Status of bone health and association of socio-demographic characteristics with Bone Mineral Density in Pakistani Females.
BMD
Pakistani females
osteoporosis prevalence
postmenopausal
premenopausal
Journal
Pakistan journal of medical sciences
ISSN: 1682-024X
Titre abrégé: Pak J Med Sci
Pays: Pakistan
ID NLM: 100913117
Informations de publication
Date de publication:
2019
2019
Historique:
entrez:
2
7
2019
pubmed:
2
7
2019
medline:
2
7
2019
Statut:
ppublish
Résumé
The "silent thief" of bone osteoporosis is associated with various modifiable factors, identifying these factors is important in decreasing the prevalence of this highly prevalent disease. Therefore, this study was planned to identify these risk factors for osteoporosis in premenopausal and postmenopausal Pakistani women. A total of 1205 pre and postmenopausal females between the ages of 20 to 80 years were selected. Detailed history about the socio-demographic characteristics including age, education, profession, marital and resident status was recorded. Medical and gynecological history was also taken after informed consent Bone health of females was assessed using calcaneal ultrasound bone densitometer. SPSS 22.0 was used to analyze data. Univariate analysis showed that age (30-39 yrs, and 60-69 yrs), occupation (housewives) and education (secondary and primary education, illiterate) were significantly associated with low bone mass density (LBMD). Multivariate analysis showed that age 30-39 years (OR=0.25 95%CI 0.13 - 0.49), age 40-49 years (OR=0.30 95%CI 0.15 - 0.59), age 50-59 years (OR=0.42 95%CI 0.22 - 0.79), primary education (OR=3.83, 95%CI 2.30 - 6.38) and illiteracy (OR=3.83 95%CI 2.52 - 5.82), were significantly associated with LBMD. The prevalence of osteopenia and osteoporosis was 29.8%, 27.2%, respectively, while 43% subjects had normal BMD. It is concluded that, within Pakistani population, the prevalence of osteopenia is high even at an early age group and the odds of having LBMD are more in less educated or illiterate women.
Sections du résumé
BACKGROUND & OBJECTIVE
OBJECTIVE
The "silent thief" of bone osteoporosis is associated with various modifiable factors, identifying these factors is important in decreasing the prevalence of this highly prevalent disease. Therefore, this study was planned to identify these risk factors for osteoporosis in premenopausal and postmenopausal Pakistani women.
METHODS
METHODS
A total of 1205 pre and postmenopausal females between the ages of 20 to 80 years were selected. Detailed history about the socio-demographic characteristics including age, education, profession, marital and resident status was recorded. Medical and gynecological history was also taken after informed consent Bone health of females was assessed using calcaneal ultrasound bone densitometer. SPSS 22.0 was used to analyze data.
RESULTS
RESULTS
Univariate analysis showed that age (30-39 yrs, and 60-69 yrs), occupation (housewives) and education (secondary and primary education, illiterate) were significantly associated with low bone mass density (LBMD). Multivariate analysis showed that age 30-39 years (OR=0.25 95%CI 0.13 - 0.49), age 40-49 years (OR=0.30 95%CI 0.15 - 0.59), age 50-59 years (OR=0.42 95%CI 0.22 - 0.79), primary education (OR=3.83, 95%CI 2.30 - 6.38) and illiteracy (OR=3.83 95%CI 2.52 - 5.82), were significantly associated with LBMD. The prevalence of osteopenia and osteoporosis was 29.8%, 27.2%, respectively, while 43% subjects had normal BMD.
CONCLUSION
CONCLUSIONS
It is concluded that, within Pakistani population, the prevalence of osteopenia is high even at an early age group and the odds of having LBMD are more in less educated or illiterate women.
Identifiants
pubmed: 31258600
doi: 10.12669/pjms.35.3.551
pii: PJMS-35-812
pmc: PMC6572968
doi:
Types de publication
Journal Article
Langues
eng
Pagination
812-817Déclaration de conflit d'intérêts
Conflicts of interest: None.
Références
Calcif Tissue Int. 1999 Jul;65(1):23-8
pubmed: 10369729
Osteoporos Int. 1999;9(3):236-41
pubmed: 10450413
Aging Clin Exp Res. 2004 Jun;16 Suppl(3):23-8
pubmed: 15506697
Osteoporos Int. 2005 Dec;16(12):1827-35
pubmed: 15959616
Scand J Public Health. 2006;34(4):371-7
pubmed: 16861187
Am J Clin Nutr. 2007 Apr;85(4):1062-7
pubmed: 17413106
Maturitas. 2008 Jan 20;59(1):38-45
pubmed: 18079073
J Pak Med Assoc. 2008 Sep;58(9):482-4
pubmed: 18846794
Singapore Med J. 2009 Jan;50(1):20-8
pubmed: 19224080
J Pak Med Assoc. 2010 Jan;60(1):1-2
pubmed: 20055268
Osteoporos Int. 2011 Nov;22(11):2829-36
pubmed: 21271341
Bone. 2012 Jan;50(1):401-8
pubmed: 22154839
Bone. 2012 Mar;50(3):713-22
pubmed: 22178778
J Clin Densitom. 2012 Apr-Jun;15(2):152-8
pubmed: 22402119
Bone. 2012 Sep;51(3):324-31
pubmed: 22684000
J Bone Miner Metab. 2014 Jan;32(1):89-95
pubmed: 23690162
Osteoporos Int. 2014 Apr;25(4):1313-9
pubmed: 24345885
BMC Musculoskelet Disord. 2014 Jan 08;15:5
pubmed: 24400907
Indian J Endocrinol Metab. 2014 Jul;18(4):449-54
pubmed: 25143898
Osteoporos Int. 2015 Mar;26(3):1187-92
pubmed: 25274281
Pak J Med Sci. 2014 Nov-Dec;30(6):1265-9
pubmed: 25674120
Osteoporos Int. 2017 May;28(5):1597-1607
pubmed: 28265717
J Pak Med Assoc. 2017 Apr;67(4):590-594
pubmed: 28420922
World Health Organ Tech Rep Ser. 1994;843:1-129
pubmed: 7941614