{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:37:22Z","timestamp":1786653442856,"version":"build-2736575974"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Fibromyalgia (FM) may t cause a decrease in bone mineral density (BMD) because of decreased mobility. The condition is relatively frequent in rheumatoid arthritis (RA) and RA patients with FM have more disability than those without FM. We evaluated the effect of FM on BMD and investigated the effect of FM on BMD in RA patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We included age-matched 56 FM, 52 RA patients, and 37 healthy females as controls. Twenty three of all RA subjects met 1990 ACR FM criteria. Patients using the antiresorptive drugs, those on hormone replacement therapy, patients with thyroid or parathyroid dysfunction were excluded. Self-reported pain and fatigue severity, functional items of FM impact questionnaire were questioned in FM and RA patients. In all subjects, BMD of the lumbar spine and femur neck were determined by dual X-ray absorptiometry, and T-scores were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Self-reported pain and fatigue scores in FM subjects were significantly higher than in RA patients (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      0&lt;0.001). The mean lumbar spine and femur neck BMD and their T-scores in RA patients were significantly lower than in FM and control groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      values&lt;0.01). There was no difference in BMD between FM subjects and the control group. BMD in RA patients with and without FM were similar (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt;0.05). There was a significant negative correlation between self-reported pain score and lumbar spine BMD in FM subjects (\n                      <jats:italic toggle=\"yes\">r<\/jats:italic>\n                      =\u20130.41,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.006).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In spite of functional disability, FM does not cause a decrease in BMD. The presence of FM in RA patients does not result in a change in BMD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0022-3859.113825","type":"journal-article","created":{"date-parts":[[2013,6,21]],"date-time":"2013-06-21T06:07:48Z","timestamp":1371794868000},"page":"106-109","source":"Crossref","is-referenced-by-count":5,"title":["Effect of fibromyalgia on bone mineral density in patients with fibromylagia and rheumatoid arthritis"],"prefix":"10.4103","volume":"59","author":[{"given":"MA","family":"Buyukbese","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ON","family":"Pamuk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"OA","family":"Yurekli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Yesil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-5-20240205","doi-asserted-by":"crossref","first-page":"4","DOI":"10.3109\/03009749709065657","article-title":"Assessment of functional limitation and disability in patients with fibromyalgia","volume":"26","author":"Mannerkorpi","year":"1997","journal-title":"Scand J Rheumatol"},{"key":"R2-5-20240205","first-page":"477","article-title":"Pain and fatigue induced by exercise in fibromyalgia patients and sedentary healthy subjects","volume":"13","author":"Mengshoel","year":"1995","journal-title":"Clin Exp Rheumatol"},{"key":"R3-5-20240205","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1093\/rheumatology\/keg356","article-title":"Bone health in patients with fibromyalgia","volume":"42","author":"Al-Allaf","year":"2003","journal-title":"Rheumatology (Oxford"},{"key":"R4-5-20240205","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1080\/03009740310002470","article-title":"Bone mineral density in fibromyalgia patients - Correlation to disease activity","volume":"32","author":"Jensen","year":"2003","journal-title":"Scand J Rheumatol"},{"key":"R5-5-20240205","first-page":"2642","article-title":"Fibromyalgia: A risk factor for osteoporosis","volume":"26","author":"Swezey","year":"1999","journal-title":"J Rheumatol"},{"key":"R6-5-20240205","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1300\/J094v09n01_03","article-title":"Bone mass in the calcaneus in patients with fibromyalgia","volume":"9","author":"Zerahn","year":"2001","journal-title":"J Musculoskelet Pain"},{"key":"R7-5-20240205","first-page":"856","article-title":"Bone mass and turnover in fibromyalgia","volume":"20","author":"Jacobsen","year":"1993","journal-title":"J Rheumatol"},{"key":"R8-5-20240205","first-page":"814","article-title":"Fibrositis (Fibromyalgia) in rheumatoid arthritis","volume":"11","author":"Wolfe","year":"1984","journal-title":"J Rheumatol"},{"key":"R9-5-20240205","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1136\/ard.61.7.660","article-title":"Fibromyalgia in patients with rheumatoid arthritis is associated with higher scores of disability","volume":"61","author":"Naranjo","year":"2002","journal-title":"Ann Rheum Dis"},{"key":"R10-5-20240205","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1002\/art.1780310302","article-title":"The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis","volume":"31","author":"Arnett","year":"1988","journal-title":"Arthritis Rheum"},{"key":"R11-5-20240205","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1002\/art.1780330203","article-title":"The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee","volume":"33","author":"Wolfe","year":"1990","journal-title":"Arthritis Rheum"},{"key":"R12-5-20240205","first-page":"728","article-title":"The fibromyalgia impact questionnaire: Development and validation","volume":"18","author":"Burckhardt","year":"1991","journal-title":"J Rheumatol"},{"key":"R13-5-20240205","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/s002960000077","article-title":"The validity and reliability of the Turkish version of the Fibromyalgia Impact Questionnaire","volume":"20","author":"Sarmer","year":"2000","journal-title":"Rheumatol Int"},{"key":"R14-5-20240205","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1002\/art.1780380107","article-title":"Modified disease activity scores that include twenty-eight-joint counts. Development and validation in a prospective longitudinal study of patients with rheumatoid arthritis","volume":"38","author":"Prevoo","year":"1995","journal-title":"Arthritis Rheum"},{"key":"R15-5-20240205","doi-asserted-by":"crossref","first-page":"1065","DOI":"10.1016\/j.berh.2005.06.008","article-title":"Bone loss in inflammatory arthritis: Mechanisms and therapeutic approaches with bisphosphonates","volume":"19","author":"Romas","year":"2005","journal-title":"Best Pract Res Clin Rheumatol"},{"key":"R16-5-20240205","doi-asserted-by":"crossref","first-page":"421","DOI":"10.1007\/s00198-010-1319-x","article-title":"Osteoporosis in inflammatory joint diseases","volume":"22","author":"Roux","year":"2011","journal-title":"Osteoporos Int"},{"key":"R17-5-20240205","first-page":"S62","article-title":"Osteoporosis in rheumatoid arthritis and ankylosing spondylitis","volume":"27","author":"Vosse","year":"2009","journal-title":"Clin Exp Rheumatol"},{"key":"R18-5-20240205","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1016\/j.bone.2012.05.018","article-title":"Antidepressant medications and osteoporosis","volume":"51","author":"Rizzoli","year":"2012","journal-title":"Bone"},{"key":"R19-5-20240205","doi-asserted-by":"crossref","first-page":"1","DOI":"10.4158\/EP12119.OR","article-title":"The association of newer anticonvulsant medications and bone mineral density","volume":"14","author":"Lee","year":"2012","journal-title":"Endocr Pract"},{"key":"R20-5-20240205","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/B978-0-12-386960-9.00011-3","article-title":"Vitamin D deficiency and connective tissue disease","volume":"86","author":"Zold","year":"2011","journal-title":"Vitam Horm"},{"key":"R21-5-20240205","first-page":"712","article-title":"Fibromyalgia - Should we be testing and treating for vitamin D deficiency?","volume":"40","author":"Daniel","year":"2011","journal-title":"Aust Fam Physician"}],"container-title":["Journal of Postgraduate Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00005257-201359020-00005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:37:29Z","timestamp":1786649849000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00005257-201359020-00005"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":21,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.4103\/0022-3859.113825","relation":{},"ISSN":["0022-3859"],"issn-type":[{"value":"0022-3859","type":"print"}],"subject":[],"published":{"date-parts":[[2013]]}}}