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Sanjari M, Yarmohammadi H, Fahimfar N, Gharibzadeh S, Khalagi K, Shafiee G, Heshmat R, Nabipour I, Amini A, Darabi A, Ghazbani A, Larijani B, Ostovar A. The association of opioid consumption and osteoporosis in old men: Bushehr Elderly Health (BEH) program. Arch Osteoporos 2022; 17:149. [PMID: 36418801 DOI: 10.1007/s11657-022-01181-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Accepted: 10/19/2022] [Indexed: 11/25/2022]
Abstract
In a population of 1156 men aged ≥ 60 years, opioid drug use was reported by 4.1% (n = 47) of participants. Among opioids, opium was the most prevalent consuming drug (83%). Adjusting for potential confounders, opioid consumption showed a positive association with osteoporosis. PURPOSE Limited evidence suggest a relationship between opioid consumption and osteoporosis. This study aims to investigate the possible association of osteoporosis and drug use among older adult men of Bushehr, Iran. METHODS In this study, 1156 men aged ≥ 60 years of Bushehr Elderly Health (BEH) were included. Bone density and trabecular bone score (TBS) were measured using dual-energy X-ray absorptiometry. Total osteoporosis was noted based on osteoporosis at either site of the lumbar spine, femoral neck, and total hip densitometry. Drug use was defined as a self-reported current use of opioid drugs, either regular (daily) use or irregular consumption. Multivariable modified Poisson regression analysis was used for investigating the association of opioids and osteoporosis, reporting the adjusted prevalence ratio (APR) with 95% confidence interval (CI). The association between drug use and TBS was evaluated using a linear regression model. RESULTS Opioid drug use was reported by 4.1% (n = 47) of participants. Among drug users, opium was the most prevalent consuming drug (83%). In all, 38.3% of drug users and 22.4% of non-users had osteoporosis (p-value = 0.011). Multivariable analysis showed that adjusting by age, education, smoking, alcohol consumption, body mass index, diabetes, and physical activity, a positive and significant association was detected between opioid drug use and the likelihood of osteoporosis (APR: 1.46, 95%CI: 1.02-2.10). Considering the potential confounders, the results also showed a negative association between drug consumption and TBS (β: - 0.027, 95%CI: - 0.053, - 0.001). CONCLUSION Opioid drug use has a positive association with osteoporosis in elderly men, independent of other conventional risk factors. Elderly drug users might be at a higher risk for osteoporotic fractures, given the effect of substance use on cognition. So, osteoporosis among drug users would be of importance, especially in countries where opium consumption is prevalent.
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Affiliation(s)
- Mahnaz Sanjari
- Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, No. 10 Jalal-E-Ale-Ahmad St, Chamran Hwy, P.O. Box: 14117-13137, Tehran, Iran
| | | | - Noushin Fahimfar
- Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, No. 10 Jalal-E-Ale-Ahmad St, Chamran Hwy, P.O. Box: 14117-13137, Tehran, Iran.
| | - Safoora Gharibzadeh
- Department of Epidemiology and Biostatistics, Pasteur Institute of Iran, Tehran, Iran
| | - Kazem Khalagi
- Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, No. 10 Jalal-E-Ale-Ahmad St, Chamran Hwy, P.O. Box: 14117-13137, Tehran, Iran
- Obesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Gita Shafiee
- Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Ramin Heshmat
- Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Iraj Nabipour
- The Persian Gulf Marine Biotechnology Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Azam Amini
- Division of Rheumatology, Department of Internal Medicine, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Amirhossein Darabi
- The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Arash Ghazbani
- Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Bagher Larijani
- Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Afshin Ostovar
- Osteoporosis Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, No. 10 Jalal-E-Ale-Ahmad St, Chamran Hwy, P.O. Box: 14117-13137, Tehran, Iran
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Menati W, Valizadeh R, Menati R, Niazi M, Nazarzadeh M, Bidel Z. Determination of opium abuse prevalence in Iranian young people: a systematic review and meta-analysis. JOURNAL OF SUBSTANCE USE 2016. [DOI: 10.3109/14659891.2015.1130181] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Walieh Menati
- Prevention of Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran
| | - Reza Valizadeh
- Department of Psychology, Ilam University of Medical Sciences, Ilam, Iran
| | - Rostam Menati
- Prevention of Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran
- Faculty of Humanities, University of Kashan, Kashan, Iran
| | - Mohsen Niazi
- Prevention of Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran
