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Published in: Irish Journal of Medical Science (1971 -) 1/2020

01-02-2020 | Mood Disorders | Original Article

May zoledronic acid have negative effects on cognition and muscle performance?

Authors: Remzi Bahşi, Volkan Atmiş, Tuğba Turgut, Deniz Mut Sürmeli, Çağlar Coşarderelioğlu, Hande Selvi Öztorun, Ahmet Yalçin, Sevgi Aras, Murat Varli

Published in: Irish Journal of Medical Science (1971 -) | Issue 1/2020

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Abstract

Background

We aimed to investigate the effects of zoledronic acid treatment on daily living activities, cognitive functions, depression, muscle strength, and performance.

Methods

The study was conducted retrospectively. Bone mineral densitometry (BMD) values, Katz activities of daily living (ADL), Lawton-Brody instrumental activities of daily living (IADL), mini mental state examination (MMSE), geriatric depression scale (GDS), mini nutritional assessment (MNA), grip strength, and gait speed scores before and 6 months after zoledronic acid administration were compared.

Results

A total of 115 patients were included in the study. There was a significant increase in lumbar total (p < .001), femoral neck (p = .002), and femur total (p = .001) BMD values after zoledronic acid treatment. Significant decrease was found in MMSE (p = .016) and gait speed scores (p = .008) after zoledronic acid treatment, but no significant difference was found in terms of Katz ADL, Lawton-Brody IADL, MNA, GDS, and grip strength (p > .05).

