosis may have additional benefit in reducing tooth loss.
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Hakan" last="Gunduz">O. Hakan Gunduz</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Physical Medicine and Rehabilitation, Numune Hospital</s1><s2>Ankara</s2><s3>TUR</s3><sZ>11 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Ersoy, Yuksel" sort="Ersoy, Yuksel" uniqKey="Ersoy Y" first="Yuksel" last="Ersoy">Yuksel Ersoy</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Physical Medicine and Rehabilitation, School of Medicine, Inonii University</s1><s2>Malatya</s2><s3>TUR</s3><sZ>12 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Altay, Zuhal" sort="Altay, Zuhal" uniqKey="Altay Z" first="Zuhal" last="Altay">Zuhal Altay</name><affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Physical Medicine and Rehabilitation, School of Medicine, Atatürk University</s1><s2>Erzurum</s2><s3>TUR</s3><sZ>13 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Ozturk, Cihat" sort="Ozturk, Cihat" uniqKey="Ozturk C" first="Cihat" last="Ozturk">Cihat Ozturk</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Physical Medicine and Rehabilitation, School of Medicine, Ege University</s1><s2>Izmir</s2><s3>TUR</s3><sZ>7 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Akkus, Selami" sort="Akkus, Selami" uniqKey="Akkus S" first="Selami" last="Akkus">Selami Akkus</name><affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Physical Medicine and Rehabilitation, School of Medicine, Süleyman Demirel University</s1><s2>Isparta</s2><s3>TUR</s3><sZ>15 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Senocak, Ozlem" sort="Senocak, Ozlem" uniqKey="Senocak O" first="Ozlem" last="Senocak">Ozlem Senocak</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Physical Medicine and Rehabilitation, School of Medicine, Dokuz Eylül University</s1><s2>Izmir</s2><s3>TUR</s3><sZ>8 aut.</sZ><sZ>16 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Kavuncu, Vural" sort="Kavuncu, Vural" uniqKey="Kavuncu V" first="Vural" last="Kavuncu">Vural Kavuncu</name><affiliation wicri:level="1"><inist:fA14 i1="11"><s1>Physical Medicine and Rehabilitation, School of Medicine, Firat University</s1><s2>Elazig</s2><s3>TUR</s3><sZ>17 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Kirnap, Mehmet" sort="Kirnap, Mehmet" uniqKey="Kirnap M" first="Mehmet" last="Kirnap">Mehmet Kirnap</name><affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Physical Medicine and Rehabilitation, School of Medicine, Erciyes University</s1><s2>Kayseri</s2><s3>TUR</s3><sZ>18 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Tekeoglu, Ibrahim" sort="Tekeoglu, Ibrahim" uniqKey="Tekeoglu I" first="Ibrahim" last="Tekeoglu">Ibrahim Tekeoglu</name><affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Physical Medicine and Rehabilitation, School of Medicine, Yüzüncü Yil University</s1><s2>Van</s2><s3>TUR</s3><sZ>19 aut.</sZ><sZ>22 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Erdogan, Ferda" sort="Erdogan, Ferda" uniqKey="Erdogan F" first="Ferda" last="Erdogan">Ferda Erdogan</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Physical Medicine and Rehabilitation, Medical Faculty, Dicle University</s1><s2>21280 Diyarbakir</s2><s3>TUR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>10 aut.</sZ><sZ>20 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Sarac, Aysegul J" sort="Sarac, Aysegul J" uniqKey="Sarac A" first="Aysegul J." last="Sarac">Aysegul J. Sarac</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Physical Medicine and Rehabilitation, Medical Faculty, Dicle University</s1><s2>21280 Diyarbakir</s2><s3>TUR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>10 aut.</sZ><sZ>20 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Demiralp, Levent" sort="Demiralp, Levent" uniqKey="Demiralp L" first="Levent" last="Demiralp">Levent Demiralp</name><affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Physical Medicine and Rehabilitation, School of Medicine, Yüzüncü Yil University</s1><s2>Van</s2><s3>TUR</s3><sZ>19 aut.