Bone mineral density at different sites and vertebral fractures in Serbian postmenopausal women

Stojanovic, Olivera; Vučeljić, Marina; Lazović, Milica; M, Gajić; Radosavljevic, Natasa; Nikolić, Danilo; Andjić, Marijana; Spiroski, Dejan; Vujović, Svetlana

doi:10.1080/13697137.2016.1253054

Cited by 17 publications

(19 citation statements)

References 37 publications

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“…The rearranging of the obtained T-score values in our study within age groups confirmed that the bone density decreases from the youngest to the oldest age group of participants; only exception was found for the hip T-score in the age group 59 to 68. This study's findings are generally consistent with studies that have found that the reduction of BMD depends on age and choice of measurement site [27,28].…”

Section: Resultssupporting

confidence: 91%

Dietary calcium intake and bone mineral density among Macedonian women

Nedelkoska¹,

Tefova²,

Uzunoska³

2018

UJFS

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Introduction. Osteoporosis is a complex, multi-factorial bone disease leading to increased risk of fracture. Calcium as a nutrient is associated with the formation and metabolism of bone. The inadequate calcium intake leads to decreased bone mineralization and consequently an increased risk of osteoporosis. Materials and methods. The study group was constituted by 104 postmenopausal women. Bone mineral density (BMD) at the participants' lumbar spin and hip was measured by dual-energy X-ray absorptiometry (DXA). The daily calcium intake (DCI) was assessed using a validated quantitative food frequency questionnaire (FFQ). Each participant also completed a core questionnaire that included general demographic data as well as questions about personal and family history of fractures, menopause onset, lifestyle behaviors, and corticosteroids use. Results and discussion. The mean daily calcium intake among our study participants was 854.3±260.4 mg which is below the calcium recommended nutrient intake (RNI) for postmenopausal women. This study's findings confirmed that the reduction of the bone mineral density (BMD), reported using T-scores, depends on age and choice of measurement site. Our results also showed that higher body mass and body mass index (BMI) in participants are associated with higher BMD. The reduced bone density among postmenopausal women was related with the existence of previous personal fractures and the family history of fractures in diagnosed persons. The insight into exogenous risk factors of osteoporosis in this study showed that the most of the participants consume caffeine every day and have insufficient physical activity and sun exposure. Conclusions. Education on the importance of calcium in the diet and knowledge on the lifestyle factors that affect bone loss are needed toward decreasing risk for osteoporosis and related fractures in postmenopausal women.

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Section: Resultssupporting

confidence: 91%

Dietary calcium intake and bone mineral density among Macedonian women

Nedelkoska¹,

Tefova²,

Uzunoska³

2018

UJFS

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“…The initiation of HT after the age of 60 requires individualization for the benefit/risk ratio for a particular woman. After the age of 70, HT should not be administered at all, OP treatment being no exception (19). The trends in prescription of antiresorptive therapy according to our analysis, show a decrease in the prescription of HT and SERMs as women grow older.…”

Section: Discussionmentioning

confidence: 70%

“…On the other hand, DXA equipment isexpensive, therefore FRAX seems to be a useful method for primary care settings. The major application of FRAX in osteoporosis is to direct pharmacological interventions to those at high risk of fractures (19,20). Thus, in the absence of BMD to identify those at high risk of fractures and consequent need for treatment, the use of FRAX seems to be a good option for primary care interventions.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for osteoporosis in postmenopausal women – from the point of view of primary care gynecologist

Franić¹,

Verdenik²

2018

Slovenian Journal of Public Health

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Original scientific articleIntroduction: Osteoporosis is a highly prevalent public health problem with osteoporosis-related fractures that account for high morbidity and mortality. Therefore, prevention strategies and early detection of osteoporosis should be carried out in primary gynaecological care units, so as to substantially reduce the risk of fractures and allow the best treatment option for a particular woman. Methods:From 2002 to 2011, we recruited 2956 women. Of the total number of women, we additionally extrapolated 1274 women aged 60-75 years, assumingly, the group of women at higher risk of osteoporosis. Demographic and anthropometrical data as well as the information regarding risk factors for osteoporosis were collected using a questionnaire. Results:The odds ratio for osteoporosis increased by 8% (p=0.001) with each additional year of life. The OP prevalence increased with age from 24.9% in 60-64 years to 37.4% in 70-75 years. In non-smokers the odds ratio for osteoporosis was 0.424, which was statistically significant (p<0.05). BMI <18.5 increased the odds ratio for osteoporosis by 2 times, which was not statistically significant. In women 60-75 years old (N=1274), the risk of fractures increased with increasing age, considering previous fractures in the last 5 years (p<0.001), hip fracture (p=0.001), wrist fracture (p=0.002) and observed height loss (p<0.001). Hormone therapy (HT) use decreased the prevalence of OP by 25% in comparison with non-users. Conclusion:Primary care gynaecologist with a DXA centre has every opportunity for a holistic approach to the management of postmenopausal women, including the prevention and treatment of postmenopausal osteoporosis. Izhodišča: Osteoporoza je zelo pomemben zdravstveni problem, povezana je z zlomi, ki povzročajo veliko obolevnost in umrljivost. Zaradi tega preventiva in zgodnje odkrivanje osteoporoze pri ginekologu na primarni ravni vplivata na značilno zmanjšanje tveganja za zlome in omogoča najboljšo

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“…There is a large variation between the results of studies on the prevalence of osteoporosis in Brazil, as they use different methods to evaluate the presence of osteoporosis such as self-report and bone densitometry examination (3)(4) . Furthermore, most of the studies show no population-based data and are essentially performed with postmenopausal women (5)(6) . However, a high incidence of osteoporosis has been observed in men in the last 20 years (3) .…”

Section: Introductionmentioning

confidence: 99%

Factors associated with bone mineral density in adults: a cross-sectional population-based study

Segheto

Juvanhol

Carvalho

et al. 2020

Rev. esc. enferm. USP

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Objective: This study aimed to analyze the association between lumbar spine, femoral neck, total hip bone mineral density (biophysical bone health assessment parameter), and sociodemographic, anthropometric, behavioral, and health condition factors in Brazilian adults. Method: This is a cross-sectional, population-based study performed with individuals of both genders, aged between 20 and 59 (n=701). The dependent variables were evaluated by Dual Energy X-ray Absorptiometry. The independent variables were evaluated through a questionnaire, anthropometric evaluation and blood collection. The association between bone mineral density and the independent variables was evaluated by linear regression analysis. All analyses were stratified by gender. Results: Men presented higher bone mineral density than women. Bone mineral density was inversely associated with age range and directly associated with nutritional status in both genders and in the three bone sites analyzed. In addition, 25 Hydroxyvitamin D deficient status among men and contraceptive use among women were associated with lower bone mineral density, and a significant association was only found with lumbar spine bone mineral density in women. Conclusion: The factors associated with bone health among men were age, skin color, nutritional status, and vitamin D status. For women, the associated factors with bone health were age, skin color, nutritional status and contraceptive use.

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Bone mineral density at different sites and vertebral fractures in Serbian postmenopausal women

Cited by 17 publications

References 37 publications

Dietary calcium intake and bone mineral density among Macedonian women

Dietary calcium intake and bone mineral density among Macedonian women

Risk factors for osteoporosis in postmenopausal women – from the point of view of primary care gynecologist

Factors associated with bone mineral density in adults: a cross-sectional population-based study

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