nach oben

Archives of Osteoporosis

Erschienen in:

01.12.2007 | Original Article

Osteoporosis among Ethiopian immigrant women: a risk analysis

verfasst von: R. Peled, D. Dahan, R. Endevelt, D. R. Shahar

Erschienen in: Archives of Osteoporosis | Ausgabe 1-2/2007

Einloggen, um Zugang zu erhalten

Abstract

Summary

The objective was to evaluate the prevalence of osteoporosis among Ethiopian immigrant and Israeli-born women and to determine the risk factors. The study revealed extreme prevalence of osteoporosis among Ethiopian immigrants (38.7). A strong association between calcium intake during adolescence, BMI, lactation duration, physical activity, oral contraceptive and osteoporosis is suggested.

Introduction

Osteoporosis is a chronic disease characterized by low bone mass and deterioration in the micro-architecture of bone that increases its susceptibility to fractures. We set out to evaluate the prevalence of osteoporosis among Ethiopian immigrant and Israeli-born women and to determine the risk factors.

Methods

A cross-sectional study among 181 Ethiopians immigrants and 98 Israeli-born women. Hip, forearm and spinal bone mineral density (BMD) were measured. Risk factor information was obtained from an interview. BMD and osteoporosis rates were compared between the groups. Step-wise regression models were constructed for osteoporosis as the dependent variable controlling for potential confounders.

Results

We defined 38.7% Ethiopian and 5.2% Israeli-born women as having osteoporosis. Rates of low BMI, prolonged lactation, age at first giving birth and sunlight exposure were higher in Ethiopian women compared to the Israeli-born. Multivariate analysis revealed a strong association between calcium intake during adolescence, BMI, lactation duration, physical activity, oral contraceptive use and osteoporosis.

Conclusions

The prevalence of osteoporosis among Ethiopian immigrant women living in Israel is extremely high compared to national and international rates. Therefore, we suggest that an immediate prevention program among Ethiopian women be started and guidelines for care-givers be developed, in order to raise their awareness for osteoporosis.

Zizic TM (2004) Pharmacologic Prevention of Osteoporotic Fractures. Am Fam Phys 70(7):1293–1300

Carbonell SS, Masi L, Marini F et al (2005) Genetics and pharmacogenetics of osteoporosis. J Endocrinol Investig 28(10 Suppl):2–7

Barrett-Connor E, Siris ES, Wehren LE et al (2005) Osteoporosis and fracture risk in women of different ethnic groups. J Bone Min Res 20:185–194CrossRef

Johnell O, Kanis J (2005) Epidemiology of osteoporotic fractures. Osteoporos Int 16(Suppl 2):S3–S7PubMedCrossRef

Lane NE (2006) Epidemiology, etiology, and diagnosis of osteoporosis. American J Obstet Gynecol 194(Supplement):S3–S11CrossRef

Gass M, Dawson-Hughes B (2006) Preventing Osteoporosis-Related Fractures: An Overview. Am J Med 119(Supplement 1):S3–S11PubMedCrossRef

Parsons LC (2005) Osteoporosis: incidence, prevention, and treatment of the silent killer. Nurs Clin North Am 40(1):119–133PubMedCrossRef

Atik OS, Gunal I, Korkusuz F (2006) Burden of osteoporosis. Clin Orthop Relat Res 443:19–24PubMedCrossRef

Dawson-Hughes B (2004) Racial/ethnic considerations in making recommendations for vitamin D for adult and elderly men and women. Am J Clin Nutr 80(suppl):1763S–1766SPubMed

10.

Melton LJ (2003) Adverse outcomes of osteoporotic fractures in the general population. J Bone Miner Res 18(6):1139–1141PubMedCrossRef

11.

Gong G, Haynatzki G, Haynatzka V et al (2006) Bone mineral density of recent African immigrants in the United States. J Natl Med Assoc 98(5):746–752PubMed

12.

Israeli Ministry of Health: http://www.health.gov.il/download/pages/women-icdc.pdf

13.

Albrand G, Munoz F, Sornay-Rendu E et al (2003) Independent predictors of all osteoporosis-related fractures in healthy postmenopausal women: the OFELY study. Bone 32(1):78–85CrossRef

14.

