Bone Density Reduction and Its Associated Factors in Kidney Transplant Recipients: A Cross-Sectional Study.

IF 0.3 Q4 TRANSPLANTATION
B Gheiasi, M Hadavi, R Asadzadeh, F Taghinezhad, R Mahmodzadeh, A Mozafari
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引用次数: 0

Abstract

Background: Decreased bone mineral density (BMD) is one of the complications of kidney transplantation, which is associated with many factors. However, the findings of relevant studies are inconsistent and contradictory.

Objective: To investigate the prevalence of BMD reduction and its associated factors in kidney transplant recipients.

Methods: All kidney transplant recipients (n=69), referred to Shahid Mostafa Khomeini Hospital in Ilam, southwest of Iran, were included in this study between 2016 and 2018. The BMD of the lumbar spine and femoral neck was examined using dual-energy X-ray absorptiometry. According to the Z-score and T-score, the patients were divided into two age groups: <50 years and >50 years. All patients' demographic characteristics, background variables, and laboratory parameters were evaluated. Descriptive statistics were measured, and binary and multinomial logistic regression analyses were performed.

Results: The overall prevalence of osteoporosis in the femur and lumbar spine was 38% and 32%, respectively. In patients aged <50 years, femoral head osteoporosis showed a significant relationship with the vitamin D level and sex. In patients aged >50 years, advancing age and duration of prednisolone consumption were associated with an increased risk of osteoporosis and osteopenia at the femoral neck (P<0.05). Besides, the duration of prednisolone use was associated with osteoporosis at the lumbar spine (RRR=1.02, P<0.05).

Conclusion: Various factors, including prednisolone consumption, affect BMD reduction in kidney transplant recipients. Regular monitoring of BMD, maximum reduction of prednisolone dose, training on the use of effective supplements, and other preventive and supportive measures can be helpful for this group.

肾移植受者骨密度降低及其相关因素:一项横断面研究。
背景:骨密度降低是肾移植术后并发症之一,与多种因素有关。然而,相关研究的结果是不一致和矛盾的。目的:探讨肾移植受者骨密度降低的发生率及其相关因素。方法:2016年至2018年期间,所有在伊朗西南部Ilam的Shahid Mostafa Khomeini医院接受肾移植的患者(n=69)被纳入本研究。采用双能x线骨密度仪测定腰椎和股骨颈的骨密度。根据Z-score和T-score将患者分为两个年龄组:50岁。评估所有患者的人口学特征、背景变量和实验室参数。进行描述性统计,并进行二元和多项逻辑回归分析。结果:股骨和腰椎骨质疏松症的总体患病率分别为38%和32%。在50岁的患者中,年龄的增长和使用强的松龙的持续时间与股骨颈骨质疏松症和骨质减少的风险增加相关(结论:多种因素,包括使用强的松龙,影响肾移植受者骨密度降低。定期监测骨密度,最大限度地减少泼尼松龙的剂量,培训使用有效的补充剂,以及其他预防和支持措施对这一群体有帮助。
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来源期刊
CiteScore
1.60
自引率
0.00%
发文量
0
审稿时长
12 weeks
期刊介绍: The International Journal of Organ Transplantation Medicine (IJOTM) is a quarterly peer-reviewed English-language journal that publishes high-quality basic sciences and clinical research on transplantation. The scope of the journal includes organ and tissue donation, procurement and preservation; surgical techniques, innovations, and novelties in all aspects of transplantation; genomics and immunobiology; immunosuppressive drugs and pharmacology relevant to transplantation; graft survival and prevention of graft dysfunction and failure; clinical trials and population analyses in the field of transplantation; transplant complications; cell and tissue transplantation; infection; post-transplant malignancies; sociological and ethical issues and xenotransplantation.
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