Conclusion

Our study indicated that zoledronic acid did not affect daily living activities, depression, and muscle strength. Although we have concluded that cognitive and muscle performance may be adversely affected by zoledronic acid treatment.
Literature
1.
2.
go back to reference Maclaughlin EJ, Sleeper RB, McNatty D et al (2006) Management of age-related osteoporosis and prevention of associated fractures. Ther Clin Risk Manag 2(3):281–295PubMedPubMedCentralCrossRef Maclaughlin EJ, Sleeper RB, McNatty D et al (2006) Management of age-related osteoporosis and prevention of associated fractures. Ther Clin Risk Manag 2(3):281–295PubMedPubMedCentralCrossRef
3.
go back to reference Zadeh AF, Hanafi MG, Kiasat A, Mousavi M (2019) Evaluation of the tibial cortical thickness accuracy in osteoporosis diagnosis in comparison with dual energy X-ray absorptiometry. J Family Med Prim Care 8(2):523–527PubMedPubMedCentralCrossRef Zadeh AF, Hanafi MG, Kiasat A, Mousavi M (2019) Evaluation of the tibial cortical thickness accuracy in osteoporosis diagnosis in comparison with dual energy X-ray absorptiometry. J Family Med Prim Care 8(2):523–527PubMedPubMedCentralCrossRef
4.
go back to reference U.S. Preventive Services Task Force (2011) Screening for osteoporosis: U.S. preventive services task force recommendation statement. Ann Intern Med 154(5):356–364CrossRef U.S. Preventive Services Task Force (2011) Screening for osteoporosis: U.S. preventive services task force recommendation statement. Ann Intern Med 154(5):356–364CrossRef
7.
go back to reference Pazianas M, Abrahamsen B, Ferrari S, Russell RG (2013) Eliminating the need for fasting with oral administration of bisphosphonates. Ther Clin Risk Manag 9:395–402PubMedPubMedCentralCrossRef Pazianas M, Abrahamsen B, Ferrari S, Russell RG (2013) Eliminating the need for fasting with oral administration of bisphosphonates. Ther Clin Risk Manag 9:395–402PubMedPubMedCentralCrossRef
8.
go back to reference Dalle Carbonare L, Zanatta M, Gasparetto A, Valenti MT (2010) Safety and tolerability of zoledronic acid and other bisphosphonates in osteoporosismanagement. Drug Healthc Patient Saf 2:121–137PubMedPubMedCentralCrossRef Dalle Carbonare L, Zanatta M, Gasparetto A, Valenti MT (2010) Safety and tolerability of zoledronic acid and other bisphosphonates in osteoporosismanagement. Drug Healthc Patient Saf 2:121–137PubMedPubMedCentralCrossRef
9.
go back to reference Dilek B, Şahin E, Erdem D, et al. (2017) Patient satisfaction, preference and side effects after annual zoledronic acid infusion in patients with osteoporosis 23(1): 21–25 Dilek B, Şahin E, Erdem D, et al. (2017) Patient satisfaction, preference and side effects after annual zoledronic acid infusion in patients with osteoporosis 23(1): 21–25
10.
go back to reference Liu M, Guo L, Pei Y, Li N, Jin M, Ma L, Liu Y, Sun B, Li C (2015) Efficacy of zoledronic acid in treatment of osteoporosis in men and women-a meta-analysis. Int J Clin Exp Med 8(3):3855–3861PubMedPubMedCentral Liu M, Guo L, Pei Y, Li N, Jin M, Ma L, Liu Y, Sun B, Li C (2015) Efficacy of zoledronic acid in treatment of osteoporosis in men and women-a meta-analysis. Int J Clin Exp Med 8(3):3855–3861PubMedPubMedCentral
11.
go back to reference Wang C (2017) Efficacy and safety of zoledronic acid for treatment of postmenopausal osteoporosis: a meta-analysis of randomized controlled trials. Am J Ther 24(5):e544–e552PubMedCrossRef Wang C (2017) Efficacy and safety of zoledronic acid for treatment of postmenopausal osteoporosis: a meta-analysis of randomized controlled trials. Am J Ther 24(5):e544–e552PubMedCrossRef
12.
