ASSESSMENT OF RISK FACTORS OF OSTEOPOROTIC FRACTURES AMONG EGYPTIAN PATIENTS | ||
| Benha Medical Journal | ||
| Article 6, Volume 39, Issue 3, November and December 2022, Pages 830-841 PDF (628.67 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2022.99422.1494 | ||
| Authors | ||
| Sahar Ganeb1; Refaat Eltanawy2; Waleed Salah eldeen1; Shimaa Sobhy Hassan* 3 | ||
| 1Department of Rheumatology, Rehabilitation and physical Medicine/ Benha Faculty of Medicine/ Egypt | ||
| 2Department of Rheumatology, Rehabilitation and physical Medicine/ Benha Faculty of Medicine/ Egypt | ||
| 3Department of Rheumatology, Rehabilitation and physical medicine, Toukh Hospital, Egypt | ||
| Abstract | ||
| Aim: To study and assess the risk factors for fractures in the osteoporotic Egyptian patients older than 40 years. Methods: Forty eight persons (> 40 years old) were included. They were underwent complete clinical evaluation and laboratory analyses of serum calcium (Ca) and vitamin D (Vit. D) levels, with assessment of the bone mineral density (BMD) using the Dual Energy X-ray Absorptiometry scanner (DEXA). They were divided into two groups: a patients’ group including 27 osteoporotic patients having fractures and a control group including 21 osteoporotic cases without fractures. Results: The percentage of females was higher in both groups (74.1% and 61.9%. p=0.36).The mean age was significantly higher in the patients’ group (mean ± SD 62.11 ± 6.6 vs53.48 ±6.7 years), while the mean height was significantly lower (p < 0.05). The weight and body mass index (BMI) were comparable between both groups (p>0.05). About 70.4% of osteoporotic patients had their fractures from minor traumas; meanwhile the control had no fractures even with minor or moderate traumas. The T-score, Z-score and the BMD were significantly lower in the patients (p < 0.05). In addition, Vit. D and Ca levels were significantly lower (p < 0.05). A positive family history of fractures was significantly higher in the patients (p=0.013), while no other risk factor was significantly different between both groups. Conclusion: An advanced age, a short stature, a positive family history, traumas, and low Vit. D and Ca levels are major risk factors associated with a low BMD and osteoporotic fractures in the adult Egyptian population. | ||
| Keywords | ||
| Osteoporosis; Vit. D; fractures; trauma | ||
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