ECTS2013 Poster Presentations Osteoporosis: evaluation and imaging (31 abstracts)
Molaoi General Hospital, Molaoi, Lakonia, Greece.
Introduction: Osteoporosis-related fractures can cause substantial disability and increase health care costs, and mortality. There are many difficulties to access Greek women residing in remote villages and perform the FRAX tool for osteoporosis evaluation, especially, after the global economy crisis.
Purpose: To estimate the prevalence of FRAX clinical risk factors, calcium intake habits and perform osteoporosis screening in 275 postmenopausal Greek women, aged 4084 years.
Methods: Clinical risk factors were evaluated with FRAX®, BMD was measured using heel QUS, calcium intake calculation using a food frequency questionnaire.
Results: Mean age was 61, 73 years and mean BMI: 27.03 kg/m2. In total 51 out of 275 were found eligible for treatment after DEXA (3, 7 and 41 for the age groups: 049, 5065 and over 65, respectively). Secondary osteoporosis was found in 22.54, 14.54% had parental fracture history, 8.36% had a fracture, 14.90% were smokers, 5.81% received steroids, 1.45% had rheumatoid arthritis.Their average calcium intake from diary products: 605.41, 622.71 and 555.74 mg for the age groups 4049, 5064 and over 65 years, respectively Table 1.
Age group/number | Fractured hip | Parent hip fractured | Smoking | Use of steroids | Secondary osteoporosis | R.A. |
4049 / 48 | 1 | 7 | 13 | 3 | 13 | 0 |
5064/ 114 | 6 | 18 | 24 | 6 | 24 | 3 |
≥65/113 | 16 | 15 | 4 | 7 | 25 | 1 |
Total 275 | 23 | 40 | 41 | 16 | 62 | 4 |
Conclusions: This study revealed that the prevalence of clinical risk factors varies from 1.45 to 22.54%. Further studies will clarify the role of combined use of FRAX and QUS for the best primary care approach, when DEXA is not available.