Morphometric semi-quantitative assessment of vertebral fractures in postmenopausal black women in Central Africa

Kabenkama, Joseph Médard Kabeya; Banza, Lydie; Tshibola, Jean Mukaya; Muamba, Jean-Marie Mbuyi; Tozin, Rahma Rashid; Tshikwela, Michel Lelo

doi:10.1007/s11657-018-0431-y

Cited by 4 publications

(4 citation statements)

References 31 publications

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“…26 However, the prevalence is higher than that seen in the Democratic Republic of Congo (DRC), Cape Town and in The Gambia. [9][10][11] This may be explained by the inclusion of younger and/or premenopausal women in The Gambia and Cape Town or the lower mean age of the postmenopausal female subjects in the DRC, which was 15 years lower than that in the current study.…”

Section: Discussioncontrasting

confidence: 62%

“…5,6 A similar prevalence (16.2%) has also been reported in Tunisian postmenopausal women, while a higher prevalence (25.6%) was reported in Moroccan women. 7,8 In contrast, a lower prevalence of morphometric VFs was seen in postmenopausal black women in a multi-centre study from Central Africa (11%) 9 and in Gambian women (6%). 10 These differences may be due to methodological or ethnic differences.…”

Section: Introductionmentioning

confidence: 93%

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Prevalence and clinical risk factors for morphometric vertebral fractures in older subjects in KwaZulu-Natal

Esaadi

Paruk

Cassim

2021

Journal of Endocrinology, Metabolism and Diabetes of South Afri

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There are limited data on vertebral fractures (VFs) in South Africa (SA). Therefore a study was undertaken to compare the demographic profile, clinical risk factors and bone mineral density (BMD) in subjects aged 60 years and over with and without morphometric VFs. Patients and methods: In a descriptive case-controlled study, demographic data, clinical risk factors (CRF) and BMD were collected. Morphometric VFs were identified using the semi-quantitative Genant method. Descriptive analysis was undertaken using Student's t-test, the Mann-Whitney U-test and the chi-square test. Results: In the 197 subjects enrolled, the median age was 72.0 years (IQR 67.0-78.5 years) and morphometric VFs were identified in 41 subjects (20.8%). The prevalence of VFs increased with age, and while more common in women compared with men (23.8% vs. 13.0%), this was not significant (p 0.095). There was no difference in the prevalence of VFs between African and Indian subjects (23.4% vs. 17.4%; p 0.240), nor CRFs between subjects with and without VFs. Subjects with a VF had a significantly lower BMD at the spine (p = 0.020), but not at the neck of femur and total hip. Conclusion: This study highlights the need for adequate screening and management protocols for osteoporosis in all ethnic groups in SA.

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Section: Discussioncontrasting

confidence: 62%

Section: Introductionmentioning

confidence: 93%

Prevalence and clinical risk factors for morphometric vertebral fractures in older subjects in KwaZulu-Natal

Esaadi

Paruk

Cassim

2021

Journal of Endocrinology, Metabolism and Diabetes of South Afri

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“…85 In a cohort of 430 postmenopausal women living in Kinshasa, Democratic Republic of Congo, who complained of back pain, vertebral fractures were diagnosed in 11% of the thoraco-lumbar vertebrae; the prevalence of fractures rose with age. 86 In the Gambia, a cross-sectional study of 488 healthy men and women >40 years of age from Kiang West were found to have a prevalence of 9% moderate or severe vertebral fractures on DXA. 62 Regional considerations summary.…”

Section: Regional Considerations High-income Countriesmentioning

confidence: 99%

Calcium deficiency worldwide: prevalence of inadequate intakes and associated health outcomes

Shlisky

Mandlik

Askari

et al. 2022

Annals of the New York Academy of Sciences

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Dietary calcium deficiency is considered to be widespread globally, with published estimates suggesting that approximately half of the world's population has inadequate access to dietary calcium. Calcium is essential for bone health, but inadequate intakes have also been linked to other health outcomes, including pregnancy complications, cancers, and cardiovascular disease. Populations in low-and middle-income countries (LMICs) are at greatest risk of low calcium intakes, although many individuals in high-income countries (HICs) also do not meet recommendations. Paradoxically, many LMICs with lower calcium intakes show lower rates of osteoporotic fracture as compared with HICs, though data are sparse. Calcium intake recommendations vary across agencies and may need to be customized based on other dietary factors, health-related behaviors, or the risk of calcium-related health outcomes. The lack of standard methods to assess the calcium status of an individual or population has challenged efforts to estimate the prevalence of calcium deficiency and the global burden of related adverse health consequences. This paper aims to consolidate available evidence related to the global prevalence of inadequate calcium intakes and associated health outcomes, with the goal of providing a foundation for developing policies and population-level interventions to safely improve calcium intake and status where necessary.

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“…The majority of studies have been focusing on the experience and reported symptoms during menopausal transition and menopause [ 11 - 15 ]. Studying menopause and menopause-associated disorders such as osteoporosis, metabolic syndrome, and prehypertension have been the subject of interest for researchers in the Democratic Republic of the Congo (DRC) [ 16 - 19 ]. However, none of them have considered assessing the awareness of the definition, the symptoms, the attitudes, and the practices towards menopause among middle-aged and/or postmenopausal Congolese women.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes and practices towards menopause among Congolese middle-aged and postmenopausal women

Muchanga¹,

Lumumba²,

Kamba³

et al. 2021

Pan Afr Med J

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Introduction with the increase in life expectancy, women will live longer during their postmenopausal period. To improve their quality of life, they should be aware of what challenges they will be facing. This study aimed to evaluate the knowledge, attitudes and practices of middle-aged women towards menopause. Methods in this cross-sectional study, data collected using a multistage clustered random sampling from 54 health centres in the Democratic Republic of Congo were used. Participants filled a questionnaire derived from the menopause rating scale and from local beliefs. The knowledge, attitudes and practices towards menopause were evaluated among pre- and postmenopausal women. Results of the 353 women, both pre- and postmenopausal women knew the definition of menopause but for the symptoms, postmenopausal women were more informed than premenopausal. For the attitudes and practices towards menopause, while both had equally positive attitudes, the premenopausal women did not know which practice to adopt. Conclusion Congolese women had limited knowledge, positive attitudes and unconventional practices towards menopause. Health-care providers, therefore, need to dispense appropriate advice to middle-aged women before the advent of menopause.

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Morphometric semi-quantitative assessment of vertebral fractures in postmenopausal black women in Central Africa

Abstract: This study seemed to determine the pattern and features of vertebral fractures in black African women which may be useful for comparisons with the pattern of worldwide populations.

Cited by 4 publications

References 31 publications

Prevalence and clinical risk factors for morphometric vertebral fractures in older subjects in KwaZulu-Natal

Prevalence and clinical risk factors for morphometric vertebral fractures in older subjects in KwaZulu-Natal

Calcium deficiency worldwide: prevalence of inadequate intakes and associated health outcomes

Knowledge, attitudes and practices towards menopause among Congolese middle-aged and postmenopausal women

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