Effects of age, sex, and ethnicity on bone health status of the elderly in Kuala Lumpur, Malaysia

Chin, Kok‐Yong; Kamaruddin, Alia Annessa Ain; Low, Nie Yen; Ima‐Nirwana, Soelaiman

doi:10.2147/cia.s108772

Cited by 15 publications

(24 citation statements)

References 32 publications

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“…Whereas in men, the studies in Malaysia are very limited. Several reports by Chin et al established significant associations between endocrinological factors, body anthropometry and physical activity status with speed of sound, a bone quantitative sonometric index, in men ≥20 years [10][11][12][13][14]. From the pilot study previously conducted among Malaysian Chinese aged ≥40 years old, the prevalence of osteoporosis based on DXA was 15.3%.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Bone Health Status in a Multi-Ethnic Population in Klang Valley, Malaysia

Chan

Subramaniam

Mohamed

et al. 2020

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Background and objectives: Studies on osteoporosis risk factors are limited in Malaysia, so this study assesses the factors associated with bone health assessed using dual-energy X-ray absorptiometry (DXA) among Malaysians aged ≥40 years. Subjects and Methods: Data on demography, medical history, dietary and lifestyle practices of 786 Malaysians (51.4% women) aged ≥40 years recruited in Klang Valley were obtained. Their body composition and bone health were determined using DXA. The association between risk factors and bone health status was assessed using binary logistic regression. Results: The prevalence of suboptimal bone health and osteoporosis was higher in women (59.4% and 16.1%) than men (40.8% and 8.4%). Overall, the predictors of suboptimal bone health and osteoporosis among the subjects were increased age and higher fat mass. Lower monthly income was positively associated with osteoporosis. Being menopausal was a risk factor for both suboptimal bone health and osteoporosis in women. Women with no formal education were more likely to get osteoporosis. Being a smoker and Chinese were positively related to suboptimal bone health among men. Meanwhile, predictors of osteoporosis among men were regular alcohol and dairy product consumption, higher fat mass and having a tertiary education. Conclusions: This study calls for immediate and effective interventions for middle-aged and elderly populations with risk factors to halt the progression of bone loss.

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Section: Introductionmentioning

confidence: 99%

Determinants of Bone Health Status in a Multi-Ethnic Population in Klang Valley, Malaysia

Chan

Subramaniam

Mohamed

et al. 2020

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“…In a previous study, we established that 43.4% of Malaysian women aged 50 years or above who underwent a bone health screening in a tertiary referred hospital were at medium to high risk of osteoporosis as indicated by a QUS device [ 17 ]. The aim of the present study was to investigate the relationship between socio-demographic, anthropometric, and lifestyle risk factors for osteoporosis and QUS indices in the same group of women.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Bone Health in Malaysian Middle-Aged and Elderly Women Assessed via Quantitative Ultrasound

Chin

Low

Dewiputri

et al. 2017

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Risk factors for osteoporosis may vary according to different populations. We aimed to investigate the relationship between risk factors of osteoporosis and bone health indices determined via calcaneal quantitative ultrasound (QUS) in a group of Malaysian women aged 50 years or above. A cross-sectional study was performed on 344 Malaysian women recruited from a tertiary medical centre in Kuala Lumpur, Malaysia. They answered a self-administered questionnaire on their social-demographic details, medical history, lifestyle, and physical activity status. Their height was measured using a stadiometer, and their body composition estimated using a bioelectrical impedance device. Their bone health status was determined using a water-based calcaneal QUS device that generated three indices, namely speed of sound (SOS), broadband ultrasound attenuation (BUA), and stiffness index (SI). A T-score was computed from SI values using a reference database from a mainland Chinese population. Women with three or more lifetime pregnancies, who were underweight and not drinking coffee had a significantly lower BUA. Stepwise multiple linear regression showed that SOS was predicted by age alone, BUA and SI by years since menopause, body mass index (BMI), and number of lifetime pregnancies, and T-score by years since menopause and percentage of body fat. As a conclusion, suboptimal bone health in middle-aged and elderly Malaysian women as indicated by QUS is associated with old age, being underweight, having a high body fat percentage, and a high number of lifetime pregnancies. Women having several risk factors should be monitored more closely to protect their bones against accelerated bone loss.

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“…However, to the best of our knowledge, this is the first study to report on the prevalence and predictors of osteoporosis defined by DXA among middle-aged and elderly Malaysian Chinese in Klang Valley. Other similar studies have been conducted in Malaysia, but they used quantitative ultrasonometry to determine bone health of the subjects [13,49,50].…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Predictors of Osteoporosis Among the Chinese Population in Klang Valley, Malaysia

et al. 2019

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The prevalence of osteoporosis is forecasted to escalate in Malaysia with an increasing elderly population. This study aimed to analyze the prevalence and the risk factors of osteoporosis among middle-aged and elderly Chinese Malaysians. Three hundred sixty seven Malaysian Chinese aged ≥40 years in Klang Valley, Malaysia, were recruited. All subjects completed a structured questionnaire comprised of demographic details, medical history, diet, and lifestyle practices. Body anthropometry and bone mineral density measurements were also performed. The relationship between bone health status and risk factors was determined using multivariate logistic regression. Fifteen-point-three percent of the overall study population and 32.6% of those aged ≥71 years had osteoporosis. The prevalence of osteoporosis among women (18.9%) was higher than men (11.5%). The significant predictors of osteoporosis were age, body weight, and low monthly income. Lean mass, low education level, and being underweight predicted osteoporosis in women. Lean mass was the only significant predictor of osteoporosis in men. Overall, 15.3% of the Malaysian Chinese aged ≥40 years from Klang Valley, Malaysia, had osteoporosis. Osteoporosis was associated positively with increased age and low monthly income and negatively with body weight. Therefore, osteoporosis preventive strategies targeting Chinese elderly from a low socioeconomic background is necessary.

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Effects of age, sex, and ethnicity on bone health status of the elderly in Kuala Lumpur, Malaysia

Cited by 15 publications

References 32 publications

Determinants of Bone Health Status in a Multi-Ethnic Population in Klang Valley, Malaysia

Determinants of Bone Health Status in a Multi-Ethnic Population in Klang Valley, Malaysia

Factors Associated with Bone Health in Malaysian Middle-Aged and Elderly Women Assessed via Quantitative Ultrasound

Prevalence and Predictors of Osteoporosis Among the Chinese Population in Klang Valley, Malaysia

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