Bone Mineral Density in Thalassemia Major Patients from Antalya, Turkey

Aim. We assessed the bone mineral density and related parameters in nine adults, thirty-eight pubertal, prepubertal totally forty-seven patients with thalassemia major living in Antalya, Turkey. Materials and Methods. We measured height and pubertal staging in last five years by six-month intervals....

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Main Authors: Ibrahim Aslan, Duran Canatan, Nihal Balta, Gulizar Kacar, Cengaver Dorak, Ahmet Ozsancak, Nurgul Oguz, Ruya Cosan
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2012/573298
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author Ibrahim Aslan
Duran Canatan
Nihal Balta
Gulizar Kacar
Cengaver Dorak
Ahmet Ozsancak
Nurgul Oguz
Ruya Cosan
author_facet Ibrahim Aslan
Duran Canatan
Nihal Balta
Gulizar Kacar
Cengaver Dorak
Ahmet Ozsancak
Nurgul Oguz
Ruya Cosan
author_sort Ibrahim Aslan
collection DOAJ
description Aim. We assessed the bone mineral density and related parameters in nine adults, thirty-eight pubertal, prepubertal totally forty-seven patients with thalassemia major living in Antalya, Turkey. Materials and Methods. We measured height and pubertal staging in last five years by six-month intervals. Average ferritin and hemoglobin concentrations were calculated for last three years. The levels of hydroxyproline, calcium, phosphorus, and creatinine were measured in 24 h urine, and those of parathormone, IGF 1, osteocalcine, alkaline phosphatase, calcium, ionized calcium, magnesium, phosphorus, creatine, blood glucose, thyroid stimulating hormone, alanine transaminase, and aspartate transaminase were determined in serum, and also the bone mineral density was measured. Results. The average L1–L4 bone mass density was 27.1±10.1 g cm−2; the average bone mineral content was 0.65 ± 0.11 g. of the patients with a Z-score under 2.5. A moderate relationship was found between the bone mass density age and height. Subjects in low pubertal staging and short stature (<3% percentile) have significantly lower bone mass densities P<0.001. Conclusion. he prevalence of osteoporosis is high in patients with thalassemia major, possibly related to delayed puberty.
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institution Kabale University
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spelling doaj-art-71b264ee3f5a4056bf94df50726a7bab2025-02-03T06:42:23ZengWileyInternational Journal of Endocrinology1687-83371687-83452012-01-01201210.1155/2012/573298573298Bone Mineral Density in Thalassemia Major Patients from Antalya, TurkeyIbrahim Aslan0Duran Canatan1Nihal Balta2Gulizar Kacar3Cengaver Dorak4Ahmet Ozsancak5Nurgul Oguz6Ruya Cosan7Department of Endocrinology and Metabolism, Antalya Education and Research Hospital, 07100 Antalya, TurkeyHemoglobinopathy Diagnosis Center, Mediterranean Blood Diseases Foundation and Thalassemia Federation of Turkey, Antalya, TurkeyAntalya State Hospital, 07100 Antalya, TurkeyDepartment of Nuclear Medicine, Antalya Education and Research Hospital, 07100 Antalya, TurkeyAntalya State Hospital, 07100 Antalya, TurkeyAntalya State Hospital, 07100 Antalya, TurkeyAntalya State Hospital, 07100 Antalya, TurkeyAntalya State Hospital, 07100 Antalya, TurkeyAim. We assessed the bone mineral density and related parameters in nine adults, thirty-eight pubertal, prepubertal totally forty-seven patients with thalassemia major living in Antalya, Turkey. Materials and Methods. We measured height and pubertal staging in last five years by six-month intervals. Average ferritin and hemoglobin concentrations were calculated for last three years. The levels of hydroxyproline, calcium, phosphorus, and creatinine were measured in 24 h urine, and those of parathormone, IGF 1, osteocalcine, alkaline phosphatase, calcium, ionized calcium, magnesium, phosphorus, creatine, blood glucose, thyroid stimulating hormone, alanine transaminase, and aspartate transaminase were determined in serum, and also the bone mineral density was measured. Results. The average L1–L4 bone mass density was 27.1±10.1 g cm−2; the average bone mineral content was 0.65 ± 0.11 g. of the patients with a Z-score under 2.5. A moderate relationship was found between the bone mass density age and height. Subjects in low pubertal staging and short stature (<3% percentile) have significantly lower bone mass densities P<0.001. Conclusion. he prevalence of osteoporosis is high in patients with thalassemia major, possibly related to delayed puberty.http://dx.doi.org/10.1155/2012/573298
spellingShingle Ibrahim Aslan
Duran Canatan
Nihal Balta
Gulizar Kacar
Cengaver Dorak
Ahmet Ozsancak
Nurgul Oguz
Ruya Cosan
Bone Mineral Density in Thalassemia Major Patients from Antalya, Turkey
International Journal of Endocrinology
title Bone Mineral Density in Thalassemia Major Patients from Antalya, Turkey
title_full Bone Mineral Density in Thalassemia Major Patients from Antalya, Turkey
title_fullStr Bone Mineral Density in Thalassemia Major Patients from Antalya, Turkey
title_full_unstemmed Bone Mineral Density in Thalassemia Major Patients from Antalya, Turkey
title_short Bone Mineral Density in Thalassemia Major Patients from Antalya, Turkey
title_sort bone mineral density in thalassemia major patients from antalya turkey
url http://dx.doi.org/10.1155/2012/573298
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