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Risk factors for osteoporosis in postmenopausal women – from the point of view of primary care gynecologist Cover

Risk factors for osteoporosis in postmenopausal women – from the point of view of primary care gynecologist

By: Damir Franic and  Ivan Verdenik  
Open Access
|Jan 2018

Figures & Tables

Figure 1

The questionnaire to obtain demographic, anthropometric, and fracture data, and the risk factors for OP.

Figure 2

The incidence of osteoporosis concerning HT use (N=2956).

Figure 3

The use of anti-resorptive therapy by age groups (N=1274).

General characteristics of the women (n=2956)_

N

Some data were missing, hence differences in totals

Min.Max.Mean ± SD
Age (years)2810199861.0 ± 11.0
Age at onset of menopause (years)2486206449.0 ± 4.7
Weight (kg)29423516471.0 ± 12.9
Height before measurement2299135182162.3 ± 5.9
on measurement (cm)2906129180158.8 ± 6.3
Body mass index (BMI)289616.046.028.1 ± 4.9

Odds ratio for osteoporosis concerning risk factors (N=1274) (univariate and multivariate regression)_

OR (95%CI) univariateOR (95%CI) multivariate
Age1.07 (1.04 - 1.11) p<0.0011.08 (1.05 - 1.11) p<0.001
BMI 18.5-25 (ref)1 (ref)1 (ref)
BMI<18.51.86 (0.35 - 9.8) p=0.4622.32 (0.40 - 13.5) p=0.350
BMI=25-300.37 (0.27 - 0.52) p<0.0010.38 (0.27 - 0.54) p<0.001
BMI=30-350.19 (0.13 - 0.28) p<0.0010.19 (0.13 - 0.27) p<0.001
BMI= > 350.12 (0.07 - 0.20) p<0.0010.11 (0.07 - 0.19) p<0.001
Non-smoker0.42 (0.24 - 0.74) p=0.0020.55 (0.29 - 1.01) p=0.055
Hormone contraception (ever user)1.02 (0.77 - 1.36) p=0.8641.15 (0.84 - 1.59) p=0.373
HT (ever user)0.31 (0.13 - 0.73) p=0.0080.26 (0.10 - 0.65) p=0.004
Height loss >3 cm1.11 (0.87 - 1.41) p=0.3921.13 (0.86 - 1.47) p= 0.377

The prevalence of osteoporosis and fracture risk factors regarding age (N=1274)_

60-64 years (N=460)65-69 years (N=370)70-75 years (N=444)p-value
Osteoporosis prevalence132 (24.9%)102 (34.2%)166 (37.4%)<0.001

Chi-square for linear association

Low calcium intake46 (10.0%)38 (10.3%)60 (13.5%)0.097

Chi-square for linear association

Observed height loss in cm (SD)2.57 (2.4)3.05 (2.8)4.30 (3.9)< 0.001

Spearman correlation

Smokers25 (5.4%)15 (4.1%)14 (3.2%)0.088

Chi-square for linear association

Osteoporotic fractures in the last 5 years72 (15.7%)80 (21.6%)114 (25.7%)< 0.001

Chi-square for linear association

Wrist fracture31 (6.7%)40 (10.8%)57 (12.8%)0.002

Chi-square for linear association

Hip fracture5 (1.1%)9 (2.4%)20 (4.5%)0.001

Chi-square for linear association

Corticosteroid use15 (3.3%)23 (6.2%)18 (4.1%)0.107

Chi-square

BMC (g/cm2) - L1-L454.0 (11.5)52.9 (12.9)51.1 (11.6)0.001

Spearman correlation

BMC (g/cm2) - hip31.1 (5.8)30.4 (6.2)29.3 (5.7)< 0.001

Spearman correlation

Family history of osteoporosis58 (12.6%)38 (10.3%)49 (11.0%)0.551

Chi-square

DOI: https://doi.org/10.2478/sjph-2018-0005 | Journal eISSN: 1854-2476 | Journal ISSN: 0351-0026
Language: English
Page range: 33 - 38
Submitted on: Jun 11, 2017
|
Accepted on: Nov 27, 2017
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Published on: Jan 5, 2018
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2018 Damir Franic, Ivan Verdenik, published by National Institute of Public Health, Slovenia
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.