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Centre for Policy on Ageing | |
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Assessment of osteoporotic fracture risk in community settings
— a study of post-menopausal women in Australia | | Author(s) | B-K Tan, Roger I Price, N Kathryn Briffa |
| Journal title | Health and Social Care in the Community, vol 16, no 6, December 2008 |
| Pages | pp 621-628 |
| Source | http://www.blackwellpublishing.com/hsc |
| Keywords | Older women ; Fractures ; Osteoporosis ; At risk ; Living in the community ; Evaluation ; Australia. |
| Annotation | The healthcare costs of managing osteoporotic fractures is projected to rise because of the change in population demographics. To reduce the fracture epidemic, strategies are needed to identify those at risk early, to allow preventative intervention to be implemented. This Australian study investigated whether low-cost community-based assessments, such as calcaneal ultrasound and falls risk assessments, can distinguish between a group of older women at risk of osteoporotic fracture and those at lower risk. During 2002 and 2003, 104 community-dwelling women (mean age 71.3, standard deviation 5.8) were recruited via various modes including advertisements in community newspapers and community centres. These women underwent dual-energy X-ray absorptiometry bone mineral density (BMD) and calcaneal quantitative ultrasound (QUS) measurements, spinal radiography, and performance-based assessment of strength, mobility and balance. The women were classified into a "high risk" (osteoporotic) group based on low BMD (T-score of -2.5 or less) and/or a history of a fragility fracture, or a "low risk" (non-osteoporotic) group. Multiple stepwise logistic regression identified decreased speed of sound (SOS), a QUS variable, and poor mobility (slower performance in timed "up and go" (TUG) task), as significant discriminators, adjusted for age. This result suggests that there may be a potential role for primary healthcare practitioners to use calcaneal QUS and functional mobility assessment (TUG) to screen for post-menopausal women at risk of osteoporotic fracture in community settings. (RH). |
| Accession Number | CPA-081126206 A |
| Classmark | BD: CUF: CLO: CA3: K4: 4C: 7YA |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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