- Department of Sociology, Faculty of Humanities, University of Kashan, Kashan, Iran
| | - Milad Nazarzadeh
- The Collaboration Center of Meta-Analysis Research (ccMETA), Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
| | - Zeinab Bidel
- The Collaboration Center of Meta-Analysis Research (ccMETA), Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
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Nazarzadeh M, Bidel Z, Mosavi Jarahi A, Esmaeelpour K, Menati W, Shakeri AA, Menati R, Kikhavani S, Saki K. Prevalence of Cannabis Lifetime Use in Iranian High School and College Students: A Systematic Review, Meta-Analyses, and Meta-Regression. Am J Mens Health 2014; 9:397-409. [PMID: 25147097 DOI: 10.1177/1557988314546667] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Cannabis is the most widely used substance in the world. This study aimed to estimate the prevalence of cannabis lifetime use (CLU) in high school and college students of Iran and also to determine factors related to changes in prevalence. A systematic review of literature on cannabis use in Iran was conducted according to MOOSE guideline. Domestic scientific databases, PubMed/Medline, ISI Web of Knowledge, and Google Scholar, relevant reference lists, and relevant journals were searched up to April, 2014. Prevalences were calculated using the variance stabilizing double arcsine transformation and confidence intervals (CIs) estimated using the Wilson method. Heterogeneity was assessed by Cochran's Q statistic and I(2) index and causes of heterogeneity were evaluated using meta-regression model. In electronic database search, 4,000 citations were retrieved, producing a total of 33 studies. CLU was reported with a random effects pooled prevalence of 4.0% (95% CI = 3.0% to 5.0%). In subgroups of high school and college students, prevalences were 5.0% (95% CI = 3.0% to -7.0%) and 2.0% (95% CI = 2.0% to -3.0%), respectively. Meta-regression model indicated that prevalence is higher in college students (β = 0.089, p < .001), male gender (β = 0.017, p < .001), and is lower in studies with sampling versus census studies (β = -0.096, p < .001). This study reported that prevalence of CLU in Iranian students are lower than industrialized countries. In addition, gender, level of education, and methods of sampling are highly associated with changes in the prevalence of CLU across provinces.
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Affiliation(s)
- Milad Nazarzadeh
- Ilam University of Medical Sciences, Ilam, Iran Shahid Beheshti University of Medical Science, Tehran, Iran Tehran University of Medical Sciences, Tehran, Iran
| | | | - Alireza Mosavi Jarahi
- Simon Fraser University, Burnaby, British Columbia, Canada Sabzevar University of Medical Sciences and Health Services, Sabzevar, Iran
| | | | | | | | | | | | - Kourosh Saki
- Lorestan University of Medical Science, Khorramabad, Iran
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Baheiraei A, Khoori E, Foroushani AR, Ahmadi F, Ybarra ML. What sources do adolescents turn to for information about their health concerns? Int J Adolesc Med Health 2014; 26:61-8. [PMID: 23625280 DOI: 10.1515/ijamh-2012-0112] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2012] [Accepted: 01/29/2013] [Indexed: 11/15/2022]
Abstract
BACKGROUND Adolescents are developmentally normatively interested in information about sexuality and other health-related issues. In the absence of available health programming, identifying the sources of information that youth are currently accessing will help adolescent health researchers understand where youth 'are,' thereby informing where and how future interventions can be targeted. This is particularly important in resource-limited settings, such as Iran, where funding for public health programming is scant. This study aimed to examine primary and preferred sources of adolescents' health information queries and identify health topics in which they are most interested. METHODS In 2011, a random sample of 915 adolescents, aged 14-18 years, completed anonymous, self-administered questionnaires. RESULTS Mothers (51.11%) and same-sex friends (40.11%) were both the primary as well as the preferred source of health information for adolescents. More than one in three adolescents identified media information sources, including books (39.6%) and the Internet (37.9%), as their primary and preferred sources. The most common topic adolescents sought information about was sexuality issues. Younger adolescents preferred receiving information from parents, whereas older adolescents preferred friends as sources for information [X2=9.3, p=0.009]. No age differences were noted in using media sources (p>0.05). CONCLUSIONS These findings indicate future interventions should integrate some if not all of these sources [both people (mothers, same-sex friends) and media (books, the Internet)] to deliver evidenced-based health information.
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