Risk factors of osteoporosis as a major predictor of fractures
Abstract
In order to determine the most significant risk factors for osteoporosis (OP) in individuals living in the Arctic region, bone mineral density (BMD) was studied using the GE Lunar Achilles ultrasound densitometer and a questionnaire was conducted for men and women of different age groups. The study revealed a decrease in BMD (in comparison with age norm) in the age group up to 50 years, and at the age of 50 and older – osteoporosis and osteopenia in more than half of the subjects. Low-energy fractures were more frequent at the age of 50 years and older, that indicates severe forms of osteoporosis in these individuals. The use of dairy products was a significant risk factor for OP, as patients with fractures used dairy products less frequently than people without fractures (p <0.05). Thus, it was found that inadequate consumption of dairy products, age, early menopause, history of a fracture are the main risk factors for OP, significantly affecting the density of bone tissue and the frequency of low-energy fractures.
About the Authors
V. V. EpanovRussian Federation
A. A. Epanova
Russian Federation
A. V. Bukharov
Russian Federation
D. V. Epanov
Russian Federation
V. A. Levchenko
Russian Federation
K. V. Atlasova
Russian Federation
References
1. Baranova I.A. Risk factors for osteoporosis / I.A. Baranova // Practical pulmonology. – 2004. – №4. – P.18-22.
2. Ershova O.B. Risk factors for osteoporosis / O.B. Ershova, K. Y. Belova, A.V. Nazarova, I.V. Novikova // Osteoporosis and osteopathy. – №1.2009. – P. 33-38.
3.
4. L.A. The structure of clinical risk factors for osteoporosis and the level of calcium intake with food in the female population of the Moscow Region / L.A. Marchenkova, A.V. Dreval, M.A. Dobritsyna // Therapist.– 2014. -№5. – P.89-95.
5. Osteoporosis. Diagnosis, prevention and treatment. Clinical recommendations of the Russian Association for Osteoporosis// Edited by L.I. Benevolensky and O.M. Lesnyak. – M.: GEOTAR-Media, 2011. – 171p.
6. Alcohol intake as a risk factor for fractures / JA Kanis [et al.] // Osteoporosis Int. – 2005. – №16. – P. 737-742.
7. American association of endocrinologists (AACE) medical guidelines for the prevention and treatment of postmenopausal osteoporosis:
8. edition, with selected updates for 2003 // Endocrine Practice. – 2003. – Vol. 9. – № 6. – P.544-564.7.
9. Bone mineral density in postmenopausal Chinese women treated with calcium fortification in soymilk and cow’s milk / J.C. Gui, J.R. Brašić, X.D. Liu [et al.] // Osteoporos Int. – 2012. – Vol. 23. – P. 1563–1570.
10. Cashman K.D. Milk minerals (including trace elements) and bone health / K.D. Cashman // Int Dairy J. – 2006. – Vol. 16. – P. 1389–1398.
11. Malekinejad H. Naturally occurring estrogens in processed milk and in raw milk (from gestated cows) / H. Malekinejad, P. Scherpenisse, A.A. Bergwerff // J Agric Food Chem. – 2006. – Vol. 54. – P. 9785–9791
12. Milk basic protein increases bone mineral density and improves bone metabolism in healthy young women / K. Uenishi, H. Ishida, Y. Toba [et al.] // Osteoporos Int. – 2007. – Vol. 18. – P.385– 390.
Review
For citations:
Epanov V.V., Epanova A.A., Bukharov A.V., Epanov D.V., Levchenko V.A., Atlasova K.V. Risk factors of osteoporosis as a major predictor of fractures. Yakut Medical Journal. 2017;(4):53-55.