PREVALENCE AND RISK FACTORS OF OSTEOPOROSIS AMONG THAI MALE PATIENTS AT GERIATRIC CLINIC, KING CHULALONGKORN MEMORIAL HOSPITAL
Keywords:
Bone mineral density, BMD, osteoporosis, Thai men, DEXA, prevalence, risk factorAbstract
OBJECTIVE Tostudy the prevalence and determine risk factors of osteoporosis in elderly Thai men.
STUDY DESIGN Prospective ,descriptive study.
STUDY METHOD Forty healthy Thai men 60 years and older who do not take any medication that effect bone mass were recruited in this study . These volunteers were asked to answer questionaire about risk factors causing low bone mass . Bone mineral density of the lumbar spines and non-dominant proximal hip were measured by Dual Energy X-ray Absorptiometer.
RESULTS According to WHO diagnostic criteria ,the prevalence of osteoporosis of lumbar spines and femoral neck was 37.5 percent and 12.5 percent respectively by using cutoff value from the American ’s cutoff value and was 35 percent and 52.5 percent respectively when using Thai’s cutoff value.None of risk factors correlated with osteoporosis.
CONCLUSION In Thailand ,up until the time of this report, there are no reliable data concerning prevalence of osteoporosis in men.The results of this study, initiate the emerging recognition of the impact of osteoporosis in Thai men.Further study in large population is encouraged to determine the actual prevalence and risk factors of osteoporosis in Thai men .Role of Thai health government in the prevention of osteoporosis in men is essentials because osteoporosis may bea huge problem in the future due to change in Thai life style and longer life time expectancy.
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References
Niewoehner C.Osteoporosis in men: is it more common than we think ?. Postgrad Med 1993 ; 93: 58-59.
Seeman E.O steoporosis in men : epidemiology ,pathophysiology and treatment possibilities.Am J Med 1993 ;95:22-28.
Scane Ac , Sutcliffe AM,Francis RM. Osteoporosis in men.Clin Rheumatol 1992 37: 589-601.
Scane Ac , Sutcliffe AM,Francis RM. Osteoporosis in men .Clin Rheumatol 1992 57: 589-601.
Eastell R, Boyle IT, CompstonJ, CooperC , et al. Management of male osteoporosis : Report of the UK Consensus Group.Quart J of Med 1998 ;92 :71-92.
Jacobsen SJ, Goldberg J, Miles TP, et al. Hip fracture incidence among the old and very old: a population-based study of 745,435 cases.AmJ Public Health 1990 ; 80:871-873.
Heyse SP . Epidemiology of hip fractures in the elderly:a cross-national analysis of mortality rates for femoral neck fractures. Osteoporosis Int 1993 ;1:16-19.
Center J, Eisman J.The epidemiology and pathogenesis. Baillieres Clin Endocrinol Metab 1997;11 :23-62.
World Health Oraganization. Assessment of fractures risk and its application to screen in for postmenopausal osteoporosis. Technical Report Series. WHO ,Geneva, 1994 ; 1-101.
Kelly TL. Bone mineral density references databases for American men and women. J Bone Miner Res 1990 ;5 (Suppl 2 ):249.
Poshyachinda M ,Chaiwatanarat T. Assess ment of bone mineral density in normal Thais. AseanJ Radiol 1996;II:1-12.
Looker AC, Orwoll ES, Johnston Jr CC, et al.Prevalence of low femoral bone density in older US adults from NHAES III. J Bone Miner Res 1997;12 : 1761-1768.
Seeman E, Melton III LJ. Risk factors for spinal osteoporosis inmen .Am J Med 1983; 75:977-983.
Bikle DD. Alcohol — induced bone disease. In:Simopoulos AP,Gallis C (eds) Osteoporosis : Nutritional Aspects ,Karger,Basel, 1993; 53-79.
Laitinen K, Valimaki M. Bone and the “comforts of life”. Ann Med 1993; 25: 413-425.
Moniz C. Alcohol and bone. Br Med Bull 1994; 50:67-75.
Friday K, Howard GA. Ethanol inhibits human bone cell proliferation and function in vitro.Metabolism 1991 ;40:562-565.
Chavassieux P, Serre CM, Vernaund P. In vitro evaluation of dose effects of ethanol on human osteoblastic cells. Bone Miner 1993; 22.
Kroger H, Laitinen K. Bone mineral density measured by dualenergy x-ray absorptiometry in normal men. EurJ Clin Invest 1992 ;122: 454-460.
Nguyen T, Sambrook P, kelly P, etal. Prediciton of osteoporotic fractures by postural instability and bone density. Bone Miner J 1993 ; 307: 1111-1115.
Looker AC, Harris TB, Madans JH. Dietary calcium and hip fracture risk: The NHANES I epidemiology follow — up study. Osteoporosis Int 1993 ; 3:177-184.
Paganini - Hill A, Chao A, Ross RK, etal. Exercise and other factors in the prevention ofhip fracture: the Leisure World study. Epidemiology 1991; 2:16-25.
Snow- Harter C, Whalen R, Myburgh K, etal. Bone mineral density, muscle strength, and recreational exercise in men. J BoneMiner Res 1992 ;7:1291-1296.
Wickham CAC, WalshK, CooperC, et al. Dietary calcium ,physical activity ,and risk of hip fracture: a prospective study. Br Med J 1989; 299:889-892.
Meier DE,Orwoll ES, Jones JM . Marked dis parity between trabecular and cortical bone loss with age in healthy men :measurement by vertbral computed tomography and radial photon absorptiometry. Ann Intern Med 1984 3101 :605-612.
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