Title: Evaluation of Osteoporosis in Elderly with Novel Diagnostic Tools
Authors: Dr Madhu Bansode, Dr Pankaj Bansode, Dr. Vaibhav Lotake, Dr Manasi Korde
DOI: https://dx.doi.org/10.18535/jmscr/v4i12.58
Abstract
Introduction: The morbidity of osteoporosis is under recognized as well as less studied. It is a current world wide socioeconomic problem with an increasing severity and frequency due to the progressive aging of the world’s population.
Aim and Objectives: 1. To evaluate osteoporosis in elderly population by BMD and FRAX score. 2. To study various causes and risk factors of osteoporosis in elderly. 3. To correlate clinical features with BMD values in patients of osteoporosis.
Material and Methods: In our study we analysed risk factors for osteoporosis in 100 patients and fracture risk in relation to level of BMD with the help of FRAX tool and peripheral dual energy x-ray absorptiometry.
Results: Average value of T score was -2.9. Range of T score was -2.5 to -3.95. Average BMD value was 373.68 with SD of 67.18. Future 10 years probability of osteoporotic fracture (FRAX score) for our study is 9.137.
Conclusions: The prevalence of osteoporosis is directly proportional to age and calcium levels of patients as independent predictors. Peripheral DEXA and FRAX score assess overall risk of fractures due to the high negative predictive value. Majority of patients had osteoporosis indicating that they have a higher risk for osteoporotic fractures and overall morbidity. The two tools namely peripheral DEXA and FRAX score are useful for screening in population for osteoporosis in resource limited settings as well as in treatment of osteoporosis.
KEYWORDS: BMD (bone mineral density), FRAX (fracture risk assessment score), Osteoporosis, Peripheral DEXA (dual energy x ray absorptiometry).
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