scholarly journals Development and Validation of an Osteoporosis Self-Assessment Tool for Taiwan (OSTAi) Postmenopausal Women-A Sub-Study of the Taiwan OsteoPorosis Survey (TOPS)

PLoS ONE ◽  
2015 ◽  
Vol 10 (6) ◽  
pp. e0130716 ◽  
Author(s):  
Fu-Mei Su ◽  
Dung-Huan Liu ◽  
Jia-Feng Chen ◽  
Shan-Fu Yu ◽  
Wen-Chan Chiu ◽  
...  
2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Shaojun Wu ◽  
Pengbo Wang ◽  
Xiaofan Guo ◽  
Guozhe Sun ◽  
Ying Zhou ◽  
...  

Abstract Summary Based on the use of Osteoporosis Self-Assessment Tool for Asians (OSTA) to assess osteoporosis risk, we found that short sleep duration and taking a daytime nap had an increased risk of osteoporosis. Purpose To explore the associations between different sleep patterns with osteoporosis. Methods 3659 postmenopausal women (average age of 60 years) were divided into low, middle, and high osteoporosis risk categories based on the Osteoporosis Self-Assessment Tool for Asians (OSTA). After having collected by a standard questionnaire, total and nocturnal sleep duration was collapsed to form categories of ≤ 6 h, > 6 h and ≤ 7 h, > 7 h and ≤ 8 h, > 8 h and ≤ 9 h, > 9 h, and daytime nap duration of 0 h and > 0 h. Results As a categorical variable, the total sleep duration of ≤ 6 h per day (OR = 1.34, 95% CI 1.04–1.72), nocturnal sleep duration of ≤ 6 h per night (OR = 1.65, 95% CI 1.24–2.18), and taking a daytime nap (OR = 1.33, 95% CI 1.09–1.64) had higher osteoporosis risk after adjustment for covariates. As a continuous variable, after the adjustment for covariates, both longer total (OR = 0.86, 95% CI 0.78–0.94) and nocturnal sleep duration (OR = 0.83, 95% CI 0.76–0.91) had lower risk of osteoporosis risk while taking longer daytime nap (OR = 1.10, 95% CI 1.02–1.19) had higher osteoporosis risk. Conclusions Postmenopausal women with both short total and nocturnal sleep duration (6 h or less) and taking a daytime nap had increased osteoporosis risk as assessed by OSTA.


Author(s):  
Gowry Reddy ◽  
Priya Rathi ◽  
Unnikrishnan B. ◽  
Surendra Kamath ◽  
Kalpita Shringapure

Background: Osteoporosis is a chronic debilitating condition which exhibits iceberg phenomenon. Identification at an early stage of disease will enable preventive measures to reduce the incidence of disease and complications. Owing to the cost of diagnostic test, this study, various screening tools such as WHO fracture risk assessment tool, osteoporosis self-assessment tool for Asians, simple calculated osteoporosis risk estimation and osteoporosis risk assessment instrument   have been used for assessment, in order to screen postmenopausal women in the preliminary stages.Methods: A facility-based cross-sectional study was conducted among 107 postmenopausal women carried over a period of five months.Results: Prevalence of osteoporosis and osteopenia was 24.3% and 69.2%. The area under the curve for osteoporosis self-assessment tool for Asians (OSTA), simple calculated osteoporotic risk estimation (SCORE) and osteoporotic risk assessment instrument (ORAI) was 0.731, 0.407 and 0.172 respectively. OSTA proved to be effective in differentiating normal BMD from low BMD score (i.e., osteopenia and osteoporosis) with a cut off of 1.1, SCORE to be more effective in screening osteoporosis than the other tools because it had a higher positive probability with a cut off 22.  FRAX tool predicted probability of five and three percent probability of major fracture and hip fracture risk in ten yearsConclusions: Various tools assessed in the studies can be utilized at community level for identifying high risk women in post-menopausal stage but with different cut offs. This will reduce the cost of screening and also facilitate non pharmacological measures to reduce the progression of disease.


2013 ◽  
Vol 2013 ◽  
pp. 1-6 ◽  
Author(s):  
Fernando D. Saraví

The Osteoporosis Self-assessment Tool (OST) is a clinical instrument designed to select patients at risk of osteoporosis, who would benefit from a bone mineral density measurement. The OST only takes into account the age and weight of the subject. It was developed for Asian women and later validated for European and North American white women. The performance of the OST in a sample of 4343 women from Greater Mendoza, a large metropolitan area of Argentina, was assessed. Dual X-ray absorptiometry (DXA) scans of lumbar spine and hip were obtained. Patients were classified as either osteoporotic (N=1830) or nonosteoporotic (n=2513) according to their lowest T-score at any site. Osteoporotic patients had lower OST scores (P<0.0001). A receiver operating characteristic (ROC) curve showed an area under the curve of 71% (P<0.0001), with a sensitivity of 83.7% and a specificity of 44% for a cut-off value of 2. Positive predictive value was 52% and negative predictive value was 79%. The odds ratio for the diagnosis of osteoporosis was 4.06 (CI95 3.51 to 4.71;P<0.0001). It is concluded that the OST is useful for selecting postmenopausal women for DXA testing in the studied population.


2021 ◽  
Vol 11 (2) ◽  
pp. 63-67
Author(s):  
Blessy Maria Thomas ◽  
Alan Kuriakose ◽  
Joshua John Joseph ◽  
Nimisha George ◽  
Purnima Ashok

Osteoporosis is a highly prevalent health issue among postmenopausal women, which can be prevented if identified in the early stages. The use of Osteoporosis Self - assessment Tool (OST) will help in identifying the risk of osteoporosis and hence will allow the patients to seek the best treatment if required. In this study we assessed the prevalence of risk factors for osteoporosis in 400 Postmenopausal women and have measured the osteoporotic risk using OST. The risk factors and risk scores were correlated using spearman’s rho correlation analysis. As per the postmenopausal classification, 52% of the population belonged to the late stage. Average BMI of the population was found to be 19.5 that is borderline of the normal which indicates the risk for Osteoporosis. Attaining early menopause 243(60.75%) and history of fall 223(55.75%) was the most common risk factors found in the population. Using OST, 78 patients were identified with high risk. The correlation between OST and risk factors revealed that OST is positively significant with the progression of menopausal stage. Patient education regarding the use and interpretation of OST will help to identify risk of osteoporosis; this should be implemented within the primary gynecological care units for the better outcome. Keywords: Osteoporosis, postmenopausal women, risk factors, Osteoporosis Self - assessment Tool.


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