Antipsychotic medication use in association with quantitative heel ultrasound (QUS)

Autor: Behnaz Azimi Manavi, Mohammadreza Mohebbi, Amanda L. Stuart, Julie A. Pasco, Jason M. Hodge, D. Kavindi Weerasinghe, Rasika M. Samarasinghe, Lana J. Williams
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Bone Reports, Vol 18, Iss , Pp 101694- (2023)
Druh dokumentu: article
ISSN: 2352-1872
DOI: 10.1016/j.bonr.2023.101694
Popis: Purpose: Antipsychotic medication use has been associated with decreased bone mineral density; however, less is known whether antipsychotics affect other parameters of bone health. Therefore, the aim of this study was to investigate the association between antipsychotic medication use and quantitative heel ultrasound (QUS) in a population based sample of men and women. Methods: Thirty-one antipsychotic users and 155 non-users matched for age and sex were drawn from the Geelong Osteoporosis Study. QUS was undertaken and included the parameters: Broadband ultrasound attenuation (BUA), speed of sound (SOS) and stiffness index (SI). Current medication use, lifestyle factors, anthropometry and socio-economic status were collected. Generalized Estimation Equation models were conducted to determine associations between antipsychotic medication use and each of the QUS parameters, adjusting for covariates. Results: Antipsychotic users were less active, consumed less alcohol, were more likely to smoke and take antidepressants; otherwise, the groups were similar. After adjusting for age, sex and weight, antipsychotic users had a 7.7 % lower mean BUA [108.70 (95 % CI 104.26–113.14) vs. 116.42 (95 % CI 115.48–117.37) dB/MHz, p = 0.005] and 7.4 % lower mean SI [89.92 (95 % CI 86.89–92.95) vs. 97.30 (95 % CI 96.48–98.12) %, p
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