| Abstract | Uvod: Osteoporoza je metabolička bolest kostura karakterizirana smanjenom koštanom gustoćom i narušenim integritetom mikroarhitekture kosti. Povezana je i s nekim životnim navikama, kao što su tjelesna aktivnost, tjelesna masa i prehrana bogata vitaminom D. Osobe oboljele od osteoporoze imaju lošiju kvalitetu života s obzirom na brojne fizičke promjene, funkcionalna ograničenja i njihovo djelovanje na mentalno zdravlje.
Cilj istraživanja: Glavni ciljevi su bili utvrditi povezanost fizičkog i psihičkog ograničenja u obavljanju svakodnevnih aktivnosti te utjecaja bola na rad s: indeksom tjelesne mase (body mass index, BMI), konzumacijom vitamina D i namirnica bogatih vitaminom D (plava riba i jaja) i provođenjem fizičke aktivnosti. Sekundarni ciljevi su bili utvrditi razliku u frekvenciji fizičkog i psihičkog ograničenja u obavljanju svakodnevnih aktivnosti te u frekvenciji utjecaja bola na rad između grupe: BMI < 25 i BMI ≥ 25; koja konzumira vitamin D u kapima i koja ne konzumira; koja se bavi dodatnom fizičkom aktivnosti van projekta ≥ 3h/tj i koja se ne bavi.
Ispitanici i metode: U istraživanje je bilo uključeno 20 ispitanica s osteoporozom u rasponu dobi od 50 do 85 g. Za prikupljanje podataka je korištena anketa, a podatci su statistički analizirani uz pomoć Spearman-ove korelacije i Fisher-ovog egzaktnog testa.
Rezultati: Nije utvrđena povezanost fizičkog i psihičkog ograničenja u obavljanju svakodnevnih aktivnosti (fizičko: p = 0,976, psihičko: p = 0,411), niti utjecaja bola na rad (p = 0,636) s BMI; nije utvrđena povezanost fizičkog i psihičkog ograničenja u obavljanju svakodnevnih aktivnosti (fizičko: p = 0.565, psihičko: p = 0,633), niti utjecaja bola na rad (p = 0,935) s konzumacijom vitamina D. Jednako vrijedi i za konzumaciju namirnica bogatih vitaminom D, odnosno plavu ribu (fizičko: p = 0,727, psihičko: p = 0,935, utjecaj bola: p = 0,812) i jaja (fizičko: p = 0,480, psihičko: p = 0,663, utjecaj bola: p = 0,384). Međutim, utvrđena je statistički značajna negativna povezanost fizičkog i psihičkog ograničenja u obavljanju svakodnevnih aktivnosti (fizičko: p = 0,000, psihičko: p = 0,000) i utjecaju bola na rad (p = 0,000) s provođenjem dodatne fizičke aktivnosti van programa. Nije utvrđena statistički značajna razlika u frekvenciji fizičkog i psihičkog ograničenja te utjecaja bola u obavljanju svakodnevnih aktivnosti; neovisno o BMI, konzumaciji vitamina D, ribe ili jaja, ili provođenju dodatne fizičke aktivnosti.
Zaključak: Dobiveni podatci ukazuju na važnost dostatne fizičke aktivnosti kao životne navike za funkcionalnost i psihofizičko zdravlje oboljelih od osteoporoze. |
| Abstract (english) | Introduction: Osteoporosis is a metabolic bone disease characterized by reduced bone density and impaired integrity of bone microarchitecture. It is also related to some lifestyle habits, such as physical activity, body mass and a diet rich in vitamin D. People suffering from osteoporosis have a worse quality of life due to numerous physical changes, functional limitations and their impact on mental health.
Aim: The aims were to determine the connection between physical and psychological limitations in performing daily activities and the impact of pain on work with: body mass index (BMI), consumption of vitamin D and foods rich in vitamin D (blue fish and eggs) and physical activity. The secondary aims were to determine the difference in the frequency of physical and psychological limitations and the impact of pain in performing daily activities and in the between the groups: BMI < 25 and BMI ≥ 25; consuming vitamin D and not consuming; engaging in additional physical activity outside the project ≥ 3h/week and not.
Participants and Methods: 20 female subjects with osteoporosis in the age range of 50 to 85 years were included in the research. A survey was used to collect data, and the data were statistically analyzed using Spearman's correlation and Fisher's exact test.
Results: No association was found between physical and psychological limitations in performing daily activities (physical: p = 0.976, psychological: p = 0.411), nor between the impact of pain on work (p = 0.636) and BMI; no association between physical and psychological limitation in performing daily activities (physical: p = 0.565, psychological: p = 0.633), nor the impact of pain on work (p = 0.935) and co-consumption of vitamin D was found. The same applies to the consumption of foods rich in vitamin D, i.e. blue fish (physical: p = 0.727, psychological: p = 0.935, influence of pain: p = 0.812) and eggs (physical: p = 0.480, psychological: p = 0.663, influence of pain: p = 0.384). However, a statistically significant negative association of physical and psychological limitations in performing daily activities (physical: p = 0.000, psychological: p = 0.000) and the impact of pain on work (p = 0.000) with the implementation of additional physical activity outside the program was determined. There was no statistically significant difference found in the frequency of physical and psychological limitations in performing activities of daily life and in the frequency of the impact of pain on work; regardless of BMI, consumption of vitamin D, fish, eggs, or engagement in additional physical activity.
Conclusion: The data obtained indicates the importance of sufficient physical activity as a lifestyle habit for sustaining
functionality and both mental and physical health in osteoporosis patients. |
