Utility of anthropometric indicators in predicting osteoporosis in ambulant community dwelling rural postmenopausal women from southern India

Sridharan, Kalyani; Cherian, Kripa Elizabeth; Kurian, Mathews Edatharayil; Asha, Hesarghatta Shyamasunder; Paul, Thomas; Kapoor, Nitin

doi:10.1177/0049475520922769

Cited by 8 publications

(6 citation statements)

References 20 publications

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“…The trends in obesity prevalence has shown that in men, the prevalence of obesity has increased from 27.5% (1999–2000) to 43% (2017–2018) and in women from 33.4% (1999–2000) to 41.9% (2017–2018) 16 . In a study done at the authors’ center, about 61% of postmenopausal women were found to be obese 17 Overall, in India, the prevalence of overweight/obesity were observed to be 38.4% and 36.2%, respectively 18 . From the Medicare data in the United States, the prevalence of degenerative spine disease was about 27% 19 .…”

Section: Discussionmentioning

confidence: 91%

“…(1999-2000) to 41.9% (2017-2018). 16 In a study done at the authors' center, about 61% of postmenopausal women were found to be obese 17 Overall, in India, the prevalence of overweight/obesity were observed to be 38.4% and 36.2%, respectively. 18 From the Medicare data in the United States, the prevalence of degenerative spine disease was about 27%.…”

Section: Discussionmentioning

confidence: 95%

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Utility and validation of bone mineral density measurements at forearm in predicting trabecular microarchitecture and central‐site osteoporosis in aging Indian postmenopausal women—a promising surrogate?

et al. 2022

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Objective The objective of this paper was to present the results of our study of the utility of bone mineral density (BMD) measurements at various segments of distal forearm in predicting central‐site osteoporosis and deteriorated trabecular microarchitecture. Methods This was a cross‐sectional study and BMD at the femoral neck, lumbar spine, and distal forearm were assessed using the dual‐energy X‐ray absorptiometry (DXA) scanner and bone microarchitecture at lumbar spine by trabecular bone score (TBS). The utility of forearm BMD in predicting osteoporosis as well as the deteriorated TBS was assessed by a receiver operating characteristic analysis. Results A total of 352 postmenopausal women with mean (SD) age of 60.7 (6.8) years were included. The odds of having osteoporosis at femoral neck [odds ratio (OR) = 14.1, 95% confidence interval (CI): 7.8–25.2] and lumbar spine (OR = 7.5, 95% CI: 4.6–12.1) was highest with the mid‐distal radius. A derived T‐score cut off ≤ −1.6, −1.9, and −1.7 at any segment of the forearm was elucidated to predict osteoporosis at the central‐site, femoral neck, and lumbar spine, respectively, with sensitivity of 80%–88% and specificity of 60%–70%. The T‐scores at all three forearm segments ≤ −1.2 showed fair performance in predicting degraded trabecular microarchitecture. The T‐scores thus derived were further validated in cohort of 360 Bengali postmenopausal women. Conclusion BMD assessment at the forearm may be utilized in prediction of trabecular microarchitecture and central site osteoporosis at the femoral neck and lumbar spine in postmenopausal women.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 95%

Utility and validation of bone mineral density measurements at forearm in predicting trabecular microarchitecture and central‐site osteoporosis in aging Indian postmenopausal women—a promising surrogate?

et al. 2022

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“…The studies reviewed in this article were published between 2010 and 2021. There were three studies from Chandigarh[ 18 19 20 ] and Tamil Nadu,[ 21 22 23 ] two from Hyderabad and Delhi,[ 24 25 26 27 ] one each from West Bengal[ 28 ] and Pune. [ 29 ]…”

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confidence: 99%

Burden of Osteopenia and Osteoporosis Among Postmenopausal Women in India

Anupama

Noronha

Acharya

et al. 2022

Journal of Mid-Life Health

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Aim: Postmenopausal osteoporosis is a major public health problem around the world. The objective of this systematic review is to determine the prevalence of osteoporosis in postmenopausal women in India. Materials and Methods: This review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We identified relevant studies through a search of literature published from 2010 to January 2021 in the databases PubMed, Web of Science, ProQuest, CINHAL, and PEDro databases. We searched for cross-sectional studies involving India that were published in English. Results: There was a total of 1631 hits in the initial search and out of which 60 studies were selected for full-text review. Twelve studies were selected for qualitative analysis. Excluded studies were 48 with reasons: 20 studies had included other diseases such as knee arthritis, celiac diseases, diabetes mellitus, and kidney diseases. Eleven studies included premenopausal women, young adults, and men. Ten studies outcomes were different, and seven studies were excluded as they have done retrospective analysis and were commentaries. The pooled prevalence of osteoporosis at the lumbar spine region was 29%, the hip region was 6% and the femoral neck region was 29% whereas the pooled prevalence of osteopenia at the lumbar spine region was 37%, the hip was 6%, and femoral neck region was 37%. Conclusion: This systematic review found that postmenopausal women are at significant risk of developing low bone mineral density, and the prevalence of osteoporosis and osteopenia was high in the lumbar area.

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“…Thus, a simple anthropometric assessment of women in resource-limited settings might assist in identifying those at risk of osteoporosis. [ 20 ]…”

Section: O Ther C Linical S ...mentioning

confidence: 99%

Screening Tools for Osteoporosis in India

Paul

Cherian

Kapoor

et al. 2021

Journal of Mid-Life Health

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The prevalence of osteoporosis is about 40%–50% in postmenopausal women and 20% in older men. The limited availability of dual-energy X-ray absorptiometry (DXA) scanners across the country calls for the presence of alternate risk assessment tools to identify those at high risk for osteoporosis. Some of the screening tools available for osteoporosis include Simple Calculated Osteoporosis Risk Estimation and Osteoporosis Risk Assessment Tool for Asians (OSTA), and Fracture Risk Assessment Tool to assess fracture risk. Clinical parameters that may serve as surrogates include dentition and anthropometric indices. Although screening tools do not supplant the assessment of bone mineral density by DXA, they help identify individuals at high risk for osteoporosis who may be selectively referred for confirming the same.

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Utility of anthropometric indicators in predicting osteoporosis in ambulant community dwelling rural postmenopausal women from southern India

Cited by 8 publications

References 20 publications

Utility and validation of bone mineral density measurements at forearm in predicting trabecular microarchitecture and central‐site osteoporosis in aging Indian postmenopausal women—a promising surrogate?

Utility and validation of bone mineral density measurements at forearm in predicting trabecular microarchitecture and central‐site osteoporosis in aging Indian postmenopausal women—a promising surrogate?

Burden of Osteopenia and Osteoporosis Among Postmenopausal Women in India

Screening Tools for Osteoporosis in India

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