Pelvic organ prolapse not associated with low bone mineral density: The HUNT study
Osteoporotic fractures are associated with increased morbidity and mortality, and impose a substantial burden on individuals, healthcare systems and society. Fractures resulting from osteoporosis are increasingly common in postmenopausal women.
Risk factors for osteoporosis include increasing age, female sex, current cigarette smoking, low body weight, prior history of fragility fracture, alcohol intake, chronic glucocorticoid use, and certain medical conditions. Knowledge about additional risk factors for reduced bone mineral density (BMD) may further improve the identification of individuals at increased risk of fractures. Pelvic floor disorders (PFDs), including pelvic organ prolapse (POP), urinary incontinence and anal incontinence, are common conditions in women, and it has been hypothesized that PFDs and low BMD may represent manifestations of a generalized disturbance in collagen metabolism.
The present study by S. Aspli et al examined the association between PFDs and BMD in the population-based Trøndelag Health Study (HUNT study) in Norway wherein women with symptoms of urinary incontinence or a history of surgical treatment for urinary incontinence are less likely to have low BMD as published in European Journal of Obstetrics & Gynecology.
A cross-sectional study of 6809 women who participated in the third survey of the population-based Norwegian HUNT study was undertaken. BMD was measured by dual-energy X-ray absorptiometry. Information on BMD and self-reported pelvic floor disorders from the HUNT study was linked with hospital-derived data on diagnosis and surgical treatment of pelvic floor disorders.
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