Factors Associated with Low Bone Density in Opioid Substitution Therapy Patients: A Systematic Review
| Autor: | Syed Alhafiz Syed Hashim, Nadia Mohd Effendy, Fitri Fareez Ramli |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Narcotic Antagonists Population Opioid Body Mass Index Heroin 03 medical and health sciences Sex Factors 0302 clinical medicine Risk Factors Internal medicine Opiate Substitution Treatment Bone mineral density medicine Humans Testosterone Risk factor education Bone mineral education.field_of_study business.industry fungi Opioid use disorder General Medicine Opioid-Related Disorders medicine.disease Buprenorphine Bone mass Alcoholism Bone Diseases Metabolic Female 030211 gastroenterology & hepatology business Methadone Research Paper medicine.drug |
| Zdroj: | International Journal of Medical Sciences |
| ISSN: | 1449-1907 |
| Popis: | Background: Long-term opioid therapy is a risk factor for low bone mineral density (BMD). However, other factors may also contribute to low BMD. Several studies have examined the variables that might contribute to low BMD in patients receiving opioid replacement therapy (OST). However, to our knowledge, there was no systemic review conducted to address this particular issue. Thus, we reviewed the articles on the factors associated with low BMD in the population of opioid use disorder receiving substitution therapy. Methods: The articles that examined correlates or risk factors of low BMD in OST population were retrieved from OVID, SCOPUS, and PUBMED from inception until July 2020 by two independent investigators. Results: A total of 429 articles from three databases were retrieved initially. After screening based on eligibility criteria, five articles were included in the final analysis. The risk factors or correlates found to be significantly associated with low BMD in the OST population include male gender, low body mass index, low testosterone level, methadone or heroin use, and longer duration of heavy alcohol use. The review limitations include small sample sizes and inconsistent definition of variables. Conclusion: OST patients should be screened for BMD and its associated factors. Guidelines and training of practitioners involving in the OST service should be provided to increase the detection of low BMD in the OST population. |
| Databáze: | OpenAIRE |
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