Prevalence of osteoporosis, sarcopenia, and high falls risk in healthy community-dwelling Thai older adults: a nationwide cross-sectional study

IF 3.4 Q2 ENDOCRINOLOGY & METABOLISM JBMR Plus Pub Date : 2024-01-04 DOI:10.1093/jbmrpl/ziad020
A. Asavamongkolkul, N. Adulkasem, P. Chotiyarnwong, Ekasame Vanitcharoenkul, Chandhanarat Chandhanayingyong, Panai Laohaprasitiporn, Krabkaew Soparat, A. Unnanuntana
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Abstract

Thailand has transitioned from an aging society to an aged society, which implies that the prevalence of age-related disorders will increase; however, epidemiological data specific to the prevalence of age-related degenerative musculoskeletal disorders among Thai older adults remain limited. Accordingly, the aim of this study was to investigate the prevalence of age-related musculoskeletal diseases, including osteoporosis, sarcopenia, and high falls risk among healthy community-dwelling Thai older adults. This cross-sectional nationwide study enrolled Thai adults aged ≥60 years from 2 randomly selected provinces from each of the 6 regions of Thailand via stratified multistage sampling during March 2021 to August 2022. All enrolled participants were evaluated for bone mineral density, skeletal muscle mass, grip strength, and gait speed. Osteoporosis was diagnosed according to the World Health Organization definition, and sarcopenia was diagnosed according to the Asian Working Group for Sarcopenia 2019 criteria. Falls risk was determined using the self-rated Fall Risk Questionnaire (FRQ). A total of 2991 eligible participants were recruited. The mean age of participants was 69.2 ± 6.5 years (range: 60–107), and 63.1% were female. The prevalence of osteoporosis, sarcopenia, and high falls risk was 29.7%, 18.1%, and 38.5%, respectively. Approximately one-fifth of subjects (19.1%) had at least 2 of 3 risk factors (i.e., osteoporosis, sarcopenia, and high falls risk) for sustaining a fragility fracture, and 3.4% had all three risk factors. In conclusion, the results of this study revealed a high and increasing prevalence of osteoporosis, sarcopenia, and high falls risk in healthy community-dwelling Thai older adults. Since these conditions are all major risk factors for fragility fracture, modification of Thailand’s national healthcare policy is urgently needed to address the increasing prevalence of these conditions among healthy community-dwelling older adults living in Thailand.
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泰国社区健康老年人骨质疏松症、肌肉疏松症和高跌倒风险的患病率:一项全国性横断面研究
泰国已从老龄化社会过渡到高龄化社会,这意味着与年龄有关的疾病的患病率将会增加;然而,有关泰国老年人中与年龄有关的退行性肌肉骨骼疾病患病率的流行病学数据仍然有限。因此,本研究旨在调查泰国健康社区老年人中与年龄相关的肌肉骨骼疾病的患病率,包括骨质疏松症、肌肉疏松症和高跌倒风险。这项横断面全国性研究在 2021 年 3 月至 2022 年 8 月期间,通过分层多阶段抽样,从泰国 6 个地区的每个地区随机抽取 2 个府,招募年龄≥60 岁的泰国成年人。所有入选者均接受了骨矿密度、骨骼肌质量、握力和步速评估。骨质疏松症根据世界卫生组织的定义进行诊断,而肌肉疏松症则根据亚洲肌肉疏松症工作组2019年标准进行诊断。跌倒风险通过跌倒风险自评量表(FRQ)确定。共招募了 2991 名符合条件的参与者。参与者的平均年龄为 69.2 ± 6.5 岁(范围:60-107 岁),63.1% 为女性。骨质疏松症、肌肉疏松症和高跌倒风险的患病率分别为 29.7%、18.1% 和 38.5%。约有五分之一的受试者(19.1%)至少具备三种脆性骨折风险因素(即骨质疏松症、肌肉疏松症和高跌倒风险)中的两种,3.4%的受试者具备所有三种风险因素。总之,这项研究的结果显示,在泰国社区居住的健康老年人中,骨质疏松症、肌肉疏松症和高跌倒风险的发病率很高,且呈上升趋势。由于这些病症都是导致脆性骨折的主要风险因素,因此迫切需要修改泰国的国家医疗保健政策,以解决泰国健康社区老年人中这些病症发病率不断上升的问题。
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来源期刊
JBMR Plus
JBMR Plus Medicine-Orthopedics and Sports Medicine
CiteScore
5.80
自引率
2.60%
发文量
103
审稿时长
8 weeks
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