Ultrasonometric Profiling of Incidence and Risk of Osteoporosis in Rural Women

It is estimated that over 200 million people worldwide have osteoporosis. The prevalence of osteoporosis is continuing to escalate with the increasingly elderly population. The major complication of osteoporosis is an increase in fragility fractures leading to morbidity, mortality, and decreased qua...

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Published in:	2006 International Conference of the IEEE Engineering in Medicine and Biology Society Vol. 2006; pp. 5204 - 5205
Main Authors:	Gueldner, S.H., Britton, G.R., Pierce, C.S., Madhavan, G., Stucke, S.A., Grabo, T.N., Lombardi, B.M., Srnka-Debnar, F.
Format:	Conference Proceeding Journal Article
Language:	English
Published:	United States IEEE 2006
Subjects:	Adult Aged Aged, 80 and over Bone Density Bone Mineral Density Bones Cities and towns Density measurement Equipment Design Female Heel Hip Humans Incidence Middle Aged Minerals Osteoporosis Osteoporosis - diagnosis Osteoporosis - diagnostic imaging Osteoporosis - epidemiology Perimenopause Postmenopause Risk Rural Population Rural Women Senior citizens T-Score Ultrasonic imaging Ultrasonic variables measurement Ultrasonography - instrumentation Ultrasonography - methods Ultrasound USA Councils
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Summary:	It is estimated that over 200 million people worldwide have osteoporosis. The prevalence of osteoporosis is continuing to escalate with the increasingly elderly population. The major complication of osteoporosis is an increase in fragility fractures leading to morbidity, mortality, and decreased quality of life. This investigation aimed at profiling the incidence and risk of osteoporosis in adult women from a rural setting using ultrasonic bone scanning technology. Peri- and postmenopausal female subjects (n=234) were drawn from a convenience sample. After a non-radiative dual X-ray absorptiometric scanning, the bone mineral density was measured from the heel of the subjects using bone ultrasonometry, and their T-scores were recorded. Results of these scans indicate that in adult women in the age range of 32 and 87, 23.5% of the population had a heel ultrasonic T-score les-1.0, implying a 1.5 to 2.0 fold increase in risk ratio of hip or spinal fracture for each standard deviational decrease. Age at menopause was positively correlated with T-scores (p= 0.032); the higher the age at menopause, the higher the T scores. Additionally, women who had taken estrogen had significantly higher T-scores (p=0.038) than those who had not. That approximately 25% of this sample has low bone mass or osteoporosis underscores the importance of early screening in order to develop awareness and provide education on bone health management
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISBN:	9781424400324 1424400325
ISSN:	1557-170X
DOI:	10.1109/IEMBS.2006.260386