The study of risk factors for osteoporosis with prolonged use of anticonvulsants: intermediate results

The mechanisms of anticonvulsant effects on bone metabolism are not studied sufficiently. This determines the relevance of research on factors that influence the development of osteoporosis in patients taking long-term anticonvulsants. The aim of the study to evaluate the effect of modifiable and no...

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Main Authors: N. A. Sivakova, I. V. Abramova, I. Yu. Trukhina, V. P. Rybasova, N. I. Shova, E. D. Kasyanov, L. V. Lukina, V. A. Mikhailov, G. E. Mazo
Format: Article
Language:Russian
Published: Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation 2024-12-01
Series:Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
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Online Access:https://www.bekhterevreview.com/jour/article/view/1082
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author N. A. Sivakova
I. V. Abramova
I. Yu. Trukhina
V. P. Rybasova
N. I. Shova
E. D. Kasyanov
L. V. Lukina
V. A. Mikhailov
G. E. Mazo
author_facet N. A. Sivakova
I. V. Abramova
I. Yu. Trukhina
V. P. Rybasova
N. I. Shova
E. D. Kasyanov
L. V. Lukina
V. A. Mikhailov
G. E. Mazo
author_sort N. A. Sivakova
collection DOAJ
description The mechanisms of anticonvulsant effects on bone metabolism are not studied sufficiently. This determines the relevance of research on factors that influence the development of osteoporosis in patients taking long-term anticonvulsants. The aim of the study to evaluate the effect of modifiable and non-modifiable osteoporosis risk factors on changes in bone mineral density during long-term therapy with anticonvulsants. Materials and methods. The study included 100 adult patients receiving anticonvulsants for moren12 months and 58 healthy volunteers. All participants underwent a clinical screening with assessment of factors affecting bone metabolism and a densitometric study using quantitative computed tomography at three points (L1, L2 and femoral neck). Results. CT-densitometry results showed decrease bone mineral density in the most part of the participants in both study groups. According to the data of the analysis of the influence of osteoporosis risk factors on bone mineral density values, it was found that the presence of fractures in the anamnesis and low level of motor activity increased the risk of osteoporosis development in patients taking long-term anticonvulsants (p (χ2) < 0.001). Conclusion. The results of the study confirm the importance of continuing research on factors affecting bone metabolism and developing a set of preventive measures to prevent the development of osteoporosis.
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publishDate 2024-12-01
publisher Federal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian Federation
record_format Article
series Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
spelling doaj-art-90e8c91b79cc43839d23dce3ce0786472025-08-20T03:20:23ZrusFederal State Budget Scientific Institution National Medical Research Center for Psychiatry and Neurology n.a. V.M. Bekhterev Ministry of Health of the Russian FederationОбозрение психиатрии и медицинской психологии имени В.М. Бехтерева2313-70532713-055X2024-12-01584-211112210.31363/2313-7053-2024-1009585The study of risk factors for osteoporosis with prolonged use of anticonvulsants: intermediate resultsN. A. Sivakova0I. V. Abramova1I. Yu. Trukhina2V. P. Rybasova3N. I. Shova4E. D. Kasyanov5L. V. Lukina6V. A. Mikhailov7G. E. Mazo8V.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyV.M. Bekhterev National Medical Research Center for Psychiatry and NeurologyThe mechanisms of anticonvulsant effects on bone metabolism are not studied sufficiently. This determines the relevance of research on factors that influence the development of osteoporosis in patients taking long-term anticonvulsants. The aim of the study to evaluate the effect of modifiable and non-modifiable osteoporosis risk factors on changes in bone mineral density during long-term therapy with anticonvulsants. Materials and methods. The study included 100 adult patients receiving anticonvulsants for moren12 months and 58 healthy volunteers. All participants underwent a clinical screening with assessment of factors affecting bone metabolism and a densitometric study using quantitative computed tomography at three points (L1, L2 and femoral neck). Results. CT-densitometry results showed decrease bone mineral density in the most part of the participants in both study groups. According to the data of the analysis of the influence of osteoporosis risk factors on bone mineral density values, it was found that the presence of fractures in the anamnesis and low level of motor activity increased the risk of osteoporosis development in patients taking long-term anticonvulsants (p (χ2) < 0.001). Conclusion. The results of the study confirm the importance of continuing research on factors affecting bone metabolism and developing a set of preventive measures to prevent the development of osteoporosis.https://www.bekhterevreview.com/jour/article/view/1082anticonvulsant-induced osteoporosisosteoporosisanticonvulsantsbone mineral densitybone metabolismosteoporosis risk factorsdensitometry
spellingShingle N. A. Sivakova
I. V. Abramova
I. Yu. Trukhina
V. P. Rybasova
N. I. Shova
E. D. Kasyanov
L. V. Lukina
V. A. Mikhailov
G. E. Mazo
The study of risk factors for osteoporosis with prolonged use of anticonvulsants: intermediate results
Обозрение психиатрии и медицинской психологии имени В.М. Бехтерева
anticonvulsant-induced osteoporosis
osteoporosis
anticonvulsants
bone mineral density
bone metabolism
osteoporosis risk factors
densitometry
title The study of risk factors for osteoporosis with prolonged use of anticonvulsants: intermediate results
title_full The study of risk factors for osteoporosis with prolonged use of anticonvulsants: intermediate results
title_fullStr The study of risk factors for osteoporosis with prolonged use of anticonvulsants: intermediate results
title_full_unstemmed The study of risk factors for osteoporosis with prolonged use of anticonvulsants: intermediate results
title_short The study of risk factors for osteoporosis with prolonged use of anticonvulsants: intermediate results
title_sort study of risk factors for osteoporosis with prolonged use of anticonvulsants intermediate results
topic anticonvulsant-induced osteoporosis
osteoporosis
anticonvulsants
bone mineral density
bone metabolism
osteoporosis risk factors
densitometry
url https://www.bekhterevreview.com/jour/article/view/1082
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