jsmc-10127

PREVALENCE OF OSTEOPOROSIS AMONG THALASSEMIC CHILDREN IN SULAIMANI   

Adnan M Hasan a, Taha A Qaradaghi b and Mohammed M Alghabsha c

a Department of Pediatrics, College of Medicine, University of Sulaimani.

b Sulaimani Internal Medicine Teaching Hospital, Rheumatology Section, Sulaimani Health Directorate.

c Sulaimani Pediatric Teaching Hospital, Sulaimani Health Directorate.

Submitted: 3/3/2017; Accepted: 15/10/2017; Published: 1/11/2017

DOI Link: https://doi.org/10.17656/jsmc.10127

ABSTRACT

Background 

Thalassaemia is a group of hereditary disorders and it is the most prevalent monogenetic disease in the world. Osteopenia and osteoporosis are frequent among beta-thalassaemia major patients caused by multiple factors interfere with bone remodeling.

Objective

To assess the prevalence of osteoporosis among thalassemic children and identify factors contributed to osteoporosis in Sulaimani city\Iraq. 

Patients and Methods

A cross sectional study carried out in Shaheed Dr. Hemin Hospital (Internal Teaching Hospital) in Sulaimani for period from the 1st of January to the 30th of August, 2015 on a sample of 100 patients with thalassaemia. The data were collected with direct interview and filling of a questionnaire. Selected patients were known cases of Beta thalassaemia registered in Thalassaemia center. Some information was taken from the patients and/or their parents; other information was taken from the patients files in Thalassaemia department and DXA department.

Results

Mean age of thalassemic patients was 13.4±3.2 years. Osteoporosis was represent in 44 of thalassemic patients and osteopenia was represent in 47 patients. A significant association between osteoporosis and thalassemic patients with age 13-18 years (p=0.009).A significant association was observed between osteoporosis and weekly intake of dairy products (p=0.03), and weekly intake of eggs by thalassemic patients (p=0.001).

Conclusion

Osteoporosis prevalence in thalassaemic patients in Sulaimani was lower than the reported prevalence in previous researches in Iraq and other countries.

KEYWORDS

Osteoporosis, Thalassemic children, Sulaimani.

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