Gur A, Sarac AJ, Nas K et al (2004) The relationship between educational level and bone mineral density in postmenopausal women. BMC Fam Pract 5:18PubMedCrossRef

15.

Shapses SA, Cifuentes M (2004) Body weight/composition and weight change: effects on bone health. In: Holick MF, Dawson-Hughes B (eds) Nutrition and bone health. Humana Press Inc., Totowa, NJ, pp. 549–573

16.

Shapses SA, Riedt CS (2006) Bone, Body Weight, and weight reduction: what are the concerns? J Nutr 136(6):1453–1456PubMed

17.

Riedt CS, Cifuentes M, Stahl T et al (2005) Overweight postmenopausal women lose bone with moderate weight reduction and 1 g/day calcium intake. J Bone Miner Res 20:455–463PubMedCrossRef

18.

Greer FR, Krebs NF (2006) American academy of pediatrics committee on nutrition. Optimizing bone health and calcium intakes of infants, children, and adolescents. Pediatrics 117(2):578–585PubMedCrossRef

19.

Wosje KS, Specker BL (2000) Role of calcium in bone health during childhood. Nutr Rev 58:253–268PubMedCrossRef

20.

Bailey DA, Martin AD, McKay HA, Whiting S, Mirwald R (2000) Calcium accretion in girls and boys during puberty: a longitudinal analysis. J Bone Miner Res 15:2245–2250PubMedCrossRef

21.

Black RE, Williams SM, Jones IE, Goulding A (2002) Children who avoid drinking cow milk have low dietary calcium intakes and poor bone health. A J Clin Nutr 76(3):675–680

22.

Goulding A, Jones IE, Taylor RW et al (2001) Bone mineral density and body composition in boys with distal forearm fractures: a dual-energy x-ray absorptiometry study. J Pediatr 139(4):509–515PubMedCrossRef

23.

Goulding A, Rockell JE, Black RE et al (2004) Children who avoid drinking cow’s milk are at increased risk for prepubertal bone fractures. J Am Diet Assoc 104(2):250–253PubMedCrossRef

24.

Gennari C (2001) Calcium and vitamin D nutrition and bone disease of the elderly. Public Health Nutr 4(2B):547–559PubMedCrossRef

25.

Nieves JW (2005) Osteoporosis: the role of micronutrients. Am J Clin Nutr 81(5):1232S–1239SPubMed

26.

Advani S, Wimalawansa (2003) Bones and nutrition: common sense supplementation for osteoporosis. Current women’s health reports 3(3):187–192PubMed

27.

Larsen ER, Mosekilde L, Foldspang A (2004) Vitamin D and calcium supplementation prevents osteoporotic fractures in elderly community dwelling residents: a pragmatic population-based 3-year intervention study. J Bone Min Res 19:370–378CrossRef

28.

Yamamura J, Aoe S, Toba Y et al (2002) Milk basic protein (MBP) increases radial bone mineral density in healthy adult women. Biosci Biotechnol Biochem 66(3):702–704PubMedCrossRef

29.

Sasser AC, Rousculp MD, Birnbaum HG et al (2005) Economic burden of osteoporosis, breast cancer, and cardiovascular disease among postmenopausal women in an employed population. Women’s Health Issues 15(3):97–108PubMedCrossRef

30.

Gur A, Cevik R, Nas K et al (2003a) The influence of duration of breastfeeding on bone mass in postmenopausal women of different age groups. Int J Clin Pract 57:82–86PubMed

31.

Gur A, Nas K, Cevik R et al (2003b) Influence of number of pregnancies on bone mineral density in postmenopausal women at different age groups. J Bone Miner Metab 21:231–241CrossRef

32.

Weitzmann MN, Pacifici R (2006) Estrogen deficiency and bone loss: an inflammatory tale. J Clin Investig 116(5):1186–1194PubMedCrossRef

33.

Riggs BL, Khosla S, Melton LJ (2002) Sex steroids and the construction and conservation of the adult skeleton. Endocr Rev 23:279–302PubMedCrossRef

34.

