Determination of Risk Factors of Osteoporosis in the Community of Post-Menopausal Age
Risk Factors of Osteoporosis
DOI:
https://doi.org/10.54393/pjhs.v5i02.1230Keywords:
Osteoporosis, Menopause, Risk Factors, Marital Status, Family History, Soda Intake, MedicationAbstract
Osteoporosis is a major and significant health problem in old aged people and especially in female. Osteoporosis is characterized by low bone mineral density (BMD). The associated factors of osteoporosis are not well-understood in local population specifically in females. Objective: To determine the risk factors of osteoporosis in community of post-menopausal age. Methods: This cross-sectional study was conducted at H-Block Nishat Colony, Lahore Cantonment Area, Lahore during March 2020 to June 2020, the study population was post-menopausal women of age between 45 years to 65 years and women who fulfilled the inclusion criteria were recruited as sample using convenience sampling. A self-designed questionnaire was used to get demographic and diseased related factors. Chi-square (χ2) was used to measure association between disease and risk factors. Results: Among 200 women of post-menopausal age 61.2% were found with osteoporosis, mostly were aged between 51-54 years. There was a significant association with increasing age (p<0.001) Other significant factors were marital status, family history of osteoporosis, physical activity, soda intake and medication. Conclusions: In conclusion, this our discussion sheds light on the risk factors associated with osteoporosis within the postmenopausal community. The identified risk factors, including diminished BMD, emphasize the importance of proactive measures and targeted interventions to mitigate the consequences of osteoporosis in postmenopausal age group. Addressing these risk factors not only holds the potential to enhance the overall well-being of individuals but also contributes to a broader community-wide approach to promoting bone health.
References
Papaioannou A, Morin S, Cheung AM, Atkinson S, Brown JP, Feldman S et al. 2010 clinical practice guidelines for the diagnosis and management of osteoporosis in Canada: summary. Canadian Medical Association Journal. 2010 Nov; 182(17): 1864-73. doi: 10.1503/cmaj.100771. DOI: https://doi.org/10.1503/cmaj.100771
Compston J, Cooper A, Cooper C, Gittoes N, Gregson C, Harvey N et al. UK clinical guideline for the prevention and treatment of osteoporosis. Archives of osteoporosis. 2017 Dec; 12: 1-24. doi: 10.1007/s11657-017-0324-5. DOI: https://doi.org/10.1007/s11657-017-0324-5
Khan AH, Jafri L, Ahmed S, Noordin S. Osteoporosis and its perspective in Pakistan: A review of evidence and issues for addressing fragility fractures. Annals of Medicine and Surgery. 2018 May; 29: 19-25. doi: 10.1016/j.amsu.2018.03.019. DOI: https://doi.org/10.1016/j.amsu.2018.03.019
Sun K, Wang L, Ma Q, Cui Q, Lv Q, Zhang W et al. Association between tea consumption and osteoporosis: A meta-analysis. Medicine. 2017 Dec; 96(49). doi: 10.1097/MD.0000000000009034. DOI: https://doi.org/10.1097/MD.0000000000009034
Wang Y, Ding H, Wang X, Wei Z, Feng S. Associated factors for osteoporosis and fracture in Chinese elderly. International Medical Journal of Experimental and Clinical Research. 2019 Jul; 25: 5580. doi: 10.12659/MSM.914182. DOI: https://doi.org/10.12659/MSM.914182
Nicholas JA and Wilson PD. Diagnosis and treatment of osteoporosis. Journal of the American Medical Association. 1959 Dec; 171(17): 2279-84. doi: 10.1001/jama.1959.03010350001001. DOI: https://doi.org/10.1001/jama.1959.03010350001001
Cosman F, de Beur SJ, LeBoff MS, Lewiecki EM, Tanner B, Randall S et al. Clinician’s guide to prevention and treatment of osteoporosis. Osteoporosis International. 2014 Oct; 25: 2359-81. doi: 10.1007/s00198-014-2794-2. DOI: https://doi.org/10.1007/s00198-014-2794-2