</sZ><sZ>22 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Demirkesen, Atilla" sort="Demirkesen, Atilla" uniqKey="Demirkesen A" first="Atilla" last="Demirkesen">Atilla Demirkesen</name></author><author><name sortKey="Adam, Mehmet" sort="Adam, Mehmet" uniqKey="Adam M" first="Mehmet" last="Adam">Mehmet Adam</name></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">03-0186236</idno><date when="2003">2003</date><idno type="stanalyst">PASCAL 03-0186236 INIST</idno><idno type="RBID">Pascal:03-0186236</idno><idno type="wicri:Area/PascalFrancis/Corpus">000604</idno><idno type="wicri:Area/PascalFrancis/Curation">000100</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">The relation between tooth loss and bone mass in postmenopausal osteoporotic women in Turkey: a multicenter study</title><author><name sortKey="Gur, Ali" sort="Gur, Ali" uniqKey="Gur A" first="Ali" last="Gur">Ali Gur</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Physical Medicine and Rehabilitation, Medical Faculty, Dicle University</s1><s2>21280 Diyarbakir</s2><s3>TUR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>10 aut.</sZ><sZ>20 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Nas, Kemal" sort="Nas, Kemal" uniqKey="Nas K" first="Kemal" last="Nas">Kemal Nas</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Physical Medicine and Rehabilitation, Medical Faculty, Dicle University</s1><s2>21280 Diyarbakir</s2><s3>TUR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>10 aut.</sZ><sZ>20 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Kayhan, Onder" sort="Kayhan, Onder" uniqKey="Kayhan O" first="Onder" last="Kayhan">Onder Kayhan</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Physical Medicine and Rehabilitation, School of Medicine, Marmara University</s1><s2>Istanbul</s2><s3>TUR</s3><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Atay, Mesut Birol" sort="Atay, Mesut Birol" uniqKey="Atay M" first="Mesut Birol" last="Atay">Mesut Birol Atay</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Physical Medicine and Rehabilitation, School of Medicine, Ankara Üniversity</s1><s2>Ankara</s2><s3>TUR</s3><sZ>4 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Akyuz, Gulseren" sort="Akyuz, Gulseren" uniqKey="Akyuz G" first="Gulseren" last="Akyuz">Gulseren Akyuz</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Physical Medicine and Rehabilitation, School of Medicine, Marmara University</s1><s2>Istanbul</s2><s3>TUR</s3><sZ>3 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Sindal, Dilsad" sort="Sindal, Dilsad" uniqKey="Sindal D" first="Dilsad" last="Sindal">Dilsad Sindal</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Physical Medicine and Rehabilitation, School of Medicine, Istanbul University</s1><s2>Istanbul</s2><s3>TUR</s3><sZ>6 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Aksit, Ramazan" sort="Aksit, Ramazan" uniqKey="Aksit R" first="Ramazan" last="Aksit">Ramazan Aksit</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Physical Medicine and Rehabilitation, School of Medicine, Ege University</s1><s2>Izmir</s2><s3>TUR</s3><sZ>7 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Oncel, Sema" sort="Oncel, Sema" uniqKey="Oncel S" first="Sema" last="Oncel">Sema Oncel</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Physical Medicine and Rehabilitation, School of Medicine, Dokuz Eylül University</s1><s2>Izmir</s2><s3>TUR</s3><sZ>8 aut.</sZ><sZ>16 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Dilsen, Guzin" sort="Dilsen, Guzin" uniqKey="Dilsen G" first="Guzin" last="Dilsen">Guzin Dilsen</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Physical Medicine and Rehabilitation, School of Medicine, Istanbul University</s1><s2>Istanbul</s2><s3>TUR</s3><sZ>6 aut.