Perception of risk factors and DXA T score among at‐risk females of osteoporosis

Chang, Shu Fang; Yang, Rong‐Sen; Chung, Ue Lin; Chen, Chia M.; Cheng, Mei H

doi:10.1111/j.1365-2702.2009.03063.x

Cited by 7 publications

(5 citation statements)

References 27 publications

(59 reference statements)

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“…The results showed significant positive correlations between T-scores and both OKT-M and subscales among T2DM patients which consistent with other studies 26,44. Thus, educational programmes regarding factors such as knowledge, health beliefs, and self-efficacy are of particular importance for integral aspects of health promotion interventions to improve bone health 14,45-50…”

Section: Discussionsupporting

confidence: 89%

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A comprehensive view of knowledge and osteoporosis status among type 2 diabetes mellitus in Malaysia: A cross sectional study

Abdulameer

Sahib

Sulaiman

et al. 2019

Pharm Pract (Granada)

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Background:osteoporosis and diabetes mellitus are highly prevalent diseases that have potentially devastating effects on health and socioeconomic status.Objective:The aims of this study were to assess: 1) the level of osteoporosis knowledge among T2DM patients; 2) the correlation, associations or differences of demographic characteristics, diabetes-related variable, as well as, lipid and blood pressure profiles with osteoporosis knowledge; and 3) the correlation between T-score measurement using quantitative ultrasound scan (QUS) and osteoporosis knowledge.Methods:A cross-sectional study design was chosen, where data was collected using a self-report structured questionnaire using osteoporosis knowledge - Malay version questionnaire (OKT-M) among T2DM patients. Furthermore, the clinical data regarding the patients were collected retrospectively from the hospital medical record after patient interview was completed.Results:The average age of the patients was 62.67 (SD 9.24) years (ranged from 33 to 87 years). Males (231, 51.30%) slightly outnumbered females. Among the racial distribution, the proportion of Chinese patients (204, 45.30%) was higher than Malay (127, 28.20%) and Indian patients (119, 26.40%). In addition, more than three quarters (343, 76.20%) of patients had poor glycaemic control. The average OKT-M total score, OKT-M Exercise subscale and OKT-M Calcium subscale were 12.55 (SD 4.06), 8.60 (SD 2.89) and 8.40 (SD 3.36), respectively. Only 33.30% of the T2DM patients were found to have high level of osteoporosis knowledge. There was a lack of identification and recognition of osteoporosis risk factors. There were significant differences or associations between osteoporosis knowledge and education level, monthly income, employment status, family history of fracture, smoking habit, alcoholic status, insulin use, therapy type and diastolic blood pressure. In addition, significant and positive correlations were found between T-scores and OKT-M total score (n=450, rs= 0.244, P=0.000), OKT-M Exercise subscale (n=450, rs= 0.219, P=0.000) and OKT-M Calcium subscale (n=450, rs=0.199, P=0.000) among T2DM patients (all Ps<0.05).Conclusions:Overall, the study results showed a valuable insight into the knowledge toward osteoporosis, as well as its relation to the bone loss among T2DM patients. It is important to understand the basics of osteoporosis prevention behaviours such as adequate calcium intake and regular exercise which are essential to build and maintain healthy bones throughout life among T2DM.

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Section: Discussionsupporting

confidence: 89%

“…In contrast, other studies showed low level of knowledge toward exercise 24,25. The knowledge of genetic risk factors of osteoporosis in T2DM was less convincing which consistent with other studies 23,26. In contrast, other studies revealed that participants were able to recognise these predisposed risk factors to OP 13,23.…”

Section: Discussionsupporting

confidence: 62%

A comprehensive view of knowledge and osteoporosis status among type 2 diabetes mellitus in Malaysia: A cross sectional study

Abdulameer

Sahib

Sulaiman

et al. 2019

Pharm Pract (Granada)

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“…Stepwise logistic regression significantly indicated that the triceps skin-fold thickness is a sole predictor for abnormal BMD accounting for approximately 20% of variance. These findings are consistent with those of the identified uncontrollable risk factors, such as small body frames (Chang, Yang, Chung, Chen, & Cheng, 2010;Kanis, Delmas, Burckhardt, Cooper, & Torgerson, 1997). A similar phenomenon was commonly observed in Asian Rhie, Lee, Chung, Kim, & Kim, 2010) or Caucasian studies (Barrack, Rauh, & Nichols, 2008;Zillikens et al, 2010).…”

Section: Body Composition Of Subjects With Abnormal Bmdsupporting

confidence: 91%

Preliminary investigation on prevalence of osteoporosis and osteopenia: Should we tune our focus on healthy adults?

Lee

Lam

Tsang

et al. 2014

Japan Journal Nursing Sci

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“…Although, these findings are contrary to those expected, they do concur with previous studies where perception alone did not dictate protective behaviours. Phillipov et al found in a cross-sectional study that Australian women who had a high risk perception to osteoporosis were 1.6 times less likely to adapt any preventative action towards osteoporosis [38], while Chang et al found that despite 54% of women believing that they were at risk for osteoporosis, 64% of these women perceived barriers to taking actions to reduce this risk [39]. …”

Section: Discussionmentioning

confidence: 99%

Concern and Risk Perception: Effects on Osteoprotective Behaviour

Barcenilla-Wong

Chen

March

2014

Journal of Osteoporosis

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This study aimed to determine the effect that level of concern for osteoporosis, as well as self-perceived risk of osteoporosis and fracture, has on supplementation use, seeking medical advice, bone mineral density (BMD) testing, and antiosteoporosis medication (AOM) use. Study subjects were 1,095 female Australian participants of the Global Longitudinal study of Osteoporosis in Women (GLOW) untreated for osteoporosis at baseline. Study outcomes from self-administered questionnaires included calcium and vitamin D supplementation, self-reported seeking of medical advice regarding osteoporosis, BMD testing, and AOM use in the last 12 months at the late assessment. Logistic regression was used in the analysis. Concern significantly increased the likelihood of seeking medical advice and, however, had no significant impact on screening or treatment. Heightened self-perceived risks of osteoporosis and fracture both significantly increased the likelihood of seeking medical advice and BMD testing while elevated self-perceived risk of fracture increased AOM use. Supplementation use was not significantly associated with concern levels and risk perception. Concern and risk perceptions to osteoporosis and fracture were significantly associated with certain bone-protective behaviours. However, the disconnect between perceived osteoporosis risk and AOM use illustrates the need to emphasize the connection between osteoporosis and fracture in future education programs.

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Perception of risk factors and DXA T score among at‐risk females of osteoporosis

Cited by 7 publications

References 27 publications

A comprehensive view of knowledge and osteoporosis status among type 2 diabetes mellitus in Malaysia: A cross sectional study

A comprehensive view of knowledge and osteoporosis status among type 2 diabetes mellitus in Malaysia: A cross sectional study

Preliminary investigation on prevalence of osteoporosis and osteopenia: Should we tune our focus on healthy adults?

Concern and Risk Perception: Effects on Osteoprotective Behaviour

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