EVALUATING THE RISK OF OSTEOPOROSIS THROUGH BONE MASS DENSITY

Authors

Abstract

Background: Osteoporosis is a bone disorder, characterized by loss of bone mass density. Osteoporosis affects more than 30% of post-menopausal women. Osteoporosis is often associated with restricted body movement, pain and joint deformities. Early identification and early intervention can help in reducing these complications. The primary objective of this study was to estimate the burden of Osteoporosis in Urban setting of Sindh among women of different age groups and to access the effect of different protective measures that can reduce the risk of Osteoporosis. Method: In this study, 500 women’s of 3 major cities of Sindh were approached by non-probability convenience sampling technique. Women bearing age 20 years or more were included. Women who fall under inclusion criteria were screened for BMD (Bone mineral density) test and were classified as Healthy, Osteopenic and Osteoporotic based on their T-score. The association of different protective measures and risk of osteoporosis was assessed by prevalence relative risk (PRR). Result: The result of this study indicate that the burden of Osteoporosis is very high among the women of Sindh, only 17.4% (84) women were found to have normal BMD score. The life style of majority of women was sedentary. The PRR calculated for Exposure to sunlight, regular exercise, and use of nutritional supplement was 12.5, 5.19 and 2.72 folds respectively. Conclusion: The results of study reveal that exposure to sunlight, regular physical exercise and use of nutritional supplements found to be effective in reducing the risk of osteoporosis among women of all age group. Health education and promotion toward osteoporosis prevention can significantly contribute in reducing the morbidity of osteoporosis.Keywords: Osteoporosis; Bone Mineral Density; Risk

References

Looker AC, Orwoll ES, Johnston CC Jr, Lindsay RL, Wahner HW, Dunn WL, et al. Prevalence of low femoral bone density in older US adults from NHANES III. J Bone Miner Res 1997;12(11):1761–8.

Gold DT. The clinical impact of vertebral fractures: quality of life in women with osteoporosis. Bone 1996;18(3):S185–9.

Woolf AD, Pfleger B. Burden of osteoporosis and fractures in developing countries. Curr Osteoporos Rep 2005;3(3):84–91.

Mithal A, Kaur P. Osteoporosis in Asia: a call to action. Curr Osteoporos Rep 2012;10(4):245–7.

Akhtar A, Shahid A, Jamal Ar, Naveed Ma, Aziz Z, Barkat N, Wazir A, Ali F. Knowledge About Osteoporosis In Women Of Child Bearing Age (15-49 Years) Attending Fauji Foundation Hospital Rawalpindi. Pak Armed Forces Med J 2016;66(4):558–63.

Marshall D, Johnell O, Wedel H. Meta-analysis of how well measures of bone mineral density predict occurrence of osteoporotic fractures. BMJ 1996;312(7041):1254–9.

Lafata JE, Kolk D, Peterson EL, McCarthy BD, Weiss TW, Chen YT, et al. improving osteoporosis screening: results from a randomized cluster trial. J Gen Intern Med 2007;22(3):346–51.

Delaney MF. Strategies for the prevention and treatment of osteoporosis during early postmenopause. Am J Obstet Gynecol 2006;194(2 Suppl):S12–23.

Bliuc D, Alarkawi D, Nguyen TV, Eisman JA, Center JR. Risk of subsequent fractures and mortality in elderly women and men with fragility fractures with and without osteoporotic bone density: the Dubbo Osteoporosis Epidemiology Study. J Bone Miner Res 2015;30(4):637–46.

Garnero P, Sornay‐Rendu E, Chapuy MC, Delmas PD. Increased bone turnover in late postmenopausal women is a major determinant of osteoporosis. J Bone Miner Res 1996;11(3):337–49.

Johansen KS, Bjørge B, Hjellset VT, Holmboe-Ottesen G, Råberg M, Wandel M. Changes in food habits and motivation for healthy eating among Pakistani women living in Norway: results from the InnvaDiab-DEPLAN study. Public Health Nutr 2010;13(6):858–67.

Gregg EW, Cauley JA, Seeley DG, Ensrud KE, Bauer DC. Physical activity and osteoporotic fracture risk in older women. Study of Osteoporotic fracture research group. Ann Intern Med 1998;129(2):81–8.

Carter ND, Khan KM, McKay HA, Petit MA, Waterman C, Heinonen A, et al. Community-based exercise program reduces risk factors for falls in 65-to 75-year-old women with osteoporosis: randomized controlled trial. CMAJ 2002;167(9):997–1004.

Pate RR, Pratt M, Blair SN, Haskell WL, Macera CA, Bouchard C, et al. Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995;273(5):402–7.

Javaid SB, Gadahi JA, Khaskeli M, Bhutto MB, Kumbher S, Panhwar AH. Physical and chemical quality of market milk sold at Tandojam, Pakistan. Pak Vet J 2009;29(1):27–31.

Feskanich D, Willett WC, Colditz GA. Calcium, vitamin D, milk consumption, and hip fractures: a prospective study among postmenopausal women. Am J Clin Nutr 2003;77(2):504–11.

Heaney RP. Calcium, dairy products and osteoporosis. J Am Coll Nutr 2000;19(2 Suppl):S83–99.

Stokols D. Establishing and maintaining healthy environments: toward a social ecology of health promotion. Am Psychol 1992;47(1):6–22.

Published

2016-12-01