scholarly journals A literature review on osteoporosis risk factors and prevention: the importance of an early approach

2022 ◽  
Vol 11 (1) ◽  
pp. e35411124606
Author(s):  
Mellânia Rodrigues Goveia ◽  
Gleyson Murillo Aguilera Moraes ◽  
Marco Antônio de Souza Borges Tavares ◽  
Tauanne Fernanda dos Santos ◽  
Lanúbia Garcia de Araújo Vasconcelos ◽  
...  

Osteoporosis is a condition characterized by deterioration of bone microarchitecture resulting in loss of total bone mass, decreased tissue resistance and increased susceptibility to fractures. The study in question aimed to analyze and debate the risk factors and the effectiveness of forms of prevention related to osteoporosis, given their implication for the general population and the need to disseminate safe and effective forms of behavioral management that can contribute to the decrease in the condition, mainly in the most susceptible individual. For this, 42 articles indexed in Bireme, PubMed, Scielo and UpToDate platforms were selected for discussion of the topic. Thus, it was concluded that the need for active investigation of risk factors by health professionals, as well as the encouragement of preventive practices, especially in the population with higher incidence of the disease.

Author(s):  
Hissa Al-Muraikhi ◽  
Hana Said ◽  
Nagah Selim ◽  
Mohamad Abdel Halim Chehab

Background: Osteoporosis is a global health problem and its prevalence is rapidly increasing worldwide. Misunderstanding about osteoporosis and the lack of preventive action among women are still common, making primary prevention at an early age the preferable intervention. This study aims at assessing the knowledge of osteoporosis and preventive practices among women aged 20-44 years. Furthermore, the planning for osteoporosis prevention requires sufficient information about women`s health beliefs, knowledge, and preventive practices as well as the cultural and socioeconomic features.Methods: This is a cross-sectional study where participants were recruited using cluster sampling with proportionate allocation.  The sample (N=766) consisted of eligible women, attending the primary health care centers in Qatar during 2010, and they were interviewed using the modified Osteoporosis Knowledge Assessment Tool (OKAT).  The period of this study was between January 2010 and December 2011.Results: The overall knowledge score was 61.4%, with the risk factors knowledge component being the lowest at 50%. A statistically significant relation was noted between the overall knowledge score and age, the level of education, marital status, and positive family history of osteoporosis. About 79% of the participants reported being exposed to direct sun rays for > 30 minutes /week, while only 33.6% of them were engaging in proper weight bearing exercise. Finally, the food consumption score was low at 45.4%, especially when it came to fruits and vegetables (39.6%).Conclusions: The knowledge of osteoporosis risk factors, the practice of weight bearing exercise, and the consumption of calcium and vitamin D rich diet were low. Thus, it is necessary to integrate the different components of osteoporosis prevention into a comprehensive women health program.


2014 ◽  
Author(s):  
Tijana Icin ◽  
Jovanka Novakovic-Paro ◽  
Bojan Vukovic ◽  
Ivana Bajkin ◽  
Milica Medic-Stojanoska

2012 ◽  
Vol 23 (3) ◽  
pp. 1157-1173 ◽  
Author(s):  
Tracy Frech ◽  
Khe-ni Ma ◽  
Elizabeth D. Ferrucci ◽  
Anne P. Lanier ◽  
Molly McFadden ◽  
...  

2012 ◽  
Vol 97 (4) ◽  
pp. 1179-1186 ◽  
Author(s):  
Sumit R. Majumdar ◽  
Justin A. Ezekowitz ◽  
Lisa M. Lix ◽  
William D. Leslie

Objective: The aim of the study was to determine whether heart failure is associated with an increased risk of major osteoporotic fractures that is independent of bone mineral density (BMD). Methods: We conducted a population-based cohort study in Manitoba, Canada, by linking a clinical registry of all adults 50 yr of age and older who underwent initial BMD testing from 1998–2009 with administrative databases. We collected osteoporosis risk factors, comorbidities, medications, and BMD results. Validated algorithms identified recent-onset heart failure before the BMD test and new fractures after. The main outcome was time to major osteoporotic fractures (i.e. clinical vertebrae, distal forearm, humerus, and hip), and multivariable proportional hazards models were used for analyses. Results: The cohort consisted of 45,509 adults; 1,841 (4%) had recent-onset heart failure. Subjects with heart failure were significantly (P < 0.001) older (74 vs. 66 yr) and had more previous fractures (21 vs. 13%) and lower total hip BMD [T-score, −1.3 (sd 1.3) vs. −0.9 (sd 1.2)] than those without. There were 2703 incident fractures over the 5-yr observation. Overall, 10% of heart failure subjects had incident major fractures compared with 5% of those without [unadjusted hazard ratio (HR), 2.45; 95% confidence interval (CI), 2.11–2.85]. Adjustment for osteoporosis risk factors, comorbidities, and medications attenuated but did not eliminate this association (HR, 1.33; 95% CI, 1.11–1.60), nor did further adjustment for total hip BMD (HR, 1.28; 95% CI, 1.06–1.53). Conclusions: Heart failure is associated with a 30% increase in major fractures that is independent of traditional risk factors and BMD, and it also identifies a high-risk population that may benefit from increased screening and treatment for osteoporosis.


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