</sZ><sZ>9 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Cevik, Remzi" sort="Cevik, Remzi" uniqKey="Cevik R" first="Remzi" last="Cevik">Remzi Cevik</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Physical Medicine and Rehabilitation, Medical Faculty, Dicle University</s1><s2>21280 Diyarbakir</s2><s3>TUR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>10 aut.</sZ><sZ>20 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Gunduz, O Hakan" sort="Gunduz, O Hakan" uniqKey="Gunduz O" first="O. Hakan" last="Gunduz">O. Hakan Gunduz</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Physical Medicine and Rehabilitation, Numune Hospital</s1><s2>Ankara</s2><s3>TUR</s3><sZ>11 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Ersoy, Yuksel" sort="Ersoy, Yuksel" uniqKey="Ersoy Y" first="Yuksel" last="Ersoy">Yuksel Ersoy</name><affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Physical Medicine and Rehabilitation, School of Medicine, Inonii University</s1><s2>Malatya</s2><s3>TUR</s3><sZ>12 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Altay, Zuhal" sort="Altay, Zuhal" uniqKey="Altay Z" first="Zuhal" last="Altay">Zuhal Altay</name><affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Physical Medicine and Rehabilitation, School of Medicine, Atatürk University</s1><s2>Erzurum</s2><s3>TUR</s3><sZ>13 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Ozturk, Cihat" sort="Ozturk, Cihat" uniqKey="Ozturk C" first="Cihat" last="Ozturk">Cihat Ozturk</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Physical Medicine and Rehabilitation, School of Medicine, Ege University</s1><s2>Izmir</s2><s3>TUR</s3><sZ>7 aut.</sZ><sZ>14 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Akkus, Selami" sort="Akkus, Selami" uniqKey="Akkus S" first="Selami" last="Akkus">Selami Akkus</name><affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Physical Medicine and Rehabilitation, School of Medicine, Süleyman Demirel University</s1><s2>Isparta</s2><s3>TUR</s3><sZ>15 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Senocak, Ozlem" sort="Senocak, Ozlem" uniqKey="Senocak O" first="Ozlem" last="Senocak">Ozlem Senocak</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Physical Medicine and Rehabilitation, School of Medicine, Dokuz Eylül University</s1><s2>Izmir</s2><s3>TUR</s3><sZ>8 aut.</sZ><sZ>16 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Kavuncu, Vural" sort="Kavuncu, Vural" uniqKey="Kavuncu V" first="Vural" last="Kavuncu">Vural Kavuncu</name><affiliation wicri:level="1"><inist:fA14 i1="11"><s1>Physical Medicine and Rehabilitation, School of Medicine, Firat University</s1><s2>Elazig</s2><s3>TUR</s3><sZ>17 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Kirnap, Mehmet" sort="Kirnap, Mehmet" uniqKey="Kirnap M" first="Mehmet" last="Kirnap">Mehmet Kirnap</name><affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Physical Medicine and Rehabilitation, School of Medicine, Erciyes University</s1><s2>Kayseri</s2><s3>TUR</s3><sZ>18 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Tekeoglu, Ibrahim" sort="Tekeoglu, Ibrahim" uniqKey="Tekeoglu I" first="Ibrahim" last="Tekeoglu">Ibrahim Tekeoglu</name><affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Physical Medicine and Rehabilitation, School of Medicine, Yüzüncü Yil University</s1><s2>Van</s2><s3>TUR</s3><sZ>19 aut.</sZ><sZ>22 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Erdogan, Ferda" sort="Erdogan, Ferda" uniqKey="Erdogan F" first="Ferda" last="Erdogan">Ferda Erdogan</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Physical Medicine and Rehabilitation, Medical Faculty, Dicle University</s1><s2>21280 Diyarbakir</s2><s3>TUR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>10 aut.</sZ><sZ>20 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Sarac, Aysegul J" sort="Sarac, Aysegul J" uniqKey="Sarac A" first="Aysegul J." last="Sarac">Aysegul J. Sarac</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Physical Medicine and Rehabilitation, Medical Faculty, Dicle University</s1><s2>21280 Diyarbakir</s2><s3>TUR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>10 aut.</sZ><sZ>20 aut.