go back to reference Devogelaer JP, Brown JP, Burckhardt P, Meunier PJ, Goemaere S, Lippuner K, Body JJ, Samsioe G, Felsenberg D, Fashola T, Sanna L, Ortmann CE, Trechsel U, Krasnow J, Eriksen EF, Garnero P (2007) Zoledronic acid efficacy and safety over five years in postmenopausal osteoporosis. Osteoporos Int 18(9):1211–1218PubMedCrossRef Devogelaer JP, Brown JP, Burckhardt P, Meunier PJ, Goemaere S, Lippuner K, Body JJ, Samsioe G, Felsenberg D, Fashola T, Sanna L, Ortmann CE, Trechsel U, Krasnow J, Eriksen EF, Garnero P (2007) Zoledronic acid efficacy and safety over five years in postmenopausal osteoporosis. Osteoporos Int 18(9):1211–1218PubMedCrossRef
13.
go back to reference Hsieh PC (2016) Effectiveness and safety of zoledronic acid in the treatment of osteoporosis. Orthopedics. 39(2):e263–e270PubMedCrossRef Hsieh PC (2016) Effectiveness and safety of zoledronic acid in the treatment of osteoporosis. Orthopedics. 39(2):e263–e270PubMedCrossRef
14.
go back to reference Kotian P, Boloor A, Sreenivasan S (2016) Study of adverse effect profile of parenteral zoledronic acid in female patients with osteoporosis. J Clin Diagn Res 10(1):OC04–OC06PubMedPubMedCentral Kotian P, Boloor A, Sreenivasan S (2016) Study of adverse effect profile of parenteral zoledronic acid in female patients with osteoporosis. J Clin Diagn Res 10(1):OC04–OC06PubMedPubMedCentral
15.
go back to reference Wark JD, Bensen W, Recknor C, Ryabitseva O, Chiodo J, Mesenbrink P, de Villiers TJ (2012) Treatment with acetaminophen/paracetamol or ibuprofen alleviates post-dose symptoms related to intravenous infusion with zoledronic acid 5 mg. Osteoporos Int 23(2):503–512PubMedCrossRef Wark JD, Bensen W, Recknor C, Ryabitseva O, Chiodo J, Mesenbrink P, de Villiers TJ (2012) Treatment with acetaminophen/paracetamol or ibuprofen alleviates post-dose symptoms related to intravenous infusion with zoledronic acid 5 mg. Osteoporos Int 23(2):503–512PubMedCrossRef
16.
go back to reference Lyles KW, Colón-Emeric CS, Magaziner JS, Adachi JD, Pieper CF, Mautalen C, Hyldstrup L, Recknor C, Nordsletten L, Moore KA, Lavecchia C, Zhang J, Mesenbrink P, Hodgson PK, Abrams K, Orloff JJ, Horowitz Z, Eriksen EF, Boonen S, HORIZON Recurrent Fracture Trial (2007) Zoledronic acid and clinical fractures and mortality after hip fracture. N Engl J Med 357(18):1799–1809PubMedCrossRef Lyles KW, Colón-Emeric CS, Magaziner JS, Adachi JD, Pieper CF, Mautalen C, Hyldstrup L, Recknor C, Nordsletten L, Moore KA, Lavecchia C, Zhang J, Mesenbrink P, Hodgson PK, Abrams K, Orloff JJ, Horowitz Z, Eriksen EF, Boonen S, HORIZON Recurrent Fracture Trial (2007) Zoledronic acid and clinical fractures and mortality after hip fracture. N Engl J Med 357(18):1799–1809PubMedCrossRef
17.
go back to reference Boonen S, Reginster JY, Kaufman JM, Lippuner K, Zanchetta J, Langdahl B, Rizzoli R, Lipschitz S, Dimai HP, Witvrouw R, Eriksen E, Brixen K, Russo L, Claessens F, Papanastasiou P, Antunez O, Su G, Bucci-Rechtweg C, Hruska J, Incera E, Vanderschueren D, Orwoll E (2012) Fracture risk and zoledronic acid therapy in men with osteoporosis. N Engl J Med 367(18):1714–1723PubMedCrossRef Boonen S, Reginster JY, Kaufman JM, Lippuner K, Zanchetta J, Langdahl B, Rizzoli R, Lipschitz S, Dimai HP, Witvrouw R, Eriksen E, Brixen K, Russo L, Claessens F, Papanastasiou P, Antunez O, Su G, Bucci-Rechtweg C, Hruska J, Incera E, Vanderschueren D, Orwoll E (2012) Fracture risk and zoledronic acid therapy in men with osteoporosis. N Engl J Med 367(18):1714–1723PubMedCrossRef
18.
go back to reference Tasci I, Safer U, Cintosun U, Bozoglu E, Naharci I, Aydogdu A, Meric C, Doruk H (2016) Zoledronic acid use and risk of cognitive decline among elderly women and men with osteoporosis. Endocr Metab Immune Disord Drug Targets 16(1):32–38PubMedCrossRef Tasci I, Safer U, Cintosun U, Bozoglu E, Naharci I, Aydogdu A, Meric C, Doruk H (2016) Zoledronic acid use and risk of cognitive decline among elderly women and men with osteoporosis. Endocr Metab Immune Disord Drug Targets 16(1):32–38PubMedCrossRef
