QUALITY OF LIFE AND VERTEBRAL PAIN SYNDROME IN OLDER WOMEN WITH LOW BONE MINERAL DENSITY

The article presents the results of studying the characteristics of quality of life of older women with vertebral pain, depending on the bone mineral density. We found that patients with osteoporosis have significantly worsened quality of life in the age group 70-79 years according to Roland-Morris questionnaire, in this group it was significantly lower compared with women of appropriate age with normal BMD (8,0 [6,0; 13,0] versus 12,0 [9,0, 15,0] points (p <0,01)). In patients with osteopenia significant improvement of quality of life indicators was found out after 60 years according to ECOS-16 questionnaire (p <0,01) and after 70 years according to Roland-Morris questionnaire (p <0,001). In this category of patients quality of life was significantly correlated with age (p <0,001), duration of postmenopausal period (p <0,001), the intensity of pain in the lumbar spine (p <0,00001), height (p <0,001) and trabecular bone score (TBS L1-L4) (p <0,00001). Both processes associated with age and loss of bone tissue, particularly deterioration of its quality contribute to worsened quality of life in patients with osteopenia. In patients with osteoporosis quality of life is associated with the course of the disease.