</sZ><sZ>21 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Demiralp, Levent" sort="Demiralp, Levent" uniqKey="Demiralp L" first="Levent" last="Demiralp">Levent Demiralp</name><affiliation wicri:level="1"><inist:fA14 i1="13"><s1>Physical Medicine and Rehabilitation, School of Medicine, Yüzüncü Yil University</s1><s2>Van</s2><s3>TUR</s3><sZ>19 aut.</sZ><sZ>22 aut.</sZ></inist:fA14><country>Turquie</country></affiliation></author><author><name sortKey="Demirkesen, Atilla" sort="Demirkesen, Atilla" uniqKey="Demirkesen A" first="Atilla" last="Demirkesen">Atilla Demirkesen</name></author><author><name sortKey="Adam, Mehmet" sort="Adam, Mehmet" uniqKey="Adam M" first="Mehmet" last="Adam">Mehmet Adam</name></author></analytic><series><title level="j" type="main">Journal of bone and mineral metabolism : (English ed.)</title><title level="j" type="abbreviated">J. bone miner. metab. : (Engl. ed.)</title><idno type="ISSN">0914-8779</idno><imprint><date when="2003">2003</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of bone and mineral metabolism : (English ed.)</title><title level="j" type="abbreviated">J. bone miner. metab. : (Engl. ed.)</title><idno type="ISSN">0914-8779</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Bone mass</term><term>Correlation analysis</term><term>Elderly</term><term>Epidemiology</term><term>Feeding</term><term>Female</term><term>Life style</term><term>Loss</term><term>Multicenter study</term><term>Osteoporosis</term><term>Postmenopause</term><term>Prevention</term><term>Tooth</term><term>Turkey</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Ostéoporose</term><term>Postménopause</term><term>Masse osseuse</term><term>Perte</term><term>Dent</term><term>Analyse corrélation</term><term>Epidémiologie</term><term>Turquie</term><term>Mode de vie</term><term>Adulte</term><term>Personne âgée</term><term>Femelle</term><term>Etude multicentrique</term><term>Alimentation</term><term>Prévention</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Turquie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term><term>Personne âgée</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this study was to investigate the associations of tooth loss with skeletal bone mass, years since menopause, educational level, current smoking status, dietary calcium intake, and number of pregnancies in postmenopausal osteoporotic women in Turkey. The study population consisted of 1171 postmenopausal women aged 40-86 years (mean age, 61.19 ± 7.28 years). A detailed history was obtained from all women, including relevant lifestyle parameters, risk factors, and measurements of weight and height. Women were separated into three groups according to the number of teeth remaining as group 1 (edentulous, 457 women), group 2 (10 or fewer teeth, 232 women), and group 3 (more than 10 teeth remaining, 482 women). There was no significant difference among the three groups in mean age and menopausal age (P < 0.05). Body mass index of group 1 was significantly higher than that of group 2 (P < 0.01). Educational level was significantly different between three groups: groups 1 and 2 (P < 0.001), groups 1 and 3 (P < 0.0001), and groups 2 and 3 (P < 0.001). Educational level was lowest in group 1 and highest in group 3. Despite a low ratio of cigarette smoking in general, a smoking habit was most prevalent in group 3 and least in group 2. The ratio of women receiving adequate calcium was significantly lower in group 1 than in other groups (P < 0.001); mean calcium intake was similar in all groups. The number of pregnancies was significantly higher in group 1 than in other groups (P < 0.001). Lumbar bone mineral density (BMD) of group 1 was significantly lower than that of groups 2 and 3 (P < 0.001). Although no significant difference was found between groups 1 and 3, femoral neck BMD of group 2 was less than in others, and differences between groups 1 and 2 and between groups 2 and 3 (P < 0.001) were significant. Lumbar bone mineral content (BMC) of group 1 was significantly lower than that of groups 2 and 3 (P < 0.001), and lumbar BMC in group 2 was significantly higher than in group 3 (P < 0.05). Femoral neck BMC in group 1 was significantly higher than in groups 2 and 3 (P < 0.001). In conclusion, lumbar BMD and BMC in the edentulous group were significantly lower, whereas femoral neck BMD and BMC were significantly higher in edentulous group compared with the others. Our findings indicated that improvement in lifestyle factors and nutritional strategies for the treatment and prevention of osteoporosis may have additional benefit in reducing tooth loss.