Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Incidence of Osteoporosis and Falls and Predictors of Fracture Risk in Postmenopausal Women

폐경 후 여성 골다공증과 낙상의 실태 및 골절 위험 예측요인

  • Ahn, Sukhee (College of Nursing, Chungnam National University) ;
  • Kim, Yunmi (College of Nursing, Gacheon University) ;
  • Chun, Nami (College of Nursing, Shungshin Women University) ;
  • Lee, Sook-Hee (College of Nursing, Seyoung University)
  • Received : 2012.09.11
  • Accepted : 2012.10.25
  • Published : 2012.12.20
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Abstract

Purpose: The purpose of this study was to investigate the incidence of osteoporosis and falls and their consequences, and to identify predictors of fracture risk in the postmenopausal women. Methods: A total of 687 postmenopausal women were recruited through a stratified convenience sampling. A structured questionnaire was used to obtain osteoporosis and fall history and details of their most recent fall. To predict fracture risk factors, we collected demographic and physical health variables related osteoporosis and fall. Fracture risk was measured by FRAX$^{(R)}$ to calculate 10-year probability of major osteoporotic and hip fracture. Results: The prevalence of osteoporosis was 22.1%, and 66.4% of them had treatments for osteoporosis. The incidence of falls during the past year was 19.2% and 38.6% of those who fell suffered consequent fractures. Women with history of osteoporosis and falls were significant predictors of 10-year probability of major osteoporotic and hip fracture. Other significant predictors were history of fracture, chronic disease, surgical menopause, lower BMI, poorer perceived health and no job. Conclusion: It appears that history of osteoporosis and falls are main predictors of fracture risk. Nursing assessment should be performed by detail history taking for osteoporosis, fall, chronic disease, and fracture to screen fracture risk group among postmenopausal women.

