EXAMINATION OF OSTEOPOROSIS AND SUBSEQUENT FRACTURE RISK
Author(s)
Horváthné Kívés Z1, Kajári A2, Endrei D1, Boncz I1, Vajda R1
1University of Pécs, Pécs, Hungary, 2Tolna County Hospital, Szekszárd, Hungary
OBJECTIVES : The public health significance of osteoporosis is outstanding, the treatment of complications is difficult for patients and social security. The aim of the research is to reveal the rate of osteoporosis risk, in the sample, the knowledge associated, lifestyle factors related to prevention and the existence of fall-proof environments. METHODS : Quantitative cross-sectional study was performed among women over 30 years of age (n=129) with simple, non-random sampling. The question groups of the self-compiled questionnaire: socio-demographic factors, knowledge, lifestyle, features of fall-proof environment, diagnosis of osteoporosis and risk factors. Validated questionnaires: Fracture Risk Assessment Tool (FRAX-score) Osteoporosis Assessment Questionnaire (OPAQ), Godin Leisure-Time Exercise Questionnaire. In addition to descriptive statistical analysis, t-test, chi-square test, average confidence interval was used (p<0.05) with the application of SPSS software. RESULTS : The risk average of high osteoporotic fracture associated with osteoporosis was 7,6% (median 4,7%), risk of hip fracture was 2% based of the FRAX risk estimation (average age 53,7 years). Those between 66-85 years of age (p<0,001, 64%) and exposed to risk (p<0,001, 53%) knew risk factors significantly more. Patients between 46-65 years (p<0,001, 67%) and exposed to risk (p<0,001, 61%) knew the cases recommended for screening significantly more. However patients diagnosed with osteoporosis do not have adequate knowledge. According to falls secure housing have been achieved in 88%. Based on OPAQ the most critical dimensions were body image [MT: 17-19] and independence [MT: 22-24]. CONCLUSIONS : Adequate calcium intake, ensure of vitamin D supply and exercise are the "base treatment" of osteoporosis. The physical environment plays a significant role in the fall of the elderly, it may be a direct cause of 30-50% of fall cases. The risk of fractures related to osteoporosis in the future could be estimated by the online FRAX calculator.
Conference/Value in Health Info
2018-05, ISPOR 2018, Baltimore, MD, USA
Value in Health, Vol. 21, S1 (May 2018)
Code
PHS5
Topic
Epidemiology & Public Health
Topic Subcategory
Disease Classification & Coding
Disease
Reproductive and Sexual Health