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Journal of Public Health

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01.08.2012 | Original Article

Bone mineral density among reproductive age women in rural Upper Egypt

verfasst von: Dalia G. Mahran, Mostafa Hussein, Osama Farouk

Erschienen in: Journal of Public Health | Ausgabe 4/2012

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Abstract

Aim

To estimate the prevalence of low bone mineral density (BMD) among rural women of reproductive age in Upper Egypt and to evaluate the association of selected anthropometric, reproductive, lifestyle and socioeconomic class factors on BMD.

Methods

A cross-sectional study was conducted among contraceptive users in rural Sohag Governorate, Upper Egypt. A structured questionnaire was administered for 362 eligible participants. Anthropometric measurements were made, and BMD was measured by ultrasonographic bone densitometry.

Results

Of the participants, aged 20–50 years, 61% were of low socioeconomic level and 47.8% were illiterate. The prevalence of low BMD was 31.8%. Age, low socioeconomic level, BMI, illiteracy, family history, the total duration of breastfeeding and reproduction, total number of pregnancies and decreased intake of food rich in calcium were significant factors according to bivariate analysis. Low BMD was significantly associated with an increase in the duration of depomedroxy progesterone acetate (DMPA) use, low dietary calcium intake, low BMI and an increase in the duration of reproduction according to multivariate regression analysis.

Conclusion

Focusing on improving the bone health of reproductive age females of low socioeconomic levels will improve the outcomes of programs to prevent pre- and postmenopausal osteoporosis.

Allali F, El Aichaoui S, Saoud B, Maaroufi H, Abouqal R, Hajjaj-Hassouni N (2006) The impact of clothing style on bone mineral density among post menopausal women in Morocco: a case–control study. BMC Publ Health 6:135–140

Bainbridge KE, Fran SM, Xihong L, Harlow Sioban D (2004) Risk factors for low bone mineral density and the 6-year rate of bone loss among premenopausal and perimenopausal women. Osteoporos Int 15:439–446PubMedCrossRef

Clark MK, Sowers M, Levy B, Nichols S (2006) Bone mineral density loss and recovery during 48 months in first-time users of depot medroxyprogesterone acetate. Fertil Steril 86:1466–1477PubMedCrossRef

Cromer BA, Binkovitz L, Ziegler J, Harvey R, Debanne SM (2004) Reference values for bone mineral density in 12- to 18-year-old girls categorized by weight, race, and age. Pediatr Radiol 34:787–792PubMedCrossRef

Cundy T, Evans M, Roberts H, Wattie D, Ames R, Reid IR (1991) Bone density in women 257 receiving depot medroxyprogesterone acetate forcontraception. BMJ 303:13–16PubMedCrossRef

El-Zanaty F, Way A (2009) Egypt Demographic and Health Survey (2008) Cairo, Egypt: Ministry of Health

Fahmy S, El Sherbini A (1983) Determining simple parameters for social identifications for health research. Bull High Inst Publ Health X111:95

Filip Rafal S, Zagórski J (2005) Osteoporosis risk factors in rural and urban women from the Lublin Region of Poland. Ann Agr Environ Med 12:21–26

Handa R, Ali Kalla A, Maalouf G (2008) Osteoporosis in developing countries. Best Pract Res Clin Rheumatol 22:693–708PubMedCrossRef

Kolle E, Torstveit MK, Sundgot-Borgen J (2005) Bone mineral density in Norwegian premenopausal women. Osteoporos Int 16:914–920PubMedCrossRef

Lenora J, Lekamwasam S, Karlsson MK (2009) Effects of multiparity and prolonged breast-feeding on maternal bone mineral density: a community-based cross-sectional study. BMC Women's Health 9:19–23

Lewiecki EM, Richmond B, Miller PD (2006) Uses and misuses of quantitative ultrasonography in managing osteoporosis. Cleve Clin J Med 73(8) August

Lloyd T, Chinchilli VM, Eggli DF, Nan R, Kulin Howard E (1998) Body composition development of adolescent white females: The Penn State Young Women’s Health Study. Arch Pediatr Adolesc Med 152:998–1002PubMed

