Determining the Prevalence of Osteoporosis and Related Factors using Quantitative Ultrasound in Vietnamese Adult Women

Hiền, Vũ Thị; Khan, Nguyen Cong; Lâm, Nguyễn Thị; Bạch, Lê Thị; Le, DucSon NguyenTrung; Nhung, Bùi Thị; Nakamori, Masayo; Kunii, Daisuke; Sakai, Tohru; Yamamoto, Shigeru

doi:10.1093/aje/kwi105

Cited by 56 publications

(36 citation statements)

References 35 publications

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“…High osteoporosis in the age group 50–70 years was comparable to Japanese women and this was postulated to be due to pre–World War exposure and poor nutrition at that time. [16] In this study, the prevalence was thought to be less among rural premenopausal women as compared to urban due to high outdoor physical activity in this population.…”

Section: Discussionmentioning

confidence: 85%

Prevalence and related risk factors of osteoporosis in peri- and postmenopausal Indian women

et al. 2011

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Aim:We undertook this study involving 200 peri- and postmenopausal women to determine the prevalence of osteoporosis, and in turn increase the awareness, education, prevention, and treatment of osteoporosis.Setting and Design:Postgraduate Institute of Medical Education and Research, UT Chandigarh, India, and a clinical study.Materials and Methods:A detailed medical, obstetrical, menstrual, and drug history was recorded in a proforma designated for the study. Height and weight was measured, weight-bearing exercise was assessed, and sunlight exposure per day for each woman was recorded. Food intake was estimated by using the 24-hour dietary recall method, and calcium and vitamin D consumption pattern was assessed. Bone mineral density (BMD) at postero-anterior lumbar spine and dual femurs was assessed by densitometer. Women were classified according to the WHO criteria.Statistical Analysis Used:Student's t-test, multiple logistic regression analysis.Results:The prevalence of low BMD was found in more than half of this population (53%). The mean age in group I (normal BMD) was found to be 50.56 ± 5.74 years as compared to 52.50 ± 5.94 in group II with low BMD (P=0.02). The two groups were similar with respect to parity, education, socioeconomic status, family history of osteoporosis, hormone replacement therapy, and thyroid disorders. 46.8% of the women in group I and 33% of the women in group II had low physical activity and there was no statistically significant difference in sunlight exposure between the groups. Parity or the number of children and type of menopause was not seen to have much association with low BMD in our study. Lack of exercise and low calcium diet were significantly associated with low BMD. Multiple logistic regression analysis showed that age, exercise, menopause, and low calcium diet acted as significant predictors of low bone density.Conclusion:The findings from the study suggest the need for large community-based studies so that high-risk population can be picked up and early interventions and other life style changes can be instituted if there is delay in implementing national or international health strategies to tackle this increasing global health problem. Strategies to identify and manage low BMD in the primary care setting need to be established and implemented.

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Section: Discussionmentioning

confidence: 85%

Prevalence and related risk factors of osteoporosis in peri- and postmenopausal Indian women

et al. 2011

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“…QUS studies on pre- and post-menopausal European [35, 36] and Asian women [37] have shown an increase of both SOS and BUA up to fourth decade followed by a significant decrease after 45 years. Other studies of pre-menopausal women have not consistently reflected changes in QUS with age [13].…”

Section: Discussionmentioning

confidence: 99%

“…In particular, height was positively and significantly related to BMD at the femoral neck as measured by DXA, but not at the lumbar spine [42]. Some QUS studies have shown positive associations between height and both BUA and SOS [38]; but among Asian pre-menopausal women, increased height was associated only with increased SOS and not with BUA [37]. …”

Section: Discussionmentioning

confidence: 99%

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Quantitative ultrasound in relation to risk factors for low bone mineral density in South African pre-menopausal women

et al. 2009

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SummaryThe study describes the association between risk factors and quantitative ultrasound bone measures in black and mixed-race pre-menopausal South African women. Despite some differences between the two study groups, the findings generally lend support to the use of ultrasound for epidemiological studies of bone mass in resource-limited settings.IntroductionQuantitative ultrasound at the calcaneus is a convenient and inexpensive method of estimating bone strength well suited to community-based research in countries with limited resources. This study determines, in a large sample of pre-menopausal South African women, whether characteristics associated with quantitative ultrasound measures are similar to those shown to be associated with bone mineral density as measured by dual X-ray absorptiometry.MethodsThis cross-sectional study included 3,493 women (1,598 black and 1,895 mixed race), aged 18–44 living in Cape Town. Study nurses administered structured interviews on reproductive history, lifestyle factors, and measured height and weight. Calcaneus quantitative ultrasound measurements were obtained using the Sahara device. Adjusted means of ultrasound measures according to categories of risk factors were obtained using multivariable regression analysis.ResultsAssociations between quantitative ultrasound measures and age, body mass index, age at menarche, parity, and primary school physical activity were similar to those known for bone mineral density as measured by dual X-ray absorptiometry. There were no clear associations between quantitative ultrasound measures and educational level, alcohol use, cigarette smoking, and current calcium intake.ConclusionThe data give qualified support to the use of quantitative ultrasound as an epidemiological tool in large studies of bone strength in pre-menopausal women.

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“…Osteoporosis is a public-health issue in both developed and developing countries (Hien et al, 2005;Johnell & Kanis, 2004;Miura, Saavedra, & Yamamoto, 2008;Pongchaiyakul et al, 2005). The World Health Organization (WHO) defines osteoporosis as a systemic disease that is characterized by low bone density and microarchitectural deterioration of bone tissue with a consequent increase in bone fragility.…”

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Sociodemographic Variation in Knowledge of Osteoporosis and Locally Available Calcium-Rich Foods Among Urban Women Living on Low Incomes in Davao, Philippines

Miura¹,

Yagi²,

Saavedra³

et al. 2010

Health Care for Women International

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We explored knowledge of osteoporosis and locally available calcium-rich foods among 1,151 urban women in the Philippines and analyzed the cross-sectional associations of their responses to questions about knowledge with their age, educational background, and family income status. In total, 80.3% of the women had heard about osteoporosis; a higher educational background independently predicted this awareness. For knowledge about locally available calcium-rich foods, older age was a positive predictor, whereas higher educational background was a negative predictor. We believe that more emphasis should be placed on locally available foods as part of nutritional education for young urban Filipinos.

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Determining the Prevalence of Osteoporosis and Related Factors using Quantitative Ultrasound in Vietnamese Adult Women

Cited by 56 publications

References 35 publications

Prevalence and related risk factors of osteoporosis in peri- and postmenopausal Indian women

Prevalence and related risk factors of osteoporosis in peri- and postmenopausal Indian women

Quantitative ultrasound in relation to risk factors for low bone mineral density in South African pre-menopausal women

Sociodemographic Variation in Knowledge of Osteoporosis and Locally Available Calcium-Rich Foods Among Urban Women Living on Low Incomes in Davao, Philippines

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