Evenson AL and Sanders GF. Educational intervention impact on osteoporosis knowledge, health beliefs, self-efficacy, dietary calcium, and vitamin D intakes in young adults. Orthopaedic Nursing. 2016 Jan; 35(1): 30-6. doi: 10.1097/NOR.0000000000000211. DOI: https://doi.org/10.1097/NOR.0000000000000211
Robitaille J, Yoon PW, Moore CA, Liu T, Irizarry-Delacruz M, Looker AC et al. Prevalence, family history, and prevention of reported osteoporosis in US women. American Journal of Preventive Medicine. 2008 Jul; 35(1): 47-54. doi: 10.1016/j.amepre.2008.03.027. DOI: https://doi.org/10.1016/j.amepre.2008.03.027
Imran M, Singh A, Bhardwaj A, Agrawal D. Prevalence of osteoporosis and associated risk factors among postmenopausal women: A cross-sectional study from Northern India. Journal of Mid-life Health. 2022 Jul; 13(3): 206. doi: 10.4103/jmh.jmh_114_22. DOI: https://doi.org/10.4103/jmh.jmh_114_22
Miller-Martinez D, Seeman T, Karlamangla AS, Greendale GA, Binkley N, Crandall CJ. Marital histories, marital support, and bone density: findings from the Midlife in the United States Study. Osteoporosis International. 2014 Apr; 25: 1327-35. doi: 10.1007/s00198-013-2602-4. DOI: https://doi.org/10.1007/s00198-013-2602-4
Aune D, Giovannucci E, Boffetta P, Fadnes LT, Keum N, Norat T et al. Fruit and vegetable intake and the risk of cardiovascular disease, total cancer and all-cause mortality—a systematic review and dose-response meta-analysis of prospective studies. International Journal of Epidemiology. 2017 Jun; 46(3): 1029-56. doi: 10.1093/ije/dyw319. DOI: https://doi.org/10.1093/ije/dyw319
Tai V, Leung W, Grey A, Reid IR, Bolland MJ. Calcium intake and bone mineral density: systematic review and meta-analysis. BMJ. 2015 Sep; 351. doi: 10.1136/bmj.h4183. DOI: https://doi.org/10.1136/bmj.h4183
Madureira MM, Ciconelli RM, Pereira RM. Quality of life measurements in patients with osteoporosis and fractures. Clinics. 2012 Nov; 67: 1315-20. doi: 10.6061/clinics/2012(11)16. DOI: https://doi.org/10.6061/clinics/2012(11)16
Cawthon PM, Shahnazari M, Orwoll ES, Lane NE. Osteoporosis in men: findings from the osteoporotic fractures in men study (MrOS). Therapeutic Advances in Musculoskeletal Disease. 2016 Feb; 8(1): 15-27. doi: 10.1177/1759720X15621227. DOI: https://doi.org/10.1177/1759720X15621227
Nikander R, Sievänen H, Heinonen A, Daly RM, Uusi-Rasi K, Kannus P. Targeted exercise against osteoporosis: a systematic review and meta-analysis for optimising bone strength throughout life. BMC Medicine. 2010 Jul; 8(1): 47. doi: 10.1186/1741-7015-8-47. DOI: https://doi.org/10.1186/1741-7015-8-47
Katz S and Weinerman S. Osteoporosis and gastrointestinal disease. Gastroenterology and Hepatology. 2010 Aug; 6(8): 506.
Moreira LD, Oliveira ML, Lirani-Galvão AP, Marin-Mio RV, Santos RN, Lazaretti-Castro M. Exercício físico e osteoporose: efeitos de diferentes tipos de exercícios sobre o osso e a função física de mulheres pós-menopausadas. Arquivos Brasileiros de Endocrinologia & Metabologia. 2014 Jul; 58: 514-22. doi: 10.1590/0004-2730000003374. DOI: https://doi.org/10.1590/0004-2730000003374
Cannarella R, Barbagallo F, Condorelli RA, Aversa A, La Vignera S, Calogero AE. Osteoporosis from an endocrine perspective: the role of hormonal changes in the elderly. Journal of Clinical Medicine. 2019 Oct; 8(10): 1564. doi: 10.3390/jcm8101564. DOI: https://doi.org/10.3390/jcm8101564
NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy, March 7-29, 2000: highlights of the conference. Southern Medical Journal. 2001 Jun; 94(6): 569-73. doi: 10.1097/00007611-200194060-00004. DOI: https://doi.org/10.1097/00007611-200106000-00005
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