55岁以上成人骨质疏松和骨质减少的影响因素:联邦诊断中心患者的个案研究

Ali Minhas Khan, Muhammad Arain Muhammad, Bilal Sahni, Khan Uzair Muhammud
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引用次数: 2

摘要

目的:筛查有助于早期发现骨质疏松症和骨质减少症,并有助于推荐适当的治疗方法,从而降低骨折相关的发病率和死亡率。本研究的目的是评估55岁以上门诊患者骨质疏松和骨质减少的影响因素。方法:本研究采用随机临床试验(rct)。筛选确定的患者使用骨测试,如DXA,定量超声和骨密度(BMD)作为标准。这是用跟骨定量超声波(QUS)测量的。该研究还使用了结构化问卷来确定患者的社会人口特征和骨质疏松症或骨折风险的临床风险评估。样本量为250例55岁以上门诊患者。研究发现:腰痛和膝盖痛是常见的肌肉骨骼症状。很明显,骨质疏松和骨质减少在低日照的门诊患者中很常见(71%)。研究发现,高龄、低骨密度评分、子宫切除术、性别、教育程度是导致骨质疏松和骨质减少的主要因素。结论:研究认为55岁以上的人群患骨质疏松症和骨质减少症的风险较高。建议:该研究建议55岁以上的人接受筛查,以促进早期发现骨质疏松症和骨质减少症。这将有助于他们得到适当和及时的管理症状,提高他们的生活质量。
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Contributing Factors to Osteoporosis and Osteopenia in Adults above 55 Years: A Case Study of Patients Visiting Federal Diagnostic Centre
Purpose: Screening can help in early detection of osteoporosis and osteopenia and help in recommending appropriate treatment thus reducing fracture-related morbidity and mortality. The aim of this study was to assess the contributing factors to osteoporosis and osteopenia among out-patients aged above 55 years. Methodology: The study employed randomized clinical trials (RCTs). The identified patients were screened using bone tests such as DXA, quantitative ultrasound, and the Bone Mineral Density (BMD) as the standard. This was measured using the Calcaneal Quantitative Ultra Sound (QUS). The study also used a structured questionnaire to identify the socio-demographic profile of the patients and clinical risk assessments for osteoporosis or fracture risk. The sample size was 250 out-patients aged above 55 years. Findings: The study found out that lower back pain and knee pain were the common musculoskeletal presentations. It was evident that osteoporosis and osteopenia was common in out-patients who had low exposure to sunlight (71%). The study found that major contributing factors to osteoporosis and osteopenia are advanced age, low bone mineral density score, hysterectomy, gender, and educational status. Conclusion: The study conclude that people aged above 55 years are at high risk of suffering from osteoporosis and osteopenia. Recommendation: The study recommend people above 55 years to undergo screening to facilitate early detection of osteoporosis and osteopenia. This will help them in getting appropriate and timely management of symptoms and improve their quality of life.
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