Low bone mass secondary to antipsychotic medications

Background and Objective: Antipsychotic medications are known to cause low bone mass. The objective of this study was to assess the prevalence of osteopenia and osteoporosis secondary to patients taking antipsychotic medications. Patients and Methods: This prospective study included 175 patients tak...

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Main Authors: Abdallah S Al-Omran, Mahdi S Abu-Madini, Mir Sadat-Ali, Moaad H Alfaraidy, Waleed K Shihada
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-01-01
Series:Saudi Journal of Medicine and Medical Sciences
Subjects:
Online Access:http://www.sjmms.net/article.asp?issn=1658-631X;year=2016;volume=4;issue=3;spage=202;epage=205;aulast=Al-Omran
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author Abdallah S Al-Omran
Mahdi S Abu-Madini
Mir Sadat-Ali
Moaad H Alfaraidy
Waleed K Shihada
author_facet Abdallah S Al-Omran
Mahdi S Abu-Madini
Mir Sadat-Ali
Moaad H Alfaraidy
Waleed K Shihada
author_sort Abdallah S Al-Omran
collection DOAJ
description Background and Objective: Antipsychotic medications are known to cause low bone mass. The objective of this study was to assess the prevalence of osteopenia and osteoporosis secondary to patients taking antipsychotic medications. Patients and Methods: This prospective study included 175 patients taking antipsychotic medications and attending the psychiatric clinics at the King Fahd Hospital of the University, Al-Khobar, Saudi Arabia. Demographic data, antipsychotic medications, type, and duration of administration of medication were collected. All patients had bone mass measurement using dual energy X-ray (DXA) absorptiometry. Patients were divided into 5-year groups, from ≤35 to ≥51 years. The data were entered in the database and analyzed using SPSS Inc version 20. Results: The average age of patients was 40.75 ± 7.16 years (range: 26–56 years), there were 120 (82.8%) males and 25 (17.2%) females. Our results indicate that the average duration of anti-psychotic medication use was 8.45 ± 5.4 years. DXA of the hip revealed that 25 (14.2%) patients were osteoporotic and 104 (59.42%) were osteopenic, while on the basis of the T-score of the lumbar spine, 77 (44%) patients were osteoporotic and 80 (45.7%) were osteopenic. On the basis of the spinal bone mineral density (BMD), 89.7% had low bone mass. Conclusion: Anti-psychotic medications have a strong influence on the reduction of bone mass even in younger populations. The BMD of patients who are prescribed anti-psychotic medication need to be monitored for low bone mass and provided with the appropriate treatment.
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spelling doaj.art-7bea62371ad14d0db6a70e790c736cd62022-12-22T01:46:54ZengWolters Kluwer Medknow PublicationsSaudi Journal of Medicine and Medical Sciences1658-631X2016-01-014320220510.4103/1658-631X.188246Low bone mass secondary to antipsychotic medicationsAbdallah S Al-OmranMahdi S Abu-MadiniMir Sadat-AliMoaad H AlfaraidyWaleed K ShihadaBackground and Objective: Antipsychotic medications are known to cause low bone mass. The objective of this study was to assess the prevalence of osteopenia and osteoporosis secondary to patients taking antipsychotic medications. Patients and Methods: This prospective study included 175 patients taking antipsychotic medications and attending the psychiatric clinics at the King Fahd Hospital of the University, Al-Khobar, Saudi Arabia. Demographic data, antipsychotic medications, type, and duration of administration of medication were collected. All patients had bone mass measurement using dual energy X-ray (DXA) absorptiometry. Patients were divided into 5-year groups, from ≤35 to ≥51 years. The data were entered in the database and analyzed using SPSS Inc version 20. Results: The average age of patients was 40.75 ± 7.16 years (range: 26–56 years), there were 120 (82.8%) males and 25 (17.2%) females. Our results indicate that the average duration of anti-psychotic medication use was 8.45 ± 5.4 years. DXA of the hip revealed that 25 (14.2%) patients were osteoporotic and 104 (59.42%) were osteopenic, while on the basis of the T-score of the lumbar spine, 77 (44%) patients were osteoporotic and 80 (45.7%) were osteopenic. On the basis of the spinal bone mineral density (BMD), 89.7% had low bone mass. Conclusion: Anti-psychotic medications have a strong influence on the reduction of bone mass even in younger populations. The BMD of patients who are prescribed anti-psychotic medication need to be monitored for low bone mass and provided with the appropriate treatment.http://www.sjmms.net/article.asp?issn=1658-631X;year=2016;volume=4;issue=3;spage=202;epage=205;aulast=Al-OmranOsteopeniaosteoporosispsychiatric medications
spellingShingle Abdallah S Al-Omran
Mahdi S Abu-Madini
Mir Sadat-Ali
Moaad H Alfaraidy
Waleed K Shihada
Low bone mass secondary to antipsychotic medications
Saudi Journal of Medicine and Medical Sciences
Osteopenia
osteoporosis
psychiatric medications
title Low bone mass secondary to antipsychotic medications
title_full Low bone mass secondary to antipsychotic medications
title_fullStr Low bone mass secondary to antipsychotic medications
title_full_unstemmed Low bone mass secondary to antipsychotic medications
title_short Low bone mass secondary to antipsychotic medications
title_sort low bone mass secondary to antipsychotic medications
topic Osteopenia
osteoporosis
psychiatric medications
url http://www.sjmms.net/article.asp?issn=1658-631X;year=2016;volume=4;issue=3;spage=202;epage=205;aulast=Al-Omran
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AT mahdisabumadini lowbonemasssecondarytoantipsychoticmedications
AT mirsadatali lowbonemasssecondarytoantipsychoticmedications
AT moaadhalfaraidy lowbonemasssecondarytoantipsychoticmedications
AT waleedkshihada lowbonemasssecondarytoantipsychoticmedications