Ganeb, S., Eltanawy, R., Salah eldeen, W., Hassan, S. (2022). ASSESSMENT OF RISK FACTORS OF OSTEOPOROTIC FRACTURES AMONG EGYPTIAN PATIENTS. Benha Medical Journal, 39(3), 830-841. doi: 10.21608/bmfj.2022.99422.1494
Sahar Ganeb; Refaat Eltanawy; Waleed Salah eldeen; Shimaa Sobhy Hassan. "ASSESSMENT OF RISK FACTORS OF OSTEOPOROTIC FRACTURES AMONG EGYPTIAN PATIENTS". Benha Medical Journal, 39, 3, 2022, 830-841. doi: 10.21608/bmfj.2022.99422.1494
Ganeb, S., Eltanawy, R., Salah eldeen, W., Hassan, S. (2022). 'ASSESSMENT OF RISK FACTORS OF OSTEOPOROTIC FRACTURES AMONG EGYPTIAN PATIENTS', Benha Medical Journal, 39(3), pp. 830-841. doi: 10.21608/bmfj.2022.99422.1494
Ganeb, S., Eltanawy, R., Salah eldeen, W., Hassan, S. ASSESSMENT OF RISK FACTORS OF OSTEOPOROTIC FRACTURES AMONG EGYPTIAN PATIENTS. Benha Medical Journal, 2022; 39(3): 830-841. doi: 10.21608/bmfj.2022.99422.1494
ASSESSMENT OF RISK FACTORS OF OSTEOPOROTIC FRACTURES AMONG EGYPTIAN PATIENTS
1Department of Rheumatology, Rehabilitation and physical Medicine/ Benha Faculty of Medicine/ Egypt
2Department of Rheumatology, Rehabilitation and physical Medicine/ Benha Faculty of Medicine/ Egypt
3Department of Rheumatology, Rehabilitation and physical medicine, Toukh Hospital, Egypt
Abstract
Aim: To study and assess the risk factors for fractures in the osteoporotic Egyptian patients older than 40 years. Methods: Forty eight persons (> 40 years old) were included. They were underwent complete clinical evaluation and laboratory analyses of serum calcium (Ca) and vitamin D (Vit. D) levels, with assessment of the bone mineral density (BMD) using the Dual Energy X-ray Absorptiometry scanner (DEXA). They were divided into two groups: a patients’ group including 27 osteoporotic patients having fractures and a control group including 21 osteoporotic cases without fractures. Results: The percentage of females was higher in both groups (74.1% and 61.9%. p=0.36).The mean age was significantly higher in the patients’ group (mean ± SD 62.11 ± 6.6 vs53.48 ±6.7 years), while the mean height was significantly lower (p < 0.05). The weight and body mass index (BMI) were comparable between both groups (p>0.05). About 70.4% of osteoporotic patients had their fractures from minor traumas; meanwhile the control had no fractures even with minor or moderate traumas. The T-score, Z-score and the BMD were significantly lower in the patients (p < 0.05). In addition, Vit. D and Ca levels were significantly lower (p < 0.05). A positive family history of fractures was significantly higher in the patients (p=0.013), while no other risk factor was significantly different between both groups. Conclusion: An advanced age, a short stature, a positive family history, traumas, and low Vit. D and Ca levels are major risk factors associated with a low BMD and osteoporotic fractures in the adult Egyptian population.
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