Browsing by Author "Okas Thaipisuttikul"
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Item The Correlation between Body Mass Index and Bone Mineral Density in Menopausal Women(Vajira Medical Journal, 2010-03-29) Visut Suvithayasiri; Okas ThaipisuttikulAbstract The Correlation between Body Mass Index and Bone Mineral Density in Menopausal Women Visut Suvithayasiri MD Okas Thaipisuttikul MD Department of Obstetrics and Gynecology, BMA Medical College and Vajira Hospital Objective: To study the correlation between body mass index (BMI) and bone mineral density (BMD) in menopausal women. Study design: Cross-sectional descriptive study. Subjects: Three hundred and thirty eight natural menopausal women without hormonal replacement therapy were studied at The Department of Obstetrics and Gynecology, BMA Medical College and Vajira Hospital during June 1997 to December 2000. Methods: Subjects were divided into three groups: premenopause (n=52), perimenopause (n=96) and postmenopause (n = 90). Heign, weight and body mass index (BMI) were recorded. Dual energy x-ray absorptiometry (DEXA) was used to measure BMD at the lumber spine (L2-L4) and left hip joint (femur neck, Ward's triangle, trochanter) at Nuclear Medicine Unit. Data were analyzed to find the correlation between BMI and BMD in all studied groups. Main outcome measures: The correlation between BMI and BMD at lumbar spine (L2-L4) and hip joint in three studied groups of menopausal women. Results: In premenopausal, perimenopausal and postmenopausal groups, BMI had no statistically significant difference. But BMD at L2-L4 and hip joint were decreased respectively with statistically significant difference. The BMI was positively significant correlated with BMD (pItem Mammographic Density Changes of Postmenopasual Women after Hormonal Replacement Therapy with Cyclic and Continuous Combined Regimens(Vajira Medical Journal, 2010-03-29) Shaleewan Seukwattana; Angkana Pongpatiroj; Okas Thaipisuttikul; Sirirat TeawiratAbstract Mammographic Density Changes of Postmenopasual Women after Hormonal Replacement Therapy with Cyclic and Continuous Combined Regimens Shaleewan Seukwattana MD* Angkana Pongpatiroj MD* Okas Thaipisuttikul MD* Sirirat Teawirat MD** *Department of Obstetrics and Gynecology, BMA Medical College and Vajira Hospital **Department of Rediology, BMA Medical College and Vajira Hospital Objective: To compare mammographic density changes of postmenopausal women who received hormonal replacement therapy with cyclic and continuous combined regimens. Study design: Retrospective cohort study. Setting: Menopausal clinic, Department of Obstetrics and Gynecology, BMA Medical College and Vajira Hospital. Subjects: The 62 postmenopausal women attending at menopausal clinic who received hormonal replacement therapy with cyclic or continuous combined regimens for at least one year, 31 in each group. Methods: The medical records and mammograms of postmenopausal women who received hormonal replacement therapy with cyclic or continuous combined regimens were reviewed. Mammograms before and one year after hormonal replacement therapy were interpreted by one radiologist using Wolf's criteria. Main outcome measures: Mammographic density changes before and at least one year after hormonal replacement therapy following Wolf's criteria. Results: Mammographic densities after receiving hormonal replacement therapy were increased in both groups. Numbers of women with increase in mammographic density in continuous combined group (25/31, 80.6%) were higher than in cyclic combined group (6/31, 19.4%), the difference was statistically significant (p