Prevalence and Risk Factors of Osteoporosis: A Cross-Sectional Study in a Tertiary Center

<i>Background and Objectives:</i> Osteoporosis is a common disease of the skeletal system that increases the risk of fracture. The prevalence of osteoporosis has been increasing as the aging population increases, affecting more than 200 million people worldwide. This study aimed to shed...

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Main Authors: Samican Özmen, Sefa Kurt, Hikmet Tunç Timur, Onur Yavuz, Hakan Kula, Ayşegül Yılmaz Demir, Ali Balcı
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/60/12/2109
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author Samican Özmen
Sefa Kurt
Hikmet Tunç Timur
Onur Yavuz
Hakan Kula
Ayşegül Yılmaz Demir
Ali Balcı
author_facet Samican Özmen
Sefa Kurt
Hikmet Tunç Timur
Onur Yavuz
Hakan Kula
Ayşegül Yılmaz Demir
Ali Balcı
author_sort Samican Özmen
collection DOAJ
description <i>Background and Objectives:</i> Osteoporosis is a common disease of the skeletal system that increases the risk of fracture. The prevalence of osteoporosis has been increasing as the aging population increases, affecting more than 200 million people worldwide. This study aimed to shed light on the clinical impact of osteoporosis on women’s health and quality of life by evaluating the prevalence and risk factors for this disease among postmenopausal women, using a 10-year dataset from a tertiary center. <i>Materials and Methods:</i> This retrospective cohort study was conducted at Dokuz Eylül University, Department of Obstetrics and Gynecology, between 2010 and 2022. A total of 3289 postmenopausal women aged 50–60 years who were undergoing routine gynecological checkups were included in the study. Patients with a prior diagnosis, a history of medical conditions, or who were taking medications affecting bone mineral density (BMD) were excluded. Data on demographics, smoking status, diabetes status, body mass index (BMI), parity, and fracture history were collected. BMD scores were classified as normal, osteopenia, or osteoporosis. <i>Results:</i> The prevalence of osteoporosis was 10.4%. The median age of the patients was 56.0 years. Smoking, diabetes, and a history of bone fractures were found to significantly increase the risk of osteoporosis. BMI was found to have a protective effect against osteoporosis. According to multivariate analysis, the risk of osteoporosis increased by 2.46 times in patients who smoke, 3.78 times in patients with diabetes, and 6.23 times in patients with a history of fractures. <i>Conclusions:</i> Awareness of modifiable risk factors such as smoking is crucial for preventing osteoporosis-related complications. Diabetes, even when it is not complicated, increases the risk of osteoporosis. Physical exercise, calcium, and vitamin D intake are important, especially during young adulthood, as they are the primary contributors to peak bone mass. Because neck fractures are more common in patients with osteopenia, early diagnosis and routine screening can mitigate future complications.
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issn 1010-660X
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spelling doaj-art-866940bcbcdb4fc8a89a828ce42560202024-12-27T14:39:10ZengMDPI AGMedicina1010-660X1648-91442024-12-016012210910.3390/medicina60122109Prevalence and Risk Factors of Osteoporosis: A Cross-Sectional Study in a Tertiary CenterSamican Özmen0Sefa Kurt1Hikmet Tunç Timur2Onur Yavuz3Hakan Kula4Ayşegül Yılmaz Demir5Ali Balcı6Department of Gynecology and Obstetrics, Torbalı State Hospital, İzmir 35860, TürkiyeDepartment of Gynecology and Obstetrics, School of Medicine, Dokuz Eylül University, İzmir 35330, TürkiyeDepartment of Gynecology and Obstetrics, School of Medicine, Dokuz Eylül University, İzmir 35330, TürkiyeDepartment of Gynecology and Obstetrics, School of Medicine, Dokuz Eylül University, İzmir 35330, TürkiyeDepartment of Gynecology and Obstetrics, School of Medicine, Dokuz Eylül University, İzmir 35330, TürkiyeDepartment of Gynecology and Obstetrics, School of Medicine, Dokuz Eylül University, İzmir 35330, TürkiyeDepartment of Radiology, School of Medicine, Dokuz Eylül University, İzmir 35330, Türkiye<i>Background and Objectives:</i> Osteoporosis is a common disease of the skeletal system that increases the risk of fracture. The prevalence of osteoporosis has been increasing as the aging population increases, affecting more than 200 million people worldwide. This study aimed to shed light on the clinical impact of osteoporosis on women’s health and quality of life by evaluating the prevalence and risk factors for this disease among postmenopausal women, using a 10-year dataset from a tertiary center. <i>Materials and Methods:</i> This retrospective cohort study was conducted at Dokuz Eylül University, Department of Obstetrics and Gynecology, between 2010 and 2022. A total of 3289 postmenopausal women aged 50–60 years who were undergoing routine gynecological checkups were included in the study. Patients with a prior diagnosis, a history of medical conditions, or who were taking medications affecting bone mineral density (BMD) were excluded. Data on demographics, smoking status, diabetes status, body mass index (BMI), parity, and fracture history were collected. BMD scores were classified as normal, osteopenia, or osteoporosis. <i>Results:</i> The prevalence of osteoporosis was 10.4%. The median age of the patients was 56.0 years. Smoking, diabetes, and a history of bone fractures were found to significantly increase the risk of osteoporosis. BMI was found to have a protective effect against osteoporosis. According to multivariate analysis, the risk of osteoporosis increased by 2.46 times in patients who smoke, 3.78 times in patients with diabetes, and 6.23 times in patients with a history of fractures. <i>Conclusions:</i> Awareness of modifiable risk factors such as smoking is crucial for preventing osteoporosis-related complications. Diabetes, even when it is not complicated, increases the risk of osteoporosis. Physical exercise, calcium, and vitamin D intake are important, especially during young adulthood, as they are the primary contributors to peak bone mass. Because neck fractures are more common in patients with osteopenia, early diagnosis and routine screening can mitigate future complications.https://www.mdpi.com/1648-9144/60/12/2109osteoporosisbone fracturesdiabetes
spellingShingle Samican Özmen
Sefa Kurt
Hikmet Tunç Timur
Onur Yavuz
Hakan Kula
Ayşegül Yılmaz Demir
Ali Balcı
Prevalence and Risk Factors of Osteoporosis: A Cross-Sectional Study in a Tertiary Center
Medicina
osteoporosis
bone fractures
diabetes
title Prevalence and Risk Factors of Osteoporosis: A Cross-Sectional Study in a Tertiary Center
title_full Prevalence and Risk Factors of Osteoporosis: A Cross-Sectional Study in a Tertiary Center
title_fullStr Prevalence and Risk Factors of Osteoporosis: A Cross-Sectional Study in a Tertiary Center
title_full_unstemmed Prevalence and Risk Factors of Osteoporosis: A Cross-Sectional Study in a Tertiary Center
title_short Prevalence and Risk Factors of Osteoporosis: A Cross-Sectional Study in a Tertiary Center
title_sort prevalence and risk factors of osteoporosis a cross sectional study in a tertiary center
topic osteoporosis
bone fractures
diabetes
url https://www.mdpi.com/1648-9144/60/12/2109
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AT onuryavuz prevalenceandriskfactorsofosteoporosisacrosssectionalstudyinatertiarycenter
AT hakankula prevalenceandriskfactorsofosteoporosisacrosssectionalstudyinatertiarycenter
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