Risk Factors for Osteoporosis and Evaluation of Effectiveness of OSTA & OSTC Screening Tools Among Perimenopausal Women in Coastal South-India
Year: 2024
Type: article
Study design: Observational Study
Abstract: Background: As there is a high burden of osteoporosis in India among the peri and postmenopausal women, there is a need of a cost-effective screening tool, which has not been explored particularly in the coastal population in South-India. The purpose of this study was to ascertain the prevalence of osteoporosis and assess the efficiency of screening methods namely The Osteoporosis Self-Assessment Tool for Asians (OSTA) & The Osteoporosis Screening Tool for Chinese (OSTC) among peri and postmenopausal women. Methods: In coastal Karnataka, South-India, a cross-sectional study was carried out with 244 women who were 45 years of age or older. DEXA scan was used to measure the bone mineral density. The Osteoporosis Screening Tool for Chinese (OSTC) and the Osteoporosis Self-Assessment Tool for Asians (OSTA) were assessed as screening instruments. A validated questionnaire was used to evaluate lifestyle, diet, medical history, and sociodemographic characteristics. Results: There was a 63.5% prevalence of osteoporosis. Women with osteoporosis were 65.4 ± 8.9 years old on average. According to logistic regression, there was a significant correlation between osteoporosis and vitamin D3 medication (p=0.017), tobacco smoking (p=0.002), and obesity (p=0.014). OSTA revealed greater specificity at both femurs and the L2 vertebra (75.3-89.9%) and increased sensitivity in the left femur (72.7%). OSTC showed greater specificity at all three sites (80.8-91%) and greater sensitivity at the left femur (72.7%). Conclusion: In this demographic, osteoporosis was very common. Osteoporosis risk was moderately to well-predicted by OSTA and OSTC.
Language: English
Subfield: Orthopedics and Sports Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4405457683