Osteoporosis Risk Prediction Among a Group of Postmenopausal Females: A Case-Control Study | ||||
The Egyptian Family Medicine Journal | ||||
Article 7, Volume 3, Issue 2, February 2019, Page 65-82 PDF (587.05 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/efmj.2019.70442 | ||||
View on SCiNiTO | ||||
Authors | ||||
Maha A.Mowafy1; Laila M Kamel2; Soha T Hamed3; Dalia A Mohamed2; Yara M Taha1 | ||||
1Family Medicine Department, Faculty of Medicine, Cairo University | ||||
2Public Health Department, Faculty of Medicine, Cairo University | ||||
3Radiology Department, Faculty of Medicine, Cairo University | ||||
Abstract | ||||
Background: Osteoporosis is often called the silent disease as the first symptom of osteoporosis is a fracture. In Egypt, 53.9% of postmenopausal women have osteopenia and 28.4% have osteoporosis. Failure to identify patients at risk for osteoporosis and fracture results in missed opportunities for prevention. Objectives: The study objectives were to assess the association between osteoporosis risk factors and severity of osteopenia/osteoporosis in postmenopausal females and to suggest a simple screening tool for prediction of osteopenia/osteoporosis in primary health care. Methods:This is a case-control study. A sample size of 210 candidates was calculated using Epi-Info version 6. Purposive non-probability sampling technique was used for selection of the candidates. Interviewing questionnaire, Correlations and logistic regression analysis were used. Results: The independent significant predictors for osteopenia/osteoporosis were: advanced age, inadequate physical exercise, inadequate indoor sun exposure, personal history of fragility fractures, improper pregnancy spacing, high parity, early menopause, low body-mass index and family history of osteoporosis. Conclusion: This study revealed a high prevalence of undiagnosed osteopenia and osteoporosis.It is recommended to use the above 9 risk factors as a simple cost-effective tool in Primary Health Care (PHC) for early prediction of abnormal bone mineral density (BMD). The majority of these factors can be modified for the early prevention. Maha A.Mowafy 1*, Laila M Kamel2 , Soha T Hamed 3 , Dalia A Mohamed 2, Yara M Taha 1 | ||||
Keywords | ||||
Keywords: Menopause; Osteoporosis; Screening; Women | ||||
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