The Pre-stroke Bone Mineral Density in First Stroke Patients.

, Kwon, Jinook; , Lim, Seong Hoon; , Kim, Hye Won; , Ko, Young Jin; , Ryu, Ji Eun; , Chung, You Chul; , Choi, Yun Jung; , Lee, Jong In

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2010;34(3):285-289.

Kwon, Jinook , Lim, Seong Hoon , Kim, Hye Won , Ko, Young Jin , Ryu, Ji Eun , Chung, You Chul , Choi, Yun Jung , Lee, Jong In

Department of Rehabilitation Medicine, College of Medicine, The Catholic University of Korea, Korea. ljikyh@catholic.ac.kr

첫 발병 뇌졸중 환자에서의 병전 골밀도

권진욱, 임성훈, 김혜원, 고영진, 유지은, 정유철, 최윤정, 이종인

가톨릭대학교 의과대학 재활의학교실

Abstract

Objective
To evaluate pre-stroke bone mineral density (BMD) of the patients with first stroke events. We previously reported that pre-stroke BMD of first stroke patients with severe immobility were relatively lower than those of normal population. In current study, we evaluated pre-stroke BMD of patients in first stroke patients regardless of severity or type of stroke.
Method
The 121 patients with first stroke events were included. To reflect pre-stroke BMD, patients who had bone densitometry scans within the first thirty days from onset were chosen. The BMDs of the lumbar spine and both femurs (total hip and femoral neck) were examined.
Results
Among the 121 stroke patients, 56.2% were osteoporotic and 28.1% were osteopenic. In the female patients, 78.1% were osteoporotic and 20.5% were osteopenic. In the male patients, 22.9% were osteoporotic and 39.6% were osteopenic.
Conclusion
Patients with first stroke events showed a high prevalence of pre-stroke low BMD. In the acute stages of stroke, bone loss progression is rapid. Therefore, such a high prevalence of pre-stroke low BMD can bring on a greater risk of fractures and additional functional loss. Early screening and active intervention of osteoporosis including patient education from the acute stages of stroke is crucial. (J Korean Acad Rehab Med 2010; 34: 285-289)

Key Words: Bone mineral density, Osteoporosis, Osteopenia, Prevalence, Stroke