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0914-8779</s0></fA01><fA03 i2="1"><s0>J. bone miner. metab. : (Engl. ed.)</s0></fA03><fA05><s2>21</s2></fA05><fA06><s2>1</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>The relation between tooth loss and bone mass in postmenopausal osteoporotic women in Turkey: a multicenter study</s1></fA08><fA11 i1="01" i2="1"><s1>GUR (Ali)</s1></fA11><fA11 i1="02" i2="1"><s1>NAS (Kemal)</s1></fA11><fA11 i1="03" i2="1"><s1>KAYHAN (Onder)</s1></fA11><fA11 i1="04" i2="1"><s1>ATAY (Mesut Birol)</s1></fA11><fA11 i1="05" i2="1"><s1>AKYUZ (Gulseren)</s1></fA11><fA11 i1="06" i2="1"><s1>SINDAL (Dilsad)</s1></fA11><fA11 i1="07" i2="1"><s1>AKSIT (Ramazan)</s1></fA11><fA11 i1="08" i2="1"><s1>ONCEL (Sema)</s1></fA11><fA11 i1="09" i2="1"><s1>DILSEN (Guzin)</s1></fA11><fA11 i1="10" i2="1"><s1>CEVIK (Remzi)</s1></fA11><fA11 i1="11" i2="1"><s1>GUNDUZ (O. Hakan)</s1></fA11><fA11 i1="12" i2="1"><s1>ERSOY (Yuksel)</s1></fA11><fA11 i1="13" i2="1"><s1>ALTAY (Zuhal)</s1></fA11><fA11 i1="14" i2="1"><s1>OZTURK (Cihat)</s1></fA11><fA11 i1="15" i2="1"><s1>AKKUS (Selami)</s1></fA11><fA11 i1="16" i2="1"><s1>SENOCAK (Ozlem)</s1></fA11><fA11 i1="17" i2="1"><s1>KAVUNCU (Vural)</s1></fA11><fA11 i1="18" i2="1"><s1>KIRNAP (Mehmet)</s1></fA11><fA11 i1="19" i2="1"><s1>TEKEOGLU (Ibrahim)</s1></fA11><fA11 i1="20" i2="1"><s1>ERDOGAN (Ferda)</s1></fA11><fA11 i1="21" i2="1"><s1>SARAC (Aysegul J.)</s1></fA11><fA11 i1="22" i2="1"><s1>DEMIRALP (Levent)</s1></fA11><fA11 i1="23" i2="1"><s1>DEMIRKESEN (Atilla)</s1></fA11><fA11 i1="24" i2="1"><s1>ADAM (Mehmet)</s1></fA11><fA14 i1="01"><s1>Department of Physical Medicine and Rehabilitation, Medical Faculty, Dicle University</s1><s2>21280 Diyarbakir</s2><s3>TUR</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>10 aut.</sZ><sZ>20 aut.</sZ><sZ>21 aut.</sZ></fA14><fA14 i1="02"><s1>Physical Medicine and Rehabilitation, School of Medicine, Marmara University</s1><s2>Istanbul</s2><s3>TUR</s3><sZ>3 aut.</sZ><sZ>5 aut.</sZ></fA14><fA14 i1="03"><s1>Physical Medicine and Rehabilitation, School of Medicine, Ankara Üniversity</s1><s2>Ankara</s2><s3>TUR</s3><sZ>4 aut.</sZ></fA14><fA14 i1="04"><s1>Physical Medicine and Rehabilitation, School of Medicine, Istanbul University</s1><s2>Istanbul</s2><s3>TUR</s3><sZ>6 aut.</sZ><sZ>9 aut.</sZ></fA14><fA14 i1="05"><s1>Physical Medicine and Rehabilitation, School of Medicine, Ege University</s1><s2>Izmir</s2><s3>TUR</s3><sZ>7 aut.</sZ><sZ>14 aut.</sZ></fA14><fA14 i1="06"><s1>Physical Medicine and Rehabilitation, School of Medicine, Dokuz Eylül University</s1><s2>Izmir</s2><s3>TUR</s3><sZ>8 aut.</sZ><sZ>16 aut.</sZ></fA14><fA14 i1="07"><s1>Physical Medicine and Rehabilitation, Numune Hospital</s1><s2>Ankara</s2><s3>TUR</s3><sZ>11 aut.</sZ></fA14><fA14 i1="08"><s1>Physical Medicine and Rehabilitation, School of Medicine, Inonii University</s1><s2>Malatya</s2><s3>TUR</s3><sZ>12 aut.</sZ></fA14><fA14 i1="09"><s1>Physical Medicine and Rehabilitation, School of Medicine, Atatürk University</s1><s2>Erzurum</s2><s3>TUR</s3><sZ>13 aut.</sZ></fA14><fA14 i1="10"><s1>Physical Medicine and Rehabilitation, School of Medicine, Süleyman Demirel University</s1><s2>Isparta</s2><s3>TUR</s3><sZ>15 aut.</sZ></fA14><fA14 i1="11"><s1>Physical Medicine and Rehabilitation, School of Medicine, Firat University</s1><s2>Elazig</s2><s3>TUR</s3><sZ>17 aut.