19.
go back to reference Gokosmanoglu F, Varim C, Atmaca A et al (2016) The effects of zoledronic acid treatment on depression and quality of life in women with postmenopausal osteoporosis: a clinical trial study. J Res Med Sci 21:112PubMedPubMedCentralCrossRef Gokosmanoglu F, Varim C, Atmaca A et al (2016) The effects of zoledronic acid treatment on depression and quality of life in women with postmenopausal osteoporosis: a clinical trial study. J Res Med Sci 21:112PubMedPubMedCentralCrossRef
20.
go back to reference Arik G, Varan HD, Yavuz BB, Karabulut E, Kara O, Kilic MK, Kizilarslanoglu MC, Sumer F, Kuyumcu ME, Yesil Y, Halil M, Cankurtaran M (2015) Validation of Katz index of independence in activities of daily living in Turkish older adults. Arch Gerontol Geriatr 61(3):344–350PubMedCrossRef Arik G, Varan HD, Yavuz BB, Karabulut E, Kara O, Kilic MK, Kizilarslanoglu MC, Sumer F, Kuyumcu ME, Yesil Y, Halil M, Cankurtaran M (2015) Validation of Katz index of independence in activities of daily living in Turkish older adults. Arch Gerontol Geriatr 61(3):344–350PubMedCrossRef
21.
go back to reference Hopkins RO, Suchyta MR, Kamdar BB, Darowski E, Jackson JC, Needham DM (2017) Instrumental activities of daily living after critical illness: a systematic review. Ann Am Thorac Soc 14(8):1332–1343PubMedPubMedCentralCrossRef Hopkins RO, Suchyta MR, Kamdar BB, Darowski E, Jackson JC, Needham DM (2017) Instrumental activities of daily living after critical illness: a systematic review. Ann Am Thorac Soc 14(8):1332–1343PubMedPubMedCentralCrossRef
22.
go back to reference Goudsmit M, van Campen J, Schilt T, Hinnen C, Franzen S, Schmand B (2018) One size does not fit all: comparative diagnostic accuracy of the rowland universal dementia assessment scale and the mini mental state examination in a memory clinic population with very low education. Dement Geriatr Cogn Dis Extra 8(2):290–305PubMedPubMedCentralCrossRef Goudsmit M, van Campen J, Schilt T, Hinnen C, Franzen S, Schmand B (2018) One size does not fit all: comparative diagnostic accuracy of the rowland universal dementia assessment scale and the mini mental state examination in a memory clinic population with very low education. Dement Geriatr Cogn Dis Extra 8(2):290–305PubMedPubMedCentralCrossRef
23.
go back to reference Durmaz B, Soysal P, Ellidokuz H, Isik AT (2018) Validity and reliability of geriatric depression scale-15 (short form) in Turkish older adults. North Clin Istanb 5(3):216–220PubMedPubMedCentral Durmaz B, Soysal P, Ellidokuz H, Isik AT (2018) Validity and reliability of geriatric depression scale-15 (short form) in Turkish older adults. North Clin Istanb 5(3):216–220PubMedPubMedCentral
24.
go back to reference Sarikaya D, Halil M, Kuyumcu ME, Kilic MK, Yesil Y, Kara O, Ozturk S, Gungor E, Karabulut E, Balam Yavuz B, Cankurtaran M, Ariogul S (2015) Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr 61(1):56–60PubMedCrossRef Sarikaya D, Halil M, Kuyumcu ME, Kilic MK, Yesil Y, Kara O, Ozturk S, Gungor E, Karabulut E, Balam Yavuz B, Cankurtaran M, Ariogul S (2015) Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr 61(1):56–60PubMedCrossRef
25.
go back to reference Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, Cooper C, Landi F, Rolland Y, Sayer AA, Schneider SM, Sieber CC, Topinkova E, Vandewoude M, Visser M, Zamboni M, Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2, Bautmans I, Baeyens JP, Cesari M, Cherubini A, Kanis J, Maggio M, Martin F, Michel JP, Pitkala K, Reginster JY, Rizzoli R, Sánchez-Rodríguez D, Schols J (2019) Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 48(1):16–31PubMedCrossRef Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, Cooper C, Landi F, Rolland Y, Sayer AA, Schneider SM, Sieber CC, Topinkova E, Vandewoude M, Visser M, Zamboni M, Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2, Bautmans I, Baeyens JP, Cesari M, Cherubini A, Kanis J, Maggio M, Martin F, Michel JP, Pitkala K, Reginster JY, Rizzoli R, Sánchez-Rodríguez D, Schols J (2019) Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing 48(1):16–31PubMedCrossRef
