Osteoporosis in COPD: A reality.

Abstract

Objective: To determine the frequency of Osteoporosis in Chronic Obstructive Pulmonary Disease, (COPD). Study Design: Cross Sectional study. Setting: Husan Ara Unit, Gulab Devi Hospital Lahore. Period: July 2017 to January 2018. Material & Methods: One hundred fifty patients with COPD meeting the inclusion criteria were included in the study. Bone mineral density (BMD) was calculated in each patient. Bone mineral density (BMD) was calculated via Dual Energy X-ray Absorptiometry (DEXA) scan. Osteoporosis was labeled when value for BMD was found < –2.5 SD below the mean for young adults (T-score). Results: The mean age was 56.54+ 8.04 year. The majority (90.7%) of the patients were male and fourteen (9.3%) patients were female. The mean T-score was -2.07+ 0.76 SD. Twenty-two (14.7%) patients had BMD score within normal range, out of which nineteen were males and three were females. Fifty-seven (38.0%) patients were found to have osteopenia of which fifty-four were males and three were females. Seventy-one (47.3%) patients had osteoporosis with sixty-three males and eight females. Conclusion: Majority of the patients with COPD who had osteopenia and osteoporosis correlated with COPD severity stages and were males above 50 year age. The male preponderance highlights towards the increased incidence of smoking amongst them and perhaps the male oriented society in Pakistani culture.