Maalouf G, Gannagé-Yared MH, Ezzedine J, Larijani B, Badawi S, Rached A, Zakroui L, Masri B, Saba E, Nammari R, Adib G, Abou Samra H, Alrawi Z, Salman S, El Muntasser K, Tarseen R, El Kharousi W, Al-Lamki M, Alothman AN, Almarzouk N, El Dessouki M, Sulaimani R, Saleh R, Suhaili AR, Khan A, Delmas P, Seeman E (2007) Middle East and North Africa consensus on osteoporosis. J Musculoskelet Neuronal Interact 7:131–143PubMed

Mcknight A, Steeel K, Mills K, Girlchrist C, Taggart H (1995) Bone mineral density in relation to medical and lifestyle risk factors for osteoporosis in premenopausal, menopausal and postmenopausal women in general practice. Brit J Gen Pract 45:317–320

National Institutes of Health (2007) Osteoporosis overview. Osteoporosis and Related Bone Diseases National Resource Center.http://www.niams.nih.gov/ Health_Info/ Bone/Osteoporosis/default.asp. Accessed 13 May 2008

Navarro MC, Sosa M, Saavedra P, Lainez P, Marrero M, Torres M, Medina CD (2009) Poverty is a risk factor for osteoporotic fractures. Osteoporos Int 20:393–398PubMedCrossRef

Placide JC, Jon G, Martens D, Mark G (2003) Comparing screening methods for osteoporosis. J Bone Miner Res 12:60–66

Prior J, Kirkland SA, Joseph L, Kreiger N, Murray TM, Hanley DA, Adachi JD, Vigna YM, Berger C, Blondeau L, Jackson SA, Tenenhouse A (2001) Oral contraceptive use and bone mineral density in premenopausal women: cross-sectional, population-based data from the Canadian Multicentre Osteoporosis Study. JMAC 165:1023–1029

Sabatier JP, Guaydier-Souquieres G, Benmalek A, Marcelli C (1999) Evolution of lumbar bone mineral content during adolescence and adulthood: a longitudinal study in 395 healthy females 10–24 years of age and 206 premenopausal women. Osteoporos Int 9:476–482PubMedCrossRef

Sadat AM, Al-Habdan I, Al-Mulhim AA, El-Hassan AY (2005) Effect of parity on bone mineral density among postmenopausal Saudi Arabian women. Saudi Med J 26:1588–1590

Shilbayeh S (2003) Prevalence of osteoporosis and its reproductive risk factors among Jordanian women: a cross-sectional study. Osteoporosis Int 14:929–40 Epub 2003 Oct 7PubMedCrossRef

Sowers MF (1996) Pregnancy and lactation as risk factors for subsequent bone loss and osteoporosis. J Bone Miner Res 11:1052–1060PubMedCrossRef

Streeten EA, Ryan KA, Mcbride JD, Pollin TI, Shuldiner AR, Mitchell BD (2005) The relationship between parity and bone mineral density in women characterized by homogenous lifestyle and high parity. J Clin Endocrinol Metab 90:4536–4541PubMedCrossRef

Van der Sluis I, de Ridder MA, Boot A, Krenning E, de Muinck K, Mughal Z (2002) Reference data for bone density and body composition measured with dual energy X-ray absorptiometry in white children and young adults. Arch Dis Child 87:341–347PubMedCrossRef

World Health Organization (2007) WHO scientific group on the assessment of osteoporosis at primary health care level. Geneva. http://www.who.int/chp/topics/ Osteoporosis.pdf. Accessed 3 April 2011

WHO expert consultation (2004) Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. The Lancet 157–163

Titel: Bone mineral density among reproductive age women in rural Upper Egypt
verfasst von: Dalia G. Mahran
Mostafa Hussein
Osama Farouk
Publikationsdatum: 01.08.2012
Verlag: Springer-Verlag
Erschienen in: Journal of Public Health / Ausgabe 4/2012
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-011-0469-4

Springer Medizin

Abstract

Aim

Methods

Results

Conclusion

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