Prevalence of osteoporosis and effectiveness of screening test using ultrasound bone densitometry and education in a community-dwelling population

2016 ◽  
Author(s):  
Yong-Chan Ha ◽  
Deog-Yoon Kim ◽  
Young-Kyun Lee ◽  
Eun-Hee Cho ◽  
Gi-Doo Kwon
Society ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 122-134
Author(s):  
Basuki Supartono ◽  
Sofia Wardhani ◽  
Prita Kusumaningsih

Abstrak Latar Belakang. Patah tulang osteoporosis pada usia  lanjut menimbulkan banyak komplikasi dan menjadi beban ekonomi. Pemerintah telah melakukan strategi pencegahan dan pengobatan namun belum melakukan strategi skrining osteoporosis. Bila hal ini tidak dilakukan maka beban tersebut akan semakin berat di masa mendatang. Skrining dapat dilakukan menggunakan alat pengukur densitas tulang ultrasonografi kalkaneus. Alat ini ringan, mudah dipindah-pindahkan, aman, nyaman dan hasilnya akurat untuk skrining tulang. Alat ini adalah alternatif diagnosis osteoporosis secara dini sebagai strategi pencegahan patah tulang osteoporosis pada kaum lanjut usia terutama bagi warga desa.  Kegiatan skrining akan maksimal hasilnya bila menggunakan pendekatan kolaborasi dengan melibatkan berbagai pemangku kepentingan. Analisis situasi. Kelurahan Tugu, Kecamatan Cimanggis, Depok mempunyai banyak warga lanjut usia yang berisiko patah tulang. Terdapat kegiatan pos pembinaan terpadu (Posbindu) namun tidak mempunyai program pencegahan osteoporosis.  Permasalahan. Belum adanya kegiatan pencegahan osteoporosis bagi warga desa lanjut usia. Solusi. Kegiatan pengabdian masyarakat berupa skrining osteoporosis dengan melibatkan Pos Pembinaan Terpadu menggunakan alat ultrasonografi kalkaneus. Kesimpulan. Pencegahan osteoporosis wanita lansia di desa berhasil dilakukan melalui skrining tulang menggunakan alat ultrasonografi kalkaneus berkolaborasi dengan Posbindu setempat. Kata Kunci: pengabdian masyarakat, osteoporosis, patah tulang, usia lanjut, ultrasonografi kalkaneus     Abstract Background. Osteoporotic fractures in the elderly cause many complications and become an economic burden. The government has implemented prevention and treatment strategies but has not implemented osteoporosis screening strategies. If this is not done, the burden will become heavier in the future. Screening can be performed using a calcaneus ultrasound bone densitometry. This device is lightweight, portable, safe, comfortable, and accurate for bone screening. This tool is an alternative early diagnosis of osteoporosis as a strategy to prevent osteoporosis fractures in the elderly, especially for rural residents. Screening activities will have maximum results when using a collaborative approach involving various stakeholders. Situation analysis. Tugu Village, Cimanggis District, Depok has many elderly populations who are at risk of fractures. This village has an Integrated Healthcare Center (Posbindu), but it has no osteoporosis prevention program. Problem. There are no osteoporosis prevention activities for elderly villagers. Solution. Community service activities in the form of an osteoporosis screening program involving the Integrated Guidance Post using a calcaneus ultrasound. densitometry Conclusion. The prevention of osteoporosis fracture in elderly villagers has been successfully carried out through bone screening using a calcaneus ultrasound bone densitometry in collaboration with the local Posbindu. Keywords: community service, osteoporosis, fractures, elderly, calcaneus ultrasound densitometry


2021 ◽  
Author(s):  
Franca Genest ◽  
Michael Schneider ◽  
Andreas Zehnder ◽  
Dominik Lieberoth-Leden ◽  
Lothar Seefried

Purpose: Aging and concurrent constitutional changes as sarcopenia, osteoporosis and obesity are associated with progressive functional decline. Coincidence and mutual interference of this risk factors require further evaluation. Methods: Cross-sectional evaluation of musculoskeletal health in a community-dwelling cohort of men aged 65-90 years. Objectives included descriptive analysis of age-related decline in physical performance, prevalence of osteoporosis (FRAX-Score), sarcopenia (EWGSOP criteria) and obesity (BMI>30kg/m²) and their coincidence/interference. Results: Based on 507 participants assessed, aging was associated with progressive functional deterioration, regarding power (Chair Rise Test -1.54% per year), performance (Usual Gait Speed -1.38 % per year) and muscle force (Grip Strength -1.52 % per year) while muscle mass declined only marginally (Skeletal Muscle Index -0.29% per year). Prevalence of osteoporosis was 41.8% (n=212) while only 22.9% (n=116) of the participants met the criteria for sarcopenia and 23.7% (n=120) were obese. Osteosarcopenia was found in n=79 (15.6%), sarcopenic obesity was present in 14 men (2.8%). A combination of all three conditions could be confirmed in n=8 (1.6%). There was an inverse correlation of BMI with physical performance whereas osteoporosis and sarcopenia did not interfere with functional outcomes. Conclusion: Based on current definitions there is considerable overlap in the prevalence of osteoporosis and sarcopenia, while obesity appears to be a distinct problem. Functional decline appears to be associated with obesity rather than osteoporosis or sarcopenia. It remains to be determined to what extend obesity itself causes performance deficits or if obesity is merely an indicator of insufficient activity eventually predisposing to functional decline.


2007 ◽  
Vol 18 (4) ◽  
pp. 533-541 ◽  
Author(s):  
Z.-Q. Zhu ◽  
W. Liu ◽  
C.-L. Xu ◽  
S.-M. Han ◽  
S.-Y. Zu ◽  
...  

2013 ◽  
Vol 18 (2) ◽  
pp. 199-203 ◽  
Author(s):  
Tung Wai Auyeung ◽  
J. S. W. Lee ◽  
J. Leung ◽  
T. Kwok ◽  
J. Woo

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