A screening and counseling program for prevention of osteoporosis
| Autor: | Robert J. Schneider, Theresa D. Galsworthy, Joseph M. Lane, Mark J. Kasper, B. Gutin, Margaret G. E. Peterson |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Counseling
medicine.medical_specialty Bone density Endocrinology Diabetes and Metabolism Physical Exertion Osteoporosis Health Promotion Bone Density Internal medicine medicine Humans Mass Screening Osteoporosis Postmenopausal Femoral neck Analysis of Variance Postmenopausal women business.industry Public health Middle Aged medicine.disease Rheumatology Calcium Dietary medicine.anatomical_structure Orthopedic surgery Physical therapy Female Lumbar spine business |
| Zdroj: | Osteoporosis International. 2:252-256 |
| ISSN: | 1433-2965 0937-941X |
| DOI: | 10.1007/bf01624151 |
| Popis: | Prevention of osteoporosis is an increasingly salient public health concern as our society ages. This report describes the procedures used at an osteoporosis center to which people come for screening and counseling. The patients on whom this report is based were 53 non-smoking women, 1–10 years postmenopausal at the time of their first visit to the center, who chose not to undertake estrogen therapy, and who returned for a second visit in 12–18 months. They were classified as to adequacy of calcium intake (at least 750 mg/day) and exercise (at least 3 h/week of weight-bearing exercise) at both visits; complete data on calcium intake and exercise were available on 46 of the women. Bone densities were measured at the femoral neck and lumbar spine with dual energy X-ray absorptiometry, and at the distal radius with single photon absorptiometry. At the first visit, 67% of the women reported adequate exercise and 43% reported adequate calcium intake. At the second visit, the percentages in the adequate categories had increased to 74% for exercise (p=0.06) and 70% for calcium intake (p=0.02). Age at the first visit was inversely correlated with femoral (r=−0.40,p=0.003) and spinal (r=−0.36,p=0.009) bone densities; the correlation with radial bone density did not achieve significance (r=−0.27,p=0.55). Rather than declining, as would be expected in early postmenopausal women, bone density rose slightly, but not significantly, between visits for all three sites. Neither the first visit values nor the changes between visits were significantly different between groups divided on the basis of adequacy of calcium intake or exercise. These data suggest that bone density is related to age, that a visit to an osteoporosis center may help early postmenopausal women to maintain and improve healthy exercise and eating behaviors, and that bone density does not necessarily decline over a 12–18 month period in women who maintain such behaviors. |
| Databáze: | OpenAIRE |
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