مرکز منطقه ای اطلاع رساني علوم و فناوري - Risk factors for osteoporosis in women having hip fractures after 60 years of age

Latin Abstract :

Objectives: Management of hip fractures in elderly women should not be confined to surgical treatment and rehabilita¬tion, but also encompass interventions and measures to pro¬tect them from hip fractures. We administered a question¬naire to female patients with hip fractures to determine their social profiles and risk factors. Metho d s : A total of 107 female patients (mean age 74 years; range 63 to 100 years) who experienced hip fractures after the age of 60 years were administered a questionnaire to determine their physical and social characteristics, medical conditions , and nutritional status. In addition, the types of fractures and the S ingh index were determined on hip radiographs. Femoral neck (n=51, 47.7%) and intertrochanteric (n=56, 52.3%) fractures were clas¬sified according to the Garden and modified Evans classifica¬tions, respectively. Results: The mean body mass index was 23 kg/m2. The S ingh index was grade 3 in 70.1%, grade 2 in 26.2%, grade 4 in 2.8%, and grade 1 in 0.9%. Forty-four patients (41.1%) were illeterate, and 31 patients (29%) were only literate or could finish primary school. A history of smoking was found in 29.9% for a mean duration of 30.7 years. The majority of patients (67.3%) had lim¬ited activity and 63.6% had no outdoor work at all. None of them had a regular sport activity. Only two patients (1.9%) received inadequate and short-term postmenopausal therapy. The mean daily milk consumption was less than a glass (125-150 ml). Calcium supplements were used in only 5.6%. A history of previous fractures (hip, vertebra, distal radius) was detected in 9.3%. The most common coexistent diseases were hyper¬tension (50%) and diabetes (29%). None of the patients had bone mineral density measurements. Conclusion: Our study showed that, despite the high inci¬dence of risk factors for osteoporosis, few patients received medical care for the diagnosis and treatment of osteoporosis, and that preventive health care measures were not as avail¬able as it should have been for this patient group.