Abstract
Osteoporosis is a chronic disease and affects an increasing number of people in the ageing population. Due to its ‛quiet' progress, it gradually impacts on the patient's daily functioning, resulting in reduction, then abandoning of existing forms of life activities and deterioration of mental state. The aim of the study was to analyze the levels of disease acceptance and satisfaction with life in women with postmenopausal osteoporosis depending on their body mass index. The study included a group of 198 women, 72.3 ± 8.59 years old, diagnosed with postmenopausal osteoporosis treated in two Osteoporosis Treatment Centers in the city of Lodz. The study used the Acceptance of Illness Scale (AIS), the Satisfaction with Life Scale (SWLS), the Visual Analogue Scale (VAS), and a self-made survey. The mean AIS score was 25.95 ± 10.20 points, which indicated a moderate level of acceptance and adjustment to the disease in the study group. The average level of satisfaction with life assessed on the SWLS was 19.37 ± 7.31 points and indicated moderate life satisfaction. The lowest acceptance of the disease (24.38 ± 11.3 points) was presented by underweight persons, while the lowest satisfaction with life (17.75 ± 7.50 points) was presented by overweight women. The subjects presented a mild level of pain according to the VAS scale (4.87 ± 2.39 points). The highest acceptance of the disease and satisfaction with life was presented by normal weight persons. The levels of disease acceptance and satisfaction with life in women with postmenopausal osteoporosis do not differ statistically significantly depending on body mass index. It was indicated that greater acceptance of the disease was accompanied by greater satisfaction with life in people with osteoporosis. Psychological aspects (AIS, SWLS) should be an important component of the assessment of therapy effectiveness in women undergoing a long-term treatment for postmenopausal osteoporosis.
Highlights
Osteoporosis is currently the most common bone metabolic disease
The average level of satisfaction with life assessed on the Satisfaction with Life Scale (SWLS) was 19.37 ± 7.31 points and indicated moderate life satisfaction
The subjects presented a mild level of pain according to the Visual Analogue Scale (VAS) scale (4.87 ± 2.39 points)
Summary
Osteoporosis is currently the most common bone metabolic disease. The disease is more common in women than in men. The risk of osteoporosis increases more than seven-fold after menopause [3]. This is due to estrogen deficiency that results in bone mass loss and increases the risk of developing obesity and metabolic syndrome. There is a close connection between body mass index and bone mineral density (BMD), literature provides divergent reports. Obesity protects against hip and pelvic fractures but is associated with an almost 30% increase in the risk of fractures of the proximal humerus compared to women with normal body weight [9, 10]
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