ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Osteoporosis Screening In An Urban District: Frequency And Re-lated Factors
Dr. Ayfer GEMALMAZ,a Dr. Güzel DİŞCİGİL,a Dr. Aydın SÖYLEMEZa
aAile Hekimliği ABD, Adnan Menderes Üniversitesi Tıp Fakültesi, AYDIN
Objective: Although a gold standard for osteoporosis diagnosis, the bone density measurement via dual energy X-ray absorptiometry (DXA) is not a method devised for community screening. Therefore, new methods have come up that are easy to use in the primary care settings, non-invasive, practical and inexpensive. Radiographic absorptiometry (RA) is one of these. The aim of this study was to determine the risk factors for osteoporosis among patients who attended to the family medicine clinic and to identify the osteoprotic risk group via RA.
Material and Methods: One hundred and nine adult patients who attended to the Adnan Menderes University Family Medicine clinic in November 2006 were included in the study. The volunteered participants completed a questionnaire on demographic features and medical history. Then the bone density measurement was carried out via RA method.
Results: The mean age of the patients was 50.3 ± 11.1 years; 81.7% were females and 18.3% were males. Half of the women were at menopause. Twenty-nine patients (26.6%) had osteopenia and 5 (4.5%) had osteoporosis according to RA T-scores. The factors associated with osteoporosis were age over 60 years, sedentary life style, education history of less than 5 years and being bedridden for more than 2 months. A negative correlation was found between the RA T-scores and age (r= -0.271, p= 0.01). Among women, menopause and conservative clothing style were related to osteoporosis.
Conclusion: RA is a suitable method to determine the osteoporotic risk group in the community. In primary care settings that provide healthcare to mass population, determining individuals with a high risk of osteoporosis, providing information and making a management plan especially for people who over 60 years, who have a sedentary life style and a lower educational status, will decrease the morbidity and mortality associated with osteoporosis.Keywords: Osteoporosis; mass screening; primary health careTurkiye Klinikleri J Med Sci 2007, 27:695-700
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