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PubMedID: 18622949 Aim: In this epidemiological report, we assessed the prevalence of osteopenia and osteoporosis (OP) in postmenopausal Turkish women and the relationship between body mass index (BMI), and some nutritional factors (habitual tea, coffee, tobacco, and milk product consumption) with OP. Methods: This multicenter study was done in postmenopausal women residing in five big cities, in four different regions of Turkey between August and November 2005. An inclusion criterion was being in the postmenopausal period for at least 12 months. A semi-structured questionnaire was completed by face-to-face interview, consisting of closed- and open-ended questions about demographic characteristics, nutritional status, and habits with two or more choices as possible responses. Bone mineral density (BMD) measurements were performed with a MetriScan® Densitometer (Alara Inc., Ca, USA). Results: Seven hundred twenty-four women were included in the study. The mean age was 57.6 ± 9.6 years, and mean age at natural menopause was 46.4 ± 5.6 years. Of the participants, 51% were illiterate. According to WHO classification; 42.5% were normal in terms of BMD, 27.2% had osteopenia, and 30.2% had OP. Women with high education levels had better T-scores (p = 0.019). Increase in BMI also had a positive effect on T-scores (p < 0.0001). A linear correlation was found between age (r= -0.386, p < 0.0001), BMI (r = -0.175, p < 0.0001), and education (r = -0.317, p < 0.0001), with T-scores. The T-scores of women who consumed tea on a regular basis were found to be higher than non-consumers (-1.51 ± 1.68 vs. -1.09 ± 1.66; p = 0.070) [when smokers, those who received hormonal therapy (HT), and those > 65 years were excluded]. Conclusion: OP was determined in 1/3 of the women. Advanced age (> 65) and being illiterate were negative factors, while high education levels, being overweight, and being treated with HT had a positive effects on BMD. Habitual tea drinking also may have a positive effect on BMD. However, tea drinking was not found to be a statistically significant factor in the present study. © Hogrefe & Huber Publishers.

Aile sağlığı merkezi; tıbbi kayıtları korumak, sürdürmek ve yeniden kazanmak için etkili ve kolay ulaşılabilen bir sistemle birlikte hasta­ların telefon veya diğer iletişim araçlarıyla bağlantı kurabildiği düzgün ve erişebilir bir yapıya sahip olmalıdır. Kayıtlar iyi tutula-malı ve gerektiğinde eski kayıtlara kolaylıkla erişilebilmelidir. Aile hekimliği merkezinde çalışan personel gelişmiş iletişim becerilerine sahip, iyi eğitilmiş, profesyonel ve sorun çözme becerilerine sahip olmalıdır. Hastaların sürekli bakımını sağlayacak bir işleyiş gerçek­leştirilmelidir. Hastalar tarafından erişilebilen iyi bir randevu pro­gramlama sistemiyle vizitler koordine edilmeli ve merkez kapalı olduğu zamanlarda bile tedavi sürdürülmelidir. Family healthcare centers should be structured in a way that patients can access the center via communication tools (tele­phone, e-mail, etc.) easily. In the center there should be a system which enables easy access to medical records. Family healthcare centers should have good medical records which are kept for a long time to be used again in the future. In addition to these fea­tures, healthcare providers who are working in the center should have good communication skills. They should be well educated, with professional manners and ability to solve problems. The sys­tem should provide the continuous care of the patient. The fami­ly healthcare center should have a well established appointment system which patients can easily access with well organized fol­low up appointments. At the same time, there should be a pro­gram which enables patients to reach the care they need even when the center is closed.