Routine Application of the Korean FRAX Model in Women: a Single-center Study

Kim, Tae Hee; Lee, Hae‐Hyeog; Chung, Soo‐Ho; Lee, Woo Seok; Park, Junsik

doi:10.11005/kjbm.2012.19.1.29

Cited by 3 publications

(2 citation statements)

References 6 publications

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“…[1] Recently, the fracture-risk assessment tool (FRAX) using clinical risk factors and measures of femoral neck bone mineral density (BMD) is used to predict the fracture probability. [2] The exact diagnosis and prediction of osteoporosis and identification of osteoporosis risk factors are important; however, prevention is also important. Prevention of osteoporosis should be addressed from a young age.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Osteoporosis Health Belief Scale in Korean Women

et al. 2013

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BackgroundThe Osteoporosis Health Belief Scale (OHBS) is a 42-item questionnaire designed to assess susceptibility, seriousness, calcium benefits, calcium barriers, exercise benefits, exercise barriers, and health motivation related to osteoporosis. We aimed to evaluate its psychometric properties to enable the provision of educational tips regarding osteoporosis.MethodsAll women who had visited the department of obstetrics and gynecology (OBGYN) and whose bone mineral density was measured from January 2010 to December 2011 were enrolled by interview using the OHBS. We also evaluated the women's general clinical characteristics.ResultsOne hundred seventy-seven women were enrolled in the present study. In the present study, the barriers to calcium intake subscale had the lowest mean score (15.03±3.02), and the Benefit of Exercise subscale had the highest (23.02±3.03). The scores for participants in their 20s were significantly higher than scores for those in their 70s on the Benefits of Exercise subscale and Barriers to Exercise subscale (P=0.014 and P=0.022, respectively).ConclusionsEducation for health motivation to prevent osteoporosis is important for young women. Additional systematic education programs are needed for the general population.

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Section: Introductionmentioning

confidence: 99%

Evaluation of the Osteoporosis Health Belief Scale in Korean Women

et al. 2013

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“…We previously reviewed the Korean FRAX model with the general population and recommended that physicians use the Korean FRAX model in the general female population to predict fracture risk. [ 3 ] We already found that serum (25-[OH]D 3 ) concentrations were significantly correlated with age ( P =0.001), duration of menopause ( P =0.005), and osteoporosis ( P =0.044). [ 4 ]…”

Section: Discussionmentioning

confidence: 97%

Compression Fracture in Postpartum Osteoporosis

et al. 2013

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Osteoporosis is mainly a problem in postmenopausal women. However, we had a case of postpartum compression fracture associated with osteoporosis. A 42-year-old multiparous woman had undergone tertiary cesarean section without complications 1 month before. She was breast-feeding her baby and had no other bone-related complication history. She did not exercise on a regular basis. She experienced back pain abruptly and was diagnosed with a recent compression fracture of T12, L1, and L3. We evaluated this rare case of postpartum osteoporosis and compression fracture.

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Comparison of Buckling Ratio and Finite Element Analysis of Femoral Necks in Post-menopausal Women

et al. 2014

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ObjectivesOsteoporosis is a prevalent problem amongst the elderly. Bone mineral density (BMD) obtained from dual X-ray absorptiometry (DXA) is the gold standard in diagnosing osteopenia (-1.0 < t < -2.5) and osteoporosis (t > -2.5). However, following osteoporosis therapy, increases in BMD may be unreliable. Although hip fracture risk can be reduced with the aid of drugs, treated patients still face considerable risk as most people who sustain hip fracture do not have generalized osteoporosis. A study of the local distribution of bone mass was necessary as they contribute to the geometry and consequently the bone strength.MethodsBy identifying the respective regions in the femoral neck, the geometric changes were localized and differed between each patient, proving that drug treatment elicits local changes in mean outer radius and mean cortical thickness. Numerical analysis also validated the above findings, where critical strain regions were predicted at similar zones and this is coherent with the fact that reduced thickness of the cortical bone has been related to increased risk of fracture initiation.ResultsHence, from individual radar plots, we can determine if the effect of drugs had outweighed the effect of aging. We can then propose a course of treatment drug better suited for the patient in the clinical scenario.ConclusionClinically, little conclusion can be drawn from just the BMD in osteopenic / osteoporotic patients. This emphasizes the necessity of using geometry and structure to predict fracture risk. Focusing on a patient specific analysis at a local level will improve diagnosis of osteoporosis and ultimately fracture prediction.

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Routine Application of the Korean FRAX Model in Women: a Single-center Study

Cited by 3 publications

References 6 publications

Evaluation of the Osteoporosis Health Belief Scale in Korean Women

Evaluation of the Osteoporosis Health Belief Scale in Korean Women

Compression Fracture in Postpartum Osteoporosis

Comparison of Buckling Ratio and Finite Element Analysis of Femoral Necks in Post-menopausal Women

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