</sZ></fA14><fA14 i1="12"><s1>Physical Medicine and Rehabilitation, School of Medicine, Erciyes University</s1><s2>Kayseri</s2><s3>TUR</s3><sZ>18 aut.</sZ></fA14><fA14 i1="13"><s1>Physical Medicine and Rehabilitation, School of Medicine, Yüzüncü Yil University</s1><s2>Van</s2><s3>TUR</s3><sZ>19 aut.</sZ><sZ>22 aut.</sZ></fA14><fA20><s1>43-47</s1></fA20><fA21><s1>2003</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>26322</s2><s5>354000105599880080</s5></fA43><fA44><s0>0000</s0><s1>© 2003 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>37 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>03-0186236</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Journal of bone and mineral metabolism : (English ed.)</s0></fA64><fA66 i1="01"><s0>JPN</s0></fA66><fC01 i1="01" l="ENG"><s0>The purpose of this study was to investigate the associations of tooth loss with skeletal bone mass, years since menopause, educational level, current smoking status, dietary calcium intake, and number of pregnancies in postmenopausal osteoporotic women in Turkey. The study population consisted of 1171 postmenopausal women aged 40-86 years (mean age, 61.19 ± 7.28 years). A detailed history was obtained from all women, including relevant lifestyle parameters, risk factors, and measurements of weight and height. Women were separated into three groups according to the number of teeth remaining as group 1 (edentulous, 457 women), group 2 (10 or fewer teeth, 232 women), and group 3 (more than 10 teeth remaining, 482 women). There was no significant difference among the three groups in mean age and menopausal age (P < 0.05). Body mass index of group 1 was significantly higher than that of group 2 (P < 0.01). Educational level was significantly different between three groups: groups 1 and 2 (P < 0.001), groups 1 and 3 (P < 0.0001), and groups 2 and 3 (P < 0.001). Educational level was lowest in group 1 and highest in group 3. Despite a low ratio of cigarette smoking in general, a smoking habit was most prevalent in group 3 and least in group 2. The ratio of women receiving adequate calcium was significantly lower in group 1 than in other groups (P < 0.001); mean calcium intake was similar in all groups. The number of pregnancies was significantly higher in group 1 than in other groups (P < 0.001). Lumbar bone mineral density (BMD) of group 1 was significantly lower than that of groups 2 and 3 (P < 0.001). Although no significant difference was found between groups 1 and 3, femoral neck BMD of group 2 was less than in others, and differences between groups 1 and 2 and between groups 2 and 3 (P < 0.001) were significant. Lumbar bone mineral content (BMC) of group 1 was significantly lower than that of groups 2 and 3 (P < 0.001), and lumbar BMC in group 2 was significantly higher than in group 3 (P < 0.05). Femoral neck BMC in group 1 was significantly higher than in groups 2 and 3 (P < 0.001). In conclusion, lumbar BMD and BMC in the edentulous group were significantly lower, whereas femoral neck BMD and BMC were significantly higher in edentulous group compared with the others. Our findings indicated that improvement in lifestyle factors and nutritional strategies for the treatment and prevention of osteoporosis may have additional benefit in reducing tooth loss.</s0></fC01><fC02 i1="01" i2="X"><s0>002B15A</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Ostéoporose</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Osteoporosis</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Osteoporosis</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Postménopause</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Postmenopause</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Postmenopausia</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Masse osseuse</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Bone mass</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Masa