<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_sjph-2018-0005_s_006_w2aab3b7b5b1b6b1aab1c18b1Aa"><h3>Introduction</h3><p>Osteoporosis is a highly prevalent public health problem with osteoporosis-related fractures that account for high morbidity and mortality. Therefore, prevention strategies and early detection of osteoporosis should be carried out in primary gynaecological care units, so as to substantially reduce the risk of fractures and allow the best treatment option for a particular woman.</p></sec><sec id="j_sjph-2018-0005_s_007_w2aab3b7b5b1b6b1aab1c18b2Aa"><h3>Methods</h3><p>From 2002 to 2011, we recruited 2956 women. Of the total number of women, we additionally extrapolated 1274 women aged 60-75 years, assumingly, the group of women at higher risk of osteoporosis. Demographic and anthropometrical data as well as the information regarding risk factors for osteoporosis were collected using a questionnaire.</p></sec><sec id="j_sjph-2018-0005_s_008_w2aab3b7b5b1b6b1aab1c18b3Aa"><h3>Results</h3><p>The odds ratio for osteoporosis increased by 8% (p=0.001) with each additional year of life. The OP prevalence increased with age from 24.9% in 60-64 years to 37.4% in 70-75 years. In non-smokers the odds ratio for osteoporosis was 0.424, which was statistically significant (p&lt;0.05). BMI &lt;18.5 increased the odds ratio for osteoporosis by 2 times, which was not statistically significant. In women 60-75 years old (N=1274), the risk of fractures increased with increasing age, considering previous fractures in the last 5 years (p&lt;0.001), hip fracture (p=0.001), wrist fracture (p=0.002) and observed height loss (p&lt;0.001). Hormone therapy (HT) use decreased the prevalence of OP by 25% in comparison with non-users.</p></sec><sec id="j_sjph-2018-0005_s_009_w2aab3b7b5b1b6b1aab1c18b4Aa"><h3>Conclusion</h3><p>Primary care gynaecologist with a DXA centre has every opportunity for a holistic approach to the management of postmenopausal women, including the prevention and treatment of postmenopausal osteoporosis.</p></sec></abstract>

IntroductionOsteoporosis is a highly prevalent public health problem with osteoporosis-related fractures that account for high morbidity and mortality. Therefore, prevention strategies and early detection of osteoporosis should be carried out in primary gynaecological care units, so as to substantially reduce the risk of fractures and allow the best treatment option for a particular woman.MethodsFrom 2002 to 2011, we recruited 2956 women. Of the total number of women, we additionally extrapolated 1274 women aged 60-75 years, assumingly, the group of women at higher risk of osteoporosis. Demographic and anthropometrical data as well as the information regarding risk factors for osteoporosis were collected using a questionnaire.ResultsThe odds ratio for osteoporosis increased by 8% (p=0.001) with each additional year of life. The OP prevalence increased with age from 24.9% in 60-64 years to 37.4% in 70-75 years. In non-smokers the odds ratio for osteoporosis was 0.424, which was statistically significant (p<0.05). BMI <18.5 increased the odds ratio for osteoporosis by 2 times, which was not statistically significant. In women 60-75 years old (N=1274), the risk of fractures increased with increasing age, considering previous fractures in the last 5 years (p<0.001), hip fracture (p=0.001), wrist fracture (p=0.002) and observed height loss (p<0.001). Hormone therapy (HT) use decreased the prevalence of OP by 25% in comparison with non-users.ConclusionPrimary care gynaecologist with a DXA centre has every opportunity for a holistic approach to the management of postmenopausal women, including the prevention and treatment of postmenopausal osteoporosis.

Risk factors for osteoporosis in postmenopausal women – from the point of view of primary care gynecologist

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

DEJAVNIKI TVEGANJA ZA NASTANEK OSTEOPOROZE PRI POMENOPAVZNIH ŽENSKAH – ZORNI KOT GINEKOLOGA NA PRIMARNI RAVNI

IntroductionOsteoporosis is a highly prevalent public health problem with osteoporosis-related fractures that account for high morbidity and mortality....

Risk factors for osteoporosis in postmenopausal women – from the point of view of primary care gynecologist

Article Category: Original scientific article

Published Online: Jan 05, 2018

Page range: 33 - 38

Received: Jun 11, 2017

Accepted: Nov 27, 2017

DOI: https://doi.org/10.2478/sjph-2018-0005

Keywords
osteoporosis, risk factors, DXA measurements, the prevention of fractures

© 2018 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Risk factors for osteoporosis in postmenopausal women – from the point of view of primary care gynecologist

Article Category: Original scientific article

Published Online: Jan 05, 2018

Page range: 33 - 38

Received: Jun 11, 2017

Accepted: Nov 27, 2017

DOI: https://doi.org/10.2478/sjph-2018-0005

Keywordsosteoporosis, risk factors, DXA measurements, the prevention of fractures

© 2018 National Institute of Public Health, Slovenia

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
osteoporosis, risk factors, DXA measurements, the prevention of fractures