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Fırat Tıp Dergisi
2021, Cilt 26, Sayı 3, Sayfa(lar) 165-170
[ Turkish ] [ Tam Metin ] [ PDF ]
Anxiety-Depression Disorders and Bone Mineral Density in Diabetic Foot Patients
Kader UĞUR1, Tansel Ansal BALCI2, Ahmet KARATAŞ3, Umut AYDIN4, Faruk KILINÇ1, Suna AYDIN5, Ramazan Fazıl AKKOÇ6, Fikri Selçuk ŞİMŞEK7, Gamze AYAZ4, Vehbi PEHLİVAN4
1Fırat Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı Endokrinoloji Bilim Dalı, Elazığ, Türkiye
2Fırat Üniversitesi Tıp Fakültesi, Nükleer Tıp Anabilim Dalı, Elazığ, Türkiye
3Fırat Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı Romatoloji Bilim Dalı, Elazığ, Türkiye
4Fırat Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Elazığ, Türkiye
5Fethi Sekin Şehir Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Elazığ, Türkiye
6Fırat Üniversitesi Tıp Fakültesi, Anatomi Anabilim Dalı, Elazığ, Türkiye
7Pamukkale Üniversitesi, Nükleer Tıp Anabilim Dalı, Denizli, Türkiye

Objective: In this study it is aimed to evaluate the depression and anxiety scores as well as biochemical measures in diabetic foot (DF) and none diabetic foot (Non-DF) patients, also to compare the bone mineral densitometry (BMD) measures in order to point out any possible correlation.

Material and Method: Diabetic patients who admitted to Firat University Hospital among which 37 had a diagnosis of DF and 40 Non-DF were included in the study according to the Hospital Anxiety and Depression Scale. HbA1c, magnesium (Mg), albumin, urea, creatinine, calcium (Ca), phosphorus (P), parathormone, vitamin D levels and body mass index. (BMI) were recorded for all patients and Wagner classification scores are noted for the cases with DF. In addition, BMD was measured via Dual-energy X-ray absorptiometry from lumbar region and femoral head.

Results: The depression and anxiety scores were both significantly higher in female patients DF or Non-DF. It is also reported that the BMD scores were significantly lower in female patients. Results of bone mineral densitometry were not statistically significant in the DF group. There was a positive correlation between BMI and BMD. Also, it has been found that Ca, P, Mg in DF were remarkably lower than in Non-DF.

Conclusion: Anxiety, depression and BMI increase while BMD decreases in diabetic foot patients. Diabetic foot complications are not only considered as endocrine and metabolic disorders, so that they should be treated with a multidisciplinary approach including psychiatry.


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