oseosa</s0><s5>03</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Perte</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Loss</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Pérdida</s0><s5>04</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Dent</s0><s5>05</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Tooth</s0><s5>05</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Diente</s0><s5>05</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Analyse corrélation</s0><s5>06</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Correlation analysis</s0><s5>06</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Análisis correlación</s0><s5>06</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Epidémiologie</s0><s5>07</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Epidemiology</s0><s5>07</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Epidemiología</s0><s5>07</s5></fC03><fC03 i1="08" i2="X" l="FRE"><s0>Turquie</s0><s2>NG</s2><s5>08</s5></fC03><fC03 i1="08" i2="X" l="ENG"><s0>Turkey</s0><s2>NG</s2><s5>08</s5></fC03><fC03 i1="08" i2="X" l="SPA"><s0>Turquía</s0><s2>NG</s2><s5>08</s5></fC03><fC03 i1="09" i2="X" l="FRE"><s0>Mode de vie</s0><s5>09</s5></fC03><fC03 i1="09" i2="X" l="ENG"><s0>Life style</s0><s5>09</s5></fC03><fC03 i1="09" i2="X" l="SPA"><s0>Modo de vida</s0><s5>09</s5></fC03><fC03 i1="10" i2="X" l="FRE"><s0>Adulte</s0><s5>10</s5></fC03><fC03 i1="10" i2="X" l="ENG"><s0>Adult</s0><s5>10</s5></fC03><fC03 i1="10" i2="X" l="SPA"><s0>Adulto</s0><s5>10</s5></fC03><fC03 i1="11" i2="X" l="FRE"><s0>Personne âgée</s0><s5>11</s5></fC03><fC03 i1="11" i2="X" l="ENG"><s0>Elderly</s0><s5>11</s5></fC03><fC03 i1="11" i2="X" l="SPA"><s0>Anciano</s0><s5>11</s5></fC03><fC03 i1="12" i2="X" l="FRE"><s0>Femelle</s0><s5>12</s5></fC03><fC03 i1="12" i2="X" l="ENG"><s0>Female</s0><s5>12</s5></fC03><fC03 i1="12" i2="X" l="SPA"><s0>Hembra</s0><s5>12</s5></fC03><fC03 i1="13" i2="X" l="FRE"><s0>Etude multicentrique</s0><s5>13</s5></fC03><fC03 i1="13" i2="X" l="ENG"><s0>Multicenter study</s0><s5>13</s5></fC03><fC03 i1="13" i2="X" l="SPA"><s0>Estudio multicéntrico</s0><s5>13</s5></fC03><fC03 i1="14" i2="X" l="FRE"><s0>Alimentation</s0><s5>17</s5></fC03><fC03 i1="14" i2="X" l="ENG"><s0>Feeding</s0><s5>17</s5></fC03><fC03 i1="14" i2="X" l="SPA"><s0>Alimentación</s0><s5>17</s5></fC03><fC03 i1="15" i2="X" l="FRE"><s0>Prévention</s0><s5>18</s5></fC03><fC03 i1="15" i2="X" l="ENG"><s0>Prevention</s0><s5>18</s5></fC03><fC03 i1="15" i2="X" l="SPA"><s0>Prevención</s0><s5>18</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Asie</s0><s2>NG</s2></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Asia</s0><s2>NG</s2></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Asia</s0><s2>NG</s2></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Homme</s0></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Human</s0></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Hombre</s0></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Système ostéoarticulaire pathologie</s0><s5>37</s5></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Diseases of the osteoarticular system</s0><s5>37</s5></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Sistema osteoarticular patología</s0><s5>37</s5></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Ostéopathie</s0><s5>38</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Bone disease</s0><s5>38</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Osteopatía</s0><s5>38</s5></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Dent pathologie</s0><s5>45</s5></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Dental disease</s0><s5>45</s5></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Diente patología</s0><s5>45</s5></fC07><fC07 i1="06" i2="X" l="FRE"><s0>Santé publique</s0><s5>53</s5></fC07><fC07 i1="06" i2="X" l="ENG"><s0>Public health</s0><s5>53</s5></fC07><fC07 i1="06" i2="X" l="SPA"><s0>Salud pública</s0><s5>53</s5></fC07><fN21><s1>104</s1></fN21><fN82><s1>PSI</s1></fN82></pA></standard></inist></record>Pour manipuler ce document sous Unix (Dilib)
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