Aisa-Álvarez A, Espinoza-Sevilla A, Torres-Pacheco MÁ, Díaz-Greene E, Rodríguez-Weber F

Language: Spanish
References: 17
Page: 25-33
PDF size: 426.61 Kb.

ABSTRACT

Background: Osteoporosis is a disease characterized by a decreased bone mineral density and increased risk of fractures.
Objective: To determine the prevalence and risk factors of osteoporosis in subjects older than 18 years, assisting to the Health Week of the Hospital Angeles Pedregal.
Patients and method: A cross-sectional study was made in which we evaluated 432 subjects who were applied a questionnaire that included demographic information, medical history and risk factors for osteoporosis. In all patients, weight, height, bone mineral density, lipid profile and fasting glucose were measured. All subjects were performed bone densitometry of the right wrist. The 10-year probability of hip fracture and major osteoporotic fracture was calculated whit the FRAX tool. The study was conducted in the Hospital Angeles Pedregal, Mexico City, during the month of September 2013.
Results: We reviewed a total of 276 patients, of them, 15.9% had low bone mass (LBM) and one patient (0.4%), osteoporosis. Age ≥ 40 years was associated with an increased risk of low bone mass (OR 8.84, 95% CI 3.06-25.49, p≤0.001). The group of patients with low bone mass and osteoporosis was associated with increased consumption of cigarettes per day (2.98 ± 2.58 vs 6.54 ± 7.24, p = 0.003). A history of parental hip fracture was associated with an increased risk of low bone mass (OR 2.35 95% CI 1.21-4.58, p=0.019). Osteopenia group presented a higher risk of major osteoporotic or hip fracture by FRAX score (1.65 ± 0.92 vs 4.787 ± 2.5, p‹0.001 and 0.126 ± 0.17 vs 0.40 ± 0.42, p‹0.001).
Conclusions: The prevalence of osteoporosis was of 0.4% and 15.9% for low bone mass. Patients with low bone mass and osteoporosis had higher risk of major osteoporotic or hip fracture by FRAX score.

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