Epidemiology and awareness of osteoporosis: a viewpoint from the Middle East and North Africa

Hammam, Tamer A. Gheita Nevin

doi:10.4172/1758-4272.1000177

Cited by 11 publications

(8 citation statements)

References 90 publications

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“…1 Several risk factors have been identified for this disease, including a family history of osteoporosis or fracture, history of anorexia nervosa, smoking, dental problems during childhood, low physical activity, body mass index (BMI) <18 kg/m 2 , hypovitaminosis D, immobilization during pregnancy and heparin use during pregnancy. 1,2 Here, we report a case of PAO in a woman conceived by in vitro fertilization (IVF).…”

Section: Introductionmentioning

confidence: 99%

Pregnancy‐associated osteoporosis following in vitro fertilization: A case report

Rahimi,

Daneshvar,

Khabbazi

2024

Clinical Case Reports

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Key Clinical MessageThis case report illustrates that in vitro fertilization (IVF) may be a potential risk factor for pregnancy‐associated osteoporosis (PAO), highlighting the need for awareness and monitoring of bone health in women undergoing IVF treatments. PAO is a rare disease resulting from an imbalance of calcium in the body during pregnancy and lactation and presenting with fragility fractures. PAO occurs in late pregnancy or early postpartum period. A 28‐year‐old woman who conceived through IVF experienced severe back pain 2 days after delivery. Magnetic resonance imaging of the spine showed wedge‐shaped fractures of T9‐T12 vertebrae. Bone mineral density (BMD) was low on dual‐energy x‐ray absorptiometry. The laboratory tests were within the normal range. Based on the clinical manifestations, osteoporotic spine fracture, results of BMD, and exclusion of other causes of osteoporosis, the patient was diagnosed with PAO. Considering the deleterious effect of treatment with gonadotropin‐releasing hormone and repeated superovulation on bone, we hypothesized that IVF may be an etiological factor for PAO.

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Section: Introductionmentioning

confidence: 99%

Pregnancy‐associated osteoporosis following in vitro fertilization: A case report

Rahimi,

Daneshvar,

Khabbazi

2024

Clinical Case Reports

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“…Several major risk factors for OP have been reported in the literature, including genetics, poor eating habits, and sedentary lifestyles [ 7 ]. In addition, people suffering from comorbidity diseases, such as chronic obstructive pulmonary disease, malignancy, type 2 diabetes mellitus, obesity, liver diseases, and atherosclerosis, are at risk of developing OP [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge and Awareness of Osteoporosis: A Survey of Physical Therapy Providers in Saudi Arabia

Almaddah,

Alzahrani,

Gaowgzeh

et al. 2024

International Journal of Clinical Practice

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Background. Osteoporosis “OP” is classified as one of the most serious health conditions worldwide. OP increases the skeletal fracture risk by 35%, particularly at hip, spine, and wrist joints. Healthcare professionals should be aware of OP clinical signs and have good knowledge while managing all patients. Objectives. This study aims to investigate the current level of osteoporosis knowledge and awareness among physical therapy providers in Saudi Arabia. Methods. One hundred and sixty-eight physical therapy providers participated in this cross-sectional electronic survey from February to July of 2021. The participants completed the Osteoporosis Knowledge Assessment Tool questionnaire (OKAT). Descriptive analysis was utilized to assess the current level of osteoporosis knowledge among physical therapy providers. Results. Among the 168 participants, 55% (n = 92) were over 31 years old and 45% (n = 76) were 30 years old or under. The majority of participants 37% (n = 62) had more than 10 years of experience, 45% (n = 76) mainly treat orthopedic conditions, and 70% (n = 117) live in the western region. The results showed that 67.9% (n = 114) of participants had good knowledge about osteoporosis, while 19.6% (n = 33) had poor knowledge, and only 12.5% (n = 21) had excellent knowledge. Conclusion. Physical therapy providers in Saudi Arabia have a good knowledge of osteoporosis. The overall OP preventive measure knowledge questions were poor. It is crucial for physical therapy providers to act appropriately to prevent falls and mitigate any potential risks.

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“…With life expectancy continuing to rise, the prevalence of osteoporosis is rising dramatically and becoming a significant public health issue; this is especially true in poorer nations [ 4 ]. By 2050, there will be more than 130 million people living in Egypt, and more than 30% will be 50 years of age or older [ 5 ]. The prevalence of osteoporosis in Egypt was 21.9% in men and 28.4% in women in 2018 [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Proportion of Hidden Vertebral Fractures Among Egyptian Males With Fragility Hip Fractures in the Emergency Room of Ain Shams University Hospitals

Abbas,

Allam,

Sweed

et al. 2023

Cureus

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Background Fragility fractures are linked to significant costs for society as well as significant pain and suffering, disability, and even death. It is well-recognized that osteoporosis-related fragility fractures raise the risk of subsequent fragility fractures. One of the most frequent osteoporotic fractures brought on by low bone mineral density and other risk factors is vertebral fractures. Considering that most vertebral fractures are asymptomatic and not clinically identified, proactive screening could stop additional impairment. Objective The current study aims to determine the prevalence and risk factors of hidden vertebral fractures in Egyptian males who have fragility hip fractures. Patients and methods A cross-sectional case-control study examining the correlation of risk factors between cases (fragility hip fracture and vertebral fractures) and a control group (fragility hip fracture without vertebral fracture) was carried out from September 2020 to September 2021 on patients visiting the orthopedic emergency department of a university hospital in Cairo, Egypt. Males who presented to the emergency room (ER) with fragility hip fractures and were 40 years of age or older met our inclusion criteria. For every patient who presented with a fragility hip fracture, standard lateral and anteroposterior radiographs of the dorso-lumbar spine were taken. Results A total of 43,935 patients visited the orthopedic emergency room (ER) throughout the study period; 13,034 of those patients were men, accounting for 29.7% of all orthopedic ER visits. Our inclusion criteria for fragility hip fractures were met by 132 male participants. The screening lumbosacral plain X-rays identified 27 (20.5%) of the 132 patients as having concomitant vertebral fractures in addition to the fragility hip fractures. Concomitant hidden vertebral fractures among Egyptian males with other fragility fractures, particularly fragility hip fractures, are predicted by the number of co-morbid diseases, hypertension, and continuous use of steroids and anti-epileptics. Conclusion Most fragility fractures are avoidable. Because one fragility fracture increases the likelihood of others, early detection is crucial. To prevent complications and mortality, it is important to identify and manage individuals who have a fragility hip fracture as they frequently have concurrent hidden vertebral fractures. Predictive risk factors for fragility vertebral fractures include hypertension, the number of concomitant illnesses, and chronic drugs (anti-epileptics and steroids).

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Epidemiology and awareness of osteoporosis: a viewpoint from the Middle East and North Africa

Cited by 11 publications

References 90 publications

Pregnancy‐associated osteoporosis following in vitro fertilization: A case report

Pregnancy‐associated osteoporosis following in vitro fertilization: A case report

Knowledge and Awareness of Osteoporosis: A Survey of Physical Therapy Providers in Saudi Arabia

Proportion of Hidden Vertebral Fractures Among Egyptian Males With Fragility Hip Fractures in the Emergency Room of Ain Shams University Hospitals

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