SURVEY ON BONE MINERAL DENSITY AND KIDNEY ESSENCE FUNCTION IN PATIENTS WITH LOW BACK PAIN HOSPITALIZED AT CAN THO TRADITIONAL MEDICINE HOSPITAL, 2024 - 2025

Nhut Phi Bui1, Le Nhat Duy Nguyen1, Tien Dat Dang1, Gia Thuan Truong1, Do Gia Huy Bui1, Thi My Tien Le1, , Tien Dang Khoa Dang1
1 Can Tho University of Medicine and Pharmacy

Main Article Content

Abstract

 Background: Bone mineral density (BMD) is a key factor in diagnosing osteoporosis, a prevalent disease in individuals over 40 years of age. In Traditional Medicine, the kidney is believed to govern the bones and marrow, playing an important role in nourishing the skeletal system. However, in Vietnam, studies examining the relationship between BMD and the kidney function governing bones and marrow in patients with low back pain aged over 40 remain limited. Objectives: To describe bone mineral density characteristics and the clinical manifestations related to the kidney function governing bone and marrow. Analyze the correlation between bone mineral density and kidney function governing bone and marrow. Materials and methods: This was a crosssectional descriptive study conducted on 108 inpatients aged over 40 with lumbar back pain at Can Tho Traditional Medicine Hospital. Data were collected from December 2024 to December 2025. Results: Among 108 patients, females accounted for 73.1%. The prevalence of osteoporosis was 58.3%. Regarding the function of the Kidney governing bones and marrow: severe lower back pain accounted for 55.6%, duration of lower back pain under 6 months accounted for 46.3%, severe tooth loss accounted for 88%, and cognitive impairment accounted for 31.5%. T-scores showed a statistically significant moderate inverse correlation with the number of lost teeth and a weak positive correlation with the Mini-Cog score. Conclusion: Patients over 40 years of age with lower back pain exhibit a high prevalence of osteoporosis and symptoms indicating a decline in the function of the Kidney governing bones and marrow. Bone mineral density was significantly associated with the number of lost teeth and the Mini-Cog score. 

Article Details

Author Biography

Le Nhat Duy Nguyen, Can Tho University of Medicine and Pharmacy

Sinh viên lớp YHCT K46, Đại Học Y Dược Cần Thơ

References

1. LeBoff M.S., Greenspan S.L., Insogna K.L., Lewiecki E.M., Saag K.G., et al. The clinician's guide to prevention and treatment of osteoporosis. Osteoporosis International. 2022. 33(10), 2049-2102, https://doi.org/10.1007/s00198-021-05900-y.
2. Lê Bảo Lưu, Tăng Khánh Huy. Lý luận cơ bản Y học cổ truyền, Nhà xuất bản Đại học Y Quốc Gia TP Hồ Chí Minh. 2021. 171.
3. Lê Minh Hoàng, Lê Thị Mỹ Tiên. Giáo trình lý luận cơ bản Y học cổ truyền. Nhà xuất bản y học. 2022. 64. Tập 1.
4. Boonstra Anne M, Schiphorst Preuper Henrica R, Balk Gerlof A, Stewart Roy E. “Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain”. Pain. 2014. 155(12), 2545-2550.
5. World Health Organization. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis : report of a WHO study group [meeting held in Rome from 22 to 25 June 1992]. World Health Organization. 1994. https://iris.who.int/handle/10665/39142.
6. Borson, S., Scanlan, J., Brush, M., Vitaliano, P., & Dokmak, A. The Mini-Cog: a cognitive 'vital signs' measure for dementia screening in multi-lingual elderly. International journal of geriatric psychiatry. 2000. 15(11), 1021-1027.
7. Hoang DK, Doan MC, Mai LD, Ho-Le TP, Ho-Pham LT. Burden of osteoporosis in Vietnam: An analysis of population risk. PLoS One. 2021. 16(6), 1-18, https://doi.org/10.1371/journal.pone.0252592.
8. Damanaki A, Habel ML, Deschner J. Association of Osteoporosis with Tooth Loss and Dental Radiomorphometric Indices. Biomedicines. 2024. 12(12), 1-14, https://doi.org/10.3390/biomedicines12122886
9. Zhang G, Zheng J, Zhou Y, Zhou M, Zhang J, et al. From teeth to bone: dental caries has causal effects on osteoporosis and osteoporotic fracture. BMC Oral Health. 2025. 25(1), 340, https://doi.org/10.1186/s12903-025-05735-7.
10. Xie C, Wang C, Luo H. Increased risk of osteoporosis in patients with cognitive impairment: a systematic review and meta-analysis. BMC Geriatr. 2023. 23(1), 797, https://doi.org/10.1186/s12877-023-04548-z.
11. Lary CW, Ghatan S, Gerety M, Hinton A, Nagarajan A, et al. bone mineral density and the risk of incident dementia: A meta-analysis. Journal of the American Geriatrics Society. 2024. 72(1), 194-200, https://doi.org/10.1111/jgs.18638.
12. Estee MM, Wang Y, Heritier S, Urquhart DM, Cicuttini FM, et al. Bone mineral density is not associated with incident high-intensity back pain: a 10-year cohort study in men. JBMR Plus. 2024, 8(8), 1-7, https://doi.org/10.1093/jbmrpl/ziae076.
13. Zhou Y, Li C, Dai W, Teng H, Wang Y, et al. Association between bone mineral density and lower back pain in the general United States population using the NHANES of 1999-2004. Front Surg. 2025. 12, 1-8, https://doi.org/10.3389/fsurg.2025.1535614.