Objectives The aim is to study the frequency of vertebral pain syndrome in men and women of older age groups depending on the bone mineral density (BMD).
Methods We have examined 1934 people aged 50-89 years, among them 1697 women and 237 men. The frequency of back pain syndrome was studied depending on the BMD (osteoporosis, osteopenia, and norm). BMD at all sites was measured by DXA using a Prodigy densitometer (GE).
Results The frequency of pain syndrome among older age groups is significantly higher in women compared with men (88.3% (1499/1697) vs 84.8% (201/237), accordingly, p=0.01). In women of 50-89 years, with osteoporosis and no fractures in their anamnesis, pain syndrome in the thoracic and lumbar spine is significantly higher in comparison with women who have osteopenia (p=0.01) and normal BMD (p=0.02) and compared to men with a similar BMD state (osteoporosis; (91.8% (337/367) vs 76.2% (16/21), accordingly, p=0.01)).
The frequency of pain syndrome in the thoracic and the lumbar spine in women is associated with BMD. The presence of osteoporosis increases the risk of pain syndrome in the thoracic spine (RR=1.27, 95% CI: 1.12-1 44, p=0.0001).
In older women, the presence of low-energy fractures significantly impacts the increasing frequency of pain in the thoracic region regardless of the BMD state.
Conclusions The frequency of pain among older age groups is significantly higher in women compared with men. In women of older age groups, the presence of low-energy fractures significantly increases the frequency of pain in the thoracic region, regardless of the state of BMD. In women 50-89 years old, with osteoporosis and no low-energy fractures, the frequency of pain in the thoracic and lumbar regions is significantly higher compared to women with osteopenia and normal BMD, as well as compared to men with a similar BMD state (osteoporosis). The frequency of pain in the thoracic and lumbar spine in women is associated with BMD.
Disclosure of Interest None declared
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