Uma vez que o rastreio e diagnóstico da osteoporose são baseados na avaliação da DMO, o objectivo do presente estudo foi descrever a DMO de novas regiões que possam discriminar melhor as adaptações ósseas de pessoas submetidas a diferentes cargas mecânicas. De salientar, todavia, que a densitometria não consegue de forma isolada identificar com 100% de sensibilidade sujeitos em risco de fractura óssea. A OMS (Leslie, Lix, Johansoon, Oden, McCloskey, & Kanis, 2011) concebeu o FRAX que visa a integração de outros factores de risco, como a história de fracturas, o género, a idade, o consumo de álcool e de tabaco, para a quantificação do risco de fractura. Esse risco de fractura deve ser tido em conta quando da avaliação do paciente, sendo logicamente a avaliação densitométrica um parâmetro fundamental no conjunto de factores que completam o diagnóstico do individuo torna-se essencial que a sensibilidade de tal avaliação seja melhorada.
33 Do presente estudo conclui-se que os efeitos da carga mecânica na DMO são mais marcantes nos homens do que na mulheres e que a região Intertrocantérica e superolateral do fémur identificadas por Li et al. (2009b) parecem ser mais sensíveis às variações da carga mecânica do que as regiões tradicionais, sobretudo nas mulheres.
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Faculdade de Motricidade Humana
Informações SociodemográficasNome: Idade: Data de Nascimento:
Género: Feminino Masculino Braço dominante: Direito Esquerdo
Morada: Telefone:
Correio electrónico:__________________________________
Ocupação: Instituição (se FMH indicar curso e ano):
Doenças Crónicas e Medicação
Alguma vez tomou algum medicamento mais de 6 meses? Que outros medicamentos toma actualmente? (indicar para que doença o medicamento foi prescrito)
Doença Medicamento Ano de início N.º de anos
Observações:___________________________________________________________________ _____________________________________________________________________________________ ________________________________________________________________________________
Ciclo Reprodutivo
Idade da menarca:_____ Períodos menstruais regulares? Sim Não
Duração do ciclo menstrual (do 1º dia da menstruação até ao 1º dia da menstruação seguinte): até 35 dias_____ mais do que 35 dias_______ Uso de contraceptivos orais? Sim
Não Ano de início:_____ nº de anos:____
Ocorrência de Lesões
Alguma vez sofreu uma fractura óssea? Especificar o local ósseo ou região corporal, a idade da ocorrência e em que situação.
Região do corpo Idade na ocorrência Situação de ocorrência Fracturas ósseas
Observações:
______________________________________________________________________
_____________________________________________________________________________________ ____________________________________________________________________________
Consumo de cálcio (lacticínios)
Produto Nº porções/dia mg de Ca/porção mg de cálcio
Leite (250 ml) X 300
Iogurte (125 g) X 160
Queijo (30g) X 200
Consumo de cálcio de fontes não lácteas 250 TOTAL
Prática Desportiva
Registe todos os desportos ou outras actividades físicas praticadas regularmente. Assinale com um “x” as idades em que os desportos/actividades foram praticadas.
Idade (anos)
Atividades 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Idade (anos)
Atividades 16 17 19 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
Registe todos os desportos ou actividades físicas (seja o mais específico possível) que praticou de modo regular e estruturado durante os últimos 12 meses e indique a frequência média (sessões por semana)
Atividade1:___________________________________Frequencia (por semana):________________ Atividade2:___________________________________Frequencia (por semana):________________ Atividade3:___________________________________Frequencia (por semana):________________ Atividade4:___________________________________Frequencia (por semana):________________ Atividade5:___________________________________Frequencia (por semana):________________ Atividade6:___________________________________Frequencia (por semana):________________ Observações: Nível Técnico máximo alcançado:
__________________________________________________________________________________________________________ __________________________________________________________________________________________________________ _______________________________