Bone mineral density among postmenopausal Saudi women in Riyadh city – A primary care level cross-sectional survey

2019 ◽  
Vol 3 (4) ◽  
pp. 350
Author(s):  
MahmoudA Mahmoud
Keyword(s):  
Bone Mineral Density ◽  
Primary Care ◽  
Bone Mineral ◽  
Mineral Density ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Level ◽  
Primary Care Level ◽  
Saudi Women ◽  
Riyadh City

scholarly journals Bone Mineral Density in Premenopausal Women Is Associated with the Dietary Intake of α-Tocopherol: A Cross-Sectional Study

Nutrients ◽  
2019 ◽  
Vol 11 (10) ◽  
pp. 2474
Author(s):  
Tamami Odai ◽  
Masakazu Terauchi ◽  
Asuka Hirose ◽  
Kiyoko Kato ◽  
Naoyuki Miyasaka
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Dietary Habits ◽  
Daily Intake ◽  
Premenopausal Women ◽  
Z Score ◽  
Mineral Density ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Clinical Records

This study aimed to investigate the relationship between the consumption of various nutrients and bone mineral density (BMD) in middle-aged women. This cross-sectional survey was conducted based on the clinical records of 157 women aged 38–76. Their lumbar spine BMD was measured with dual-energy X-ray absorptiometry and dietary habits were assessed with the brief-type self-administered diet history questionnaire. Participants were divided into premenopausal (n = 46) and postmenopausal (n = 111) groups and the correlation between the BMD Z-score (Z-score) and the intakes of 43 nutrients was investigated separately for each group. In premenopausal women, the daily intake of ash, calcium, and α-tocopherol was positively correlated with the Z-score (Pearson’s correlation coefficient, R = 0.31, 0.34, 0.33, p = 0.037, 0.020, 0.027, respectively). When dividing the consumption of ash, calcium, and α-tocopherol into low, middle, and high tertiles, the Z-score significantly differed only between the α-tocopherol tertiles. After adjustment for age, body mass index, and lifestyle factors, daily intake of α-tocopherol remained significantly associated with the Z-score (regression coefficient = 0.452, p = 0.022). No nutrient was found to be significantly correlated with the Z-score in postmenopausal women. Increase in the intake of α-tocopherol could help maintain bone mass in premenopausal women.

scholarly journals Patients’ perceptions of continuity of care across primary care level and emergency departments in Belgium: cross-sectional survey

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e033188
Author(s):  
Marlene Karam ◽  
Anne-Sophie Lambert ◽  
Jean Macq
Keyword(s):  
Primary Care ◽  
Continuity Of Care ◽  
Emergency Departments ◽  
Structural Factors ◽  
Fee For Service ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Level ◽  
Primary Care Level ◽  
Individual Level

ObjectivesTo assess patients’ perceptions of continuity of care (COC) across primary care level and emergency departments (EDs) and to identify contextual and individual factors that influence this perception.DesignCross-sectional multicentre survey.SettingFive EDs in Brussels and Wallonia.Participants501 adult patients referred to the ED by their primary care physician (PCP). Patients with cognitive impairment or in critical condition were excluded.ResultsPatients perceived high levels of the three types of COC. On an individual level, older patients showed a perception of higher levels of continuity. Lower levels of informational and management continuity were observed among patients suffering from chronic diseases and patients with a high level of education. Patients also perceived a redundancy of medical exams, in parallel to a high degree of accessibility between care levels. On an organisational level, three structural factors were identified as barriers to COC, namely, ED workload, suboptimal sharing information system and the current fee-for-service payment system that encourages competition and hinders coordination between actors.ConclusionBelgian healthcare services seem satisfying for patients and easily accessible. However, efforts need to be directed towards improving their efficiency. A stronger primary care level is also needed to benefit the healthcare system by reducing overuse of emergency services. On the individual level, a more enhanced patient-centred approach could be beneficial in improving patients experience of care.

scholarly journals Abdominal Obesity is Associated With Lower Bone Mineral Density in Non-Weight-Bearing Site in Korean Men

2018 ◽  
Vol 13 (1) ◽  
pp. 155798831881349 ◽  
Author(s):  
Min-Hee Kim ◽  
Sang-Wook Song ◽  
Kyung-Soo Kim
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Abdominal Obesity ◽  
Weight Bearing ◽  
Multiple Logistic Regression Analysis ◽  
Age Groups ◽  
Lower Bone Mineral Density ◽  
Mineral Density ◽  
Cross Sectional Survey ◽  
Cross Sectional

This research aimed to investigate the relationship between abdominal obesity and lower bone mineral density (BMD) at non-weight-bearing site in Korean men using data from the Korea National Health and Nutrition Examination Survey, which is a nationwide cross-sectional survey. The study population ( n = 5,941) was selected from the 2009–2010 survey. Abdominal obesity in men was defined as waist circumference ⩾ 90 cm. Lower BMD state was defined as having T-score of −2.5 or below. To investigate the association, multiple logistic regression analysis was performed. Abdominal obesity was highly associated with lower non-weight-bearing site (lumbar spine [LS]) BMD after adjustment (odds ratio [OR] 1.61, 95% CI [1.06, 2.44], p = .026). Also, abdominal obesity was a risk factor for lower LS BMD, especially in age groups of those in their 20s and those over 60s (OR 5.53, 95% CI [1.27, 24.07], p = .023 for 20s; OR 2.19, 95% CI [1.19, 4.02], p = .011 for 60 years or older). Abdominal obesity in Korean men is associated with lower BMD at non-weight-bearing site (LS), especially in younger and older age groups. Further research might be recommended to prove the mechanism or causality.

Association between reproductive factors and postmenopausal osteoporosis

2011 ◽  
Vol 20 (03) ◽  
pp. 248-251
Author(s):  
H. R. Meybodi ◽  
N. Khalili ◽  
P. Khashayar ◽  
R. Heshmat ◽  
A. Hossein-nezhad ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Bone Mineral ◽  
Reproductive Factors ◽  
Population Based ◽  
Age At Menarche ◽  
Mineral Density ◽  
Cross Sectional ◽  
Number Of Children ◽  
Menstrual History ◽  
Duration Of Breastfeeding

SummaryThe present cross-sectional research was designed to study possible correlations between clinical reproductive factors and bone mineral density (BMD) values.Using the data gathered by the population-based Iranian Multicenter Osteoporosis Study (IMOS), we investigated the correlation found between reproductive factors and osteoporosis. Subjects were recruited from five major cities of Iran. Bone mineral density was measured using Dual-Energy X-ray Absorptiometry and the results were analyzed against the age at menarche and at menopause, number of pregnancies, children and abortions, and the history (and duration) of breastfeeding.Data was available for 2528 women. Gravidity and number of children were reversely correlated with BMD. Younger age at menarche was associated with higher BMD values, whereas there was no significant correlation between age at menopause and menstrual history and BMD.Our study suggests that clinical reproductive factors, particularly number of children and breastfeeding, could be incorporated as predictors of BMD levels in women. Given the controversial results obtained in different studies, longitudinal studies should be carried out to enlighten the importance of these factors and the rationale of their use to predict BMD values in different settings.

Sign in / Sign up

Export Citation Format

Share Document