Acta Medica Medianae (Dec 2009)
RISK FACTORS AND BONE MINERAL DENSITY IN ATHLETES AND NON-ATHLETES
Abstract
Risk factors are important aspects in the treatment of patients with lower bone mineral density (BMD).The objective of this study was to estimate the association between risk factors and BMD status of subjects.Forty subjects - athletes of first sub-sample, were recruited from a football club “Železničar” in Niš, while forty subjects - non-athletes of the second sub-sample, were recruited from the Faculty of Occupational Safety in Niš, totally 80 subjects of masculine sex. BMD was diagnosed by using Dual X-Ray Energy Absorptiometry (DEXA densitometer), in the lumbar region of the spinal column and region of the hip articulation, while the presence of risk factors was evaluated by the One-Minute Osteoporosis Risk Test, ie. questionnaire of the International Osteoporosis Foundation, just before the diagnostics of BMD. All subjects agreed with the terms of research, conducted in accordance with the Declaration of Helsinki.Among 80 subjects, in six (1 athlete and 5 non-athletes) athletes osteopenia was found in the lumbar region of the spinal column, and in three (non-athletes) osteopenia was found in the region of hip articulation. Based on the results of χ2 test, there was the association between the lack of physical activity as a risk factor and osteopenia in the lumbar region of the spinal column (BMDSPINE osteopenia), and between the lack of physical activity as a risk factor and osteopenia in the region of hip articulation (BMDHIP osteopenia), while the association significance between smoking as a risk factor and BMDSPINE osteopenia should be taken with caution, because it is approaching the critical value (p=0.056).Concerning this research, the risk factors had a considerably greater impact on low BMD in non-athletes, compared to athletes, ie., in patients who are smokers and lack physical activity.