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References

  1. Ahn, S., Kim, H., So, H., & Song, R. (2009). Influencing fear of falling in postmenopausal women. Korean Journal of Women Health Nursing, 15, 344-352. http://dx.doi.org/ 10.4069/kjwhn.2009.15.4.344
  2. Arnold, C. M., Busch, A. J., Schachter, C. L., Harrison, L., & Olszynski, W. (2005). The relationship of intrinsic fall risk factors to a recent history of falling in older women with osteoporosis. Journal of Orthopedic and Sports Physical Therapy, 35, 452-460. https://doi.org/10.2519/jospt.2005.35.7.452
  3. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Mahwah: Lawrence Erlbaum Assocates.
  4. Dargent-Molina, P., Benhamou, C. L., Cortet, B., Sutter, B., & Thomas, T. (2007). Devising global strategies for fracturerisk evaluation. Joint, Bone, Spine, 74, 240-244. https://doi.org/10.1016/j.jbspin.2006.11.004
  5. Dontas, I. A., & Yiannakopoulos, C. K. (2007). Risk factors and prevention of osteoporosis-related fractures. Journal of Musculoskeletal & Neuronal Interactions, 7, 268-272.
  6. Fujiwara, S., Nakamura, T., Orimo, H., Hosoi, T., Gorai, I., Oden, A., et al. (2008). Development and application of a Japanese model of the WHO fracture risk assessment tool (FRAX). Osteoporosis International, 19, 429-435. http:// dx.doi.org/10.1007/s00198-007-0544-4.
  7. Grisso, J. A., Kelsey, J. L., Strom, B. L., Chiu, G. Y., Maislin, G., O'Brien, L. A., et al. (1991). Risk factors for falls as a cause of hip fracture in women: The Northeast Hip Fracture Study Group. New England Journal of Medicine, 324, 1326-1331. https://doi.org/10.1056/NEJM199105093241905
  8. Haentjens, P., Autier, P., Barette, M., & Boonen, S. (2001). The economic cost of hip fractures among elderly women. A one-year, prospective, observational cohort study with matched-pair analysis. Belgian Hip Fracture Study Group. Journal of Bone and Joint Surgery American, 83, 493- 500. https://doi.org/10.2106/00004623-200104000-00003
  9. International Menopause Society. (2008). FRAX: A fracture risk assessment tool. Retrieved June 1, 2012, from http://www.imsociety.org/updates_view_open.php?menopauseliveID=81&SESSID=mpcigywu
  10. Jang, S, N., Cho, S. I., Oh, S. W., Lee, E. S., & Baik, H. W. (2007). Time since falling and fear of falling among communitydwelling elderly. International Psychogeriatrics, 19, 1072- 1083.
  11. Jang, S. N., Choi, Y, H., Choi, M. G., Kang, S. H., Jeong, J. Y., Choi, Y. J., et al. (2006). Prevalence and associated factors of osteoporosis among postmenopausal women in Chuncheon: Hallym Aging Study (HAS). Journal of Preventive Medicine and Public Health, 39, 389-396.
  12. Jeong, G. H., Yang, S. O., & Baik, S. H. (2005). Osteoporosis measured by quantitative ultrasound and its risk factors in middle-aged women, Gyeonggi-do, Korea. Journal of Muscle and Joint, 12, 39-47.
  13. Kang, T. H., Park, Y. K., Kim, E. H., Kim, S. M., & Oh, H. J. (2002). Spinal bone mineral density related with YSM in Korean menopausal women. Journal of Korean Academy of Family Medicine, 23, 224-232.
  14. Kanis, J. A., Johnell, O., Oden, A., Johansson, H., & McCloskey, E. (2008). FRAX and the assessment of fracture probability in men and women from the UK. Osteoporosis International, 19, 385-397. http://dx.doi.org/10.1007/s00198- 007-0543-5
  15. Kho, D. H., Kim, H. J., Kim, E. S., & Kim, D. H. (2008). Risk factors predicting hip fractures in patients over 70 years old. Hip & Pelvis, 20, 197-202.
  16. Korea Centers for Disease Control and Prevention. (2010). National health and nutrition examination survey: The 4th (2008) results report: 2008 National health statistics. Seoul: Ministry of Health, Welfare and Family.
  17. Lee, D. Y., Lim, S. J., Moon, Y. W., Min, Y. K., Choi, D., Yoon, D. K., et al. (2010). Determination of an applicable FRAX Model in Korean women. Journal of Korean Medical Science, 25, 1657-1660. http://dx.doi.org/10.3346/jkms. 2010.25.11.1657
  18. Lee, H. Y., & Bak, W. S. (2009). The risk factors of osteoporosis in Korean postmenopausal women. Korean Journal of Adult Nursing, 21, 303-313.
  19. Lee, K. (2011). Evidence-based management for osteoporosis. Journal of Korean Medical Association, 54, 294-302 http://dx.doi.org/10.5124/jkma.2011.54.3.294
  20. Lim, J. Y., Park, W. B., Oh, M. K., Kang, E. K., & Paik, N. J. (2010). Falls in a proportional region population in Korean elderly: Incidence, consequences, and risk factors. Journal of Korean Geriatric Society, 14, 8-17. https://doi.org/10.4235/jkgs.2010.14.1.8
  21. Lippuner, K., Johansson, H., Kanis, J. A., & Rizzoli, R. (2010).FRAX assessment of osteoporotic fracture probability in Switzerland. Osteoporosis International, 1, 381-389. http://dx.doi.org/10.1007/s00198-009-0975-1
  22. Park, J. W., Huh, J. K., Kim, J. Y., Oh, J. H., Baek, G. H., & Gong, H. S. (2011). Osteoporosis medication treatment thresholds for patients with a distal radius fracture as determined using bone mineral density and the fracture risk assessment tool. Korean Journal of Bone Metabolism, 18 , 15-21.
  23. Roux, C., Priol, G., Fechtenbaum, J., Cortet, B., Liu-Leage, S., & Audran, M. (2007). A clinical tool to determine the necessity of spine radiography in postmenopausal women with osteoporosis presenting with back pain. Annals of the Rheumatic Diseases, 66, 81-85. http://dx.doi.org/10.1136/ard.2006.051474
  24. Rubenstein, L. Z., & Josephson, K. R. (2006). Falls and their prevention in elderly people: What does the evidence show? Medical Clinics of North America, 90, 807-824. https://doi.org/10.1016/j.mcna.2006.05.013
  25. Siris, E. S., Baim, S., & Nattiv, A. (2010). Primary care use of FRAX: absolute fracture risk assessment in postmenopausal women and older men. Postgraduate Medicine, 122, 82-90. http://doi.dx.org/10.3810/pgm.2010.01.2102
  26. Tang, B. M., Eslick, G. D., Nowson, C., Smith, C., & Bensoussan, A. (2007). Use of calcium or calcium in combination with vitamin D supplementation to prevent fractures and bone loss in people aged 50 years and older: A meta-analysis. Lancet, 370, 657-66. http://dx.doi.org/10.1016/S0140-6736 (07)61342-7

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