26.
go back to reference Satoh T, Kimura M, Matsumoto K, Tabata KI, Okusa H, Bessho H, Iwamura M, Ishiyama H, Hayakawa K, Baba S (2009) Single infusion of zoledronic acid to prevent androgen deprivation therapy-induced bone loss in men with hormone-naive prostate carcinoma. Cancer. 115(15):3468–3474PubMedCrossRef Satoh T, Kimura M, Matsumoto K, Tabata KI, Okusa H, Bessho H, Iwamura M, Ishiyama H, Hayakawa K, Baba S (2009) Single infusion of zoledronic acid to prevent androgen deprivation therapy-induced bone loss in men with hormone-naive prostate carcinoma. Cancer. 115(15):3468–3474PubMedCrossRef
27.
go back to reference Sunyecz JA (2010) Zoledronic acid infusion for prevention and treatment of osteoporosis. Int J Women's Health 2:353–360CrossRef Sunyecz JA (2010) Zoledronic acid infusion for prevention and treatment of osteoporosis. Int J Women's Health 2:353–360CrossRef
28.
go back to reference Nasiruddin M, Fayazuddin M, Zahid M et al (2014) Acute delirium in an elderly woman following zoledronate administration. J Pharmacol Pharmacother 5(3):217–219PubMedPubMedCentralCrossRef Nasiruddin M, Fayazuddin M, Zahid M et al (2014) Acute delirium in an elderly woman following zoledronate administration. J Pharmacol Pharmacother 5(3):217–219PubMedPubMedCentralCrossRef
29.
go back to reference Safer U, Safer VB, Demir SO et al (2016) Effects of bisphosphonates and calcium plus vitamin-D supplements on cognitive function in postmenopausal osteoporosis§. Endocr Metab Immune Disord Drug Targets 16(1):56–60PubMedCrossRef Safer U, Safer VB, Demir SO et al (2016) Effects of bisphosphonates and calcium plus vitamin-D supplements on cognitive function in postmenopausal osteoporosis§. Endocr Metab Immune Disord Drug Targets 16(1):56–60PubMedCrossRef
30.
go back to reference Tow A, Holtzer R, Wang C, Sharan A, Kim SJ, Gladstein A, Blum Y, Verghese J (2016) Cognitive reserve and postoperative delirium in older adults. J Am Geriatr Soc 64(6):1341–1346PubMedPubMedCentralCrossRef Tow A, Holtzer R, Wang C, Sharan A, Kim SJ, Gladstein A, Blum Y, Verghese J (2016) Cognitive reserve and postoperative delirium in older adults. J Am Geriatr Soc 64(6):1341–1346PubMedPubMedCentralCrossRef
31.
go back to reference Zameer S, Najmi AK, Vohora D, Akhtar M (2018) Bisphosphonates: future perspective for neurological disorders. Pharmacol Rep 70(5):900–907PubMedCrossRef Zameer S, Najmi AK, Vohora D, Akhtar M (2018) Bisphosphonates: future perspective for neurological disorders. Pharmacol Rep 70(5):900–907PubMedCrossRef
33.
go back to reference Schultz BG, Patten DK, Berlau DJ (2018) The role of statins in both cognitive impairment and protection against dementia: a tale of two mechanisms. Transl Neurodegener 7:5PubMedPubMedCentralCrossRef Schultz BG, Patten DK, Berlau DJ (2018) The role of statins in both cognitive impairment and protection against dementia: a tale of two mechanisms. Transl Neurodegener 7:5PubMedPubMedCentralCrossRef
Metadata
Title
May zoledronic acid have negative effects on cognition and muscle performance?
Authors
Remzi Bahşi
Volkan Atmiş
Tuğba Turgut
Deniz Mut Sürmeli
Çağlar Coşarderelioğlu
Hande Selvi Öztorun
Ahmet Yalçin
Sevgi Aras
Murat Varli
Publication date
01-02-2020
Publisher
Springer London
Published in
Irish Journal of Medical Science (1971 -) / Issue 1/2020
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-019-02086-5

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