Riggs BL, Parfitt AM (2005) Drugs used to treat osteoporosis: the critical need for a uniform nomenclature based on their action on bone remodeling. J Bone Miner Res 20:177–184PubMedCrossRef

35.

Kousteni S, Bellido T, Plotkin L et al (2001) Nongenotropic, sex-nonspecific signaling through the estrogen or androgen receptors: dissociation from transcriptional ctivity. Cell 104:719–30PubMed

36.

Manolagas SC, Kousteni S, Jilka RL (2002) Sex steroids and bone. Recent Prog Horm Res 57:385–409PubMedCrossRef

37.

Gambacciani M, Monteleone P, Ciaponi M et al (2004) Effects of oral contraceptives on bone mineral density. Treatments in endocrinology 3(3):191–196PubMedCrossRef

38.

Lauderdale DS, Kuohung V, Chang SL, Chin MH (2003) Identifying older Chinese immigrants at high risk for osteoporosis. J Gen Intern Med 18(7):508–515PubMedCrossRef

39.

Looker AC, Dawson-Hughes B, Calvo MS et al (2002) Serum 25-hydroxyvitamin D status of adolescents and adults in two seasonal subpopulations from NHANES III. Bone 30:771–777PubMedCrossRef

40.

Harris SS, Dawson-Hughes B (1998) Seasonal changes in plasma 25-hydroxyvitamin D concentrations of young American black and white women. Am J Clin Nutr 67:1232–1236PubMed

41.

Suzanne CH, Yu-ming C, Jean LFW (2005) Educational level and osteoporosis risk in postmenopausal chinese women. Am J Epidemiol 161(7):680–690CrossRef

42.

American Academy of Pediatrics, Committee on Nutrition (2003) Carbohydrate and dietary fiber: lactose. In: Kleinman RE (ed) Pediatric nutrition handbook, 5th edn. American Academy of Pediatrics, Elk Grove Village, IL, pp, 250–252

43.

Lips M, van Schoor NM (2005) Quality of life in patients with osteoporosis. Osteoporos Int 16:447–455PubMedCrossRef

44.

Siris ES, Miller PD, Barrett-Connor E et al (2001) Identification and fracture outcomes of undiagnosed low bone mineral density in postmenopausal women: Results from the National Osteoporosis Risk Assessment. JAMA 286:2815–2822PubMedCrossRef

45.

Bouxsein ML, Kaufman J, Tosi L, Cummings S, Lane J, Johnell O (2004) Recommendations for optimal care of the fragility fracture patient to reduce the risk of future fracture. J Am Acad Orthop Surg 12:385–395PubMed

Titel: Osteoporosis among Ethiopian immigrant women: a risk analysis
verfasst von: R. Peled
D. Dahan
R. Endevelt
D. R. Shahar
Publikationsdatum: 01.12.2007
Verlag: Springer-Verlag
Erschienen in: Archives of Osteoporosis / Ausgabe 1-2/2007
Print ISSN: 1862-3522
Elektronische ISSN: 1862-3514
DOI: https://doi.org/10.1007/s11657-007-0013-x

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

25.04.2024 | Hypertonie | Nachrichten

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Osteoporosis among Ethiopian immigrant women: a risk analysis

Abstract

Summary

Introduction

Methods

Results

Conclusions

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Summary

Introduction

Methods

Results

Conclusions

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 1-2/2007

High prevalence of fractures in Brazilian patients with inflammatory bowel disease: lack of association with bone mass density and quantitative ultrasound measurements

Bone growth patterns in Chinese children and adolescents: a 6-year follow-up study provides evidence for sexual dimorphism and tracking

Changing epidemiology of osteoporotic hip fracture rates in Hong Kong

Body mass index, percent body fat, and bone mass in a cohort of Chinese twins aged 6 to 18 years

Improving diagnosis and treatment of osteoporosis: evaluation of a clinical pathway for low trauma fractures

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Stereotaktische Radiatio schlägt konventionelle Bestrahlung

Vorsicht mit hohen NSAR-Dosen bei ankylosierender Spondylitis!

Update Orthopädie und Unfallchirurgie