ECTS2013 Poster Presentations Osteoporosis: pathophysiology and epidemiology (49 abstracts)
Osteoporosis risk factor correlation with BMD in Latvia
Inese Pavlina 1, , Ingvars Rasa 1, , Inara Adamsone 2, , Ilze Daukste 3, , Sandra Jaundzeikare 1, , Dainis Kaneps 5, , Ingrida Kaze 1, , Agita Medne 4, & Signe Zelca 1,
1Riga East Clinical University Hospital, Riga, Latvia; 2Pauls Stradins Clinical University Hospital, Riga, Latvia; 3Riga 2nd Hospital, Riga, Latvia; 4Health Centre 4, Riga, Latvia; 5Latvian Maritime Medicine Center, Riga, Latvia; 6Latvian Osteoporosis and Bone Metabolism Diseases Association, Riga, Latvia.
Objective(s): To assess osteoporosis risk factors for postmenopausal women and correlation with bone mineral density (BMD) in Latvia.
Material and methods: A national cross-sectional study conducted in Latvia about osteoporosis risk factors in postmenopausal women and BMD determination with DXA. 1.598 women who had a DXA scan visit, took part in a study (May–October 2012). The women filled out a questionnaire with 25 multiple choice questions on osteodensitometry, calcium and vitamin D usage, smoking, physical exercises, glicocorticosteroids use, and anti-osteoporosis medications. On the basis of DXA examination, the physicians then filled out BMD results.
Results: The average age of the patients was 65.6±9.0 years and the body weight was 71.9±13.7 kg; the height was 159±6.3 cm; the menopause recorded from 49.3±4.6 years, 63% had previously done DXA. Osteoporosis previously diagnosed in 41.9%. Previous fractures due to bone fragility recorded in 38.6%; 26.8% had a family history of fractures. Calcium used 60.7% of all the patients and 36.2% used vitamin D as dietary supplements. 8.2% smoked. 94.3% used alcohol less than once a month. 13.7% exercised daily. 59.5% had no physical activities. 7.4% of the patients took glicocorticosteroids of which 69.6% had been taking the medication for more than three months. We obtained a statistically correlation that as the age increased, BMD decreased in the lumbar spine as well as in left and right hip (P< 0.001 for all sites). We also found that if the body weight decreases, BMD in the lumbar spine and left and right hip also decreases (P<0.001 for all sites). Another correlation concerns the menopause and BMD. The earliest menopause and the lower BMD was in the lumbar spine (P<0.001 for all sites).
Conclusion(s): This study suggests that osteoporosis not sufficiently diagnosed und undertreated in Latvia. Insufficient attention paid to osteoporosis risk factors.
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