Screening of osteoporosis using calcaneal quantitative ultrasound in a rural population of Jammu, Jammu and Kashmir, India

Authors

  • Rishabh Gupta Consultant Orthopaedician, Accidental Hospital Chowki Choura, Directorate of Health Services, Jammu, Jammu and Kashmir, India
  • Shavi Mahajan Pathologist, Jammu, Jammu and Kashmir, India
  • Deepika Dewan Senior Resident, Post Graduate Department of Community Medicine, Government Medical College, Jammu, Jammu and Kashmir, India
  • Rajat Gupta Consultant Pathologist, Government Hospital Gandhi Nagar, Jammu, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20170948

Keywords:

BMD, Calcaneal QUS, Osteopenia, Osteoporosis

Abstract

Background: Osteoporosis is a major public health problem, associated with substantial morbidity and socio-economic burden. The objective of the present study was to screen the general population for osteoporosis in a rural area of Jammu region.

Methods: 3 screening camps were conducted at 6 monthly intervals between the time period 2015-2016, at the Accidental Hospital, Chowki Choura, which is a rural area of district Jammu, J&K. A total of 270 subjects in the age group 20 to 80 years were subjected to screening through BMD measurements using calcaneal QUS and they were analyzed on the basis of T-scores.

Results: Out of 270 subjects, 120 were males and 150 were females. Among 120 males, 68 were in the age group of 20 - 49 years, and 52 were above 50 years. In the age group 20-49 years, 26 males (38.2%) had osteopenia, and 4 (5.9%) had osteoporosis. In males above 50 years of age, 35 (67.3%) had osteopenia and 6 (11.5%) had osteoporosis. Out of 150 females, 94 were in the age groups 20-49 years, and 56 were above 50 years of age. In the age group 20-49 years, 51 females (54.3%) had osteopenia and 12 (12.8%) had osteoporosis. In females above 50 years of age, 32 (57.1%) had osteopenia and 15 (26.8%) had osteoporosis.

Conclusions: The overall prevalence of osteoporosis among screened population was 13.7%. It increased with age in both males and females; however the prevalence of osteoporosis was more among females as compared to males (18% vs. 8.3% respectively). 

References

Alldredge BK, Koda-Kimble MA. Applied Therapeuctics: the clinical use of drugs. Philadelphia: Wolters Kluver Health/Lippincott Williams and Wilkins; 2009: 101-103.

Fatima M, Nawaz H, Kassi M, Rehman R, Kasi P M, Kassi M, et al. Determining the risk factors and prevalence of osteoporosis using quantitative ultrasonography in Pakistani adult women.Singapore Med J. 2009;50(1):20-8.

Krittathanmakul S, Thaksinawisut K, Boonjaroen Y, Doungrak N. Thai Pharm Health Sci J. 2007;2(3):252-6.

Gehlbach SH, Burge RT, Puleo E, Klar J. Hospital care of osteoporosis-related vertebral fractures. Osteoporosis Int. 2003;14(1):53- 60.

Kanis JA. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. WHO Study Group. Osteoporos Int. 1994;4:368-81.

Syed Z, Khan A. Bone densitometry applications and limitations. J Obstet Gynaecol Canada. 2002;24:476-84.

Mohr A, Barkmann R, Mohr C, Romer FW, Schmidt C, Heller M, et al. Quantitative ultrasound for the diagnosis of osteoporosis. Rofo. 2004;176:610-7.

Sallin U, Mellstrom D, Eggertsen R. Osteoporosis in a nursing home, determined by the DEXA technique. Med Sci Monit. 2005;11:67-70.

Sadat-Ali M, Al-Habdan IM, Al-Mulhim FA, El-Hassan AY. Bone mineral density among postmenopausal Saudi women. Saudi Med J. 2004;25:1623-5.

Deplas A, Debiais F, Alcalay M, Bontoux D, Thomas P. Bone density, parathyroid hormone, calcium and vitamin D nutritional status of institutionalized elderly subjects. J Nutr Health Agin. 2004;8:400-4.

Pande KC. Prevalence of low bone mass in healthy Indian population. J Indian Med Assoc. 2002;100:598-602.

Shatrugna V, Kulkarni B, Kumar PA, Rani KU, Balakrishna N. Bone status of Indian women from a low-income group and its relationship to the nutritional status. Osteoporos Int. 2005;16:1827-35.

Anburajan M, Rethinasabapathi C, Korath MP, Ponnappa BG, Kumar KS, Panicker TM, et al. Age-related proximal femur bone mineral loss in South Indian women: a dual energy X-ray absorptiometry study. J Assoc Physics India. 2001;49:442-5.

WHO Scientific Group on the prevention and management of Osteoporosis: WHO Technical Report Series 921, WHO 2000.

Consensus Development Conference V, 1993. Diagnosis, Prophylaxis and treatment of osteoporosis. Am J Med 1994; 90: 646-50.

Chul-hee K, Kim YI, Choi CS. Prevalence and risk factors of low quantitative ultrasound values of calcaneus in Korean elderly women. Ultrasound in Med Biol. 2000;26(1):35-40.

Pande KC. Prevalence of low bone mass in healthy Indian population. J Indian Med Assoc. 2002;100(10):598-600, 602.

Neema A, Shweta V, Inamdar S. Prevalence of osteoporosis using quantitative ultrasound for menopausal women in rural and urban area. The Int J Gynaecol Obstet. 2010;13(1):1735-40.

Sharma S, Tandon VR, Mahajan A, Kour A, Kumar D. Preliminary screening of osteoporosis and osteopenia in urban women from Jammu using calcaneal QUS. Indian J Med Sci. 2006;60:183-9.

Chibber G, Roy R, Eunice M, Srivastava M, Ammini AC. Prevalence of osteoporosis among elderly women living in Delhi and rural Haryana. IJEM. 2007;(1&2):11-4.

Cooper C, Campian G, Melton IJ. Hip fractures in the elderly: a worldwide projection. Osteoporosis Int. 1992;2:285-9.

Hui SL, Slemenda CW, Johnston CC Jr. Age and bone mass as predictors of fracture in prospective study. J Clin Invest. 1988;81:1804-9.

America’s Bone Health: The state of osteoporosis and low bone mass in our Nation. Washington, DC: National Osteoporosis Foundation 2002.

Osteoporosis risk-high in India. India’s National Magazine 2004.

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Published

2017-03-28

How to Cite

Gupta, R., Mahajan, S., Dewan, D., & Gupta, R. (2017). Screening of osteoporosis using calcaneal quantitative ultrasound in a rural population of Jammu, Jammu and Kashmir, India. International Journal Of Community Medicine And Public Health, 4(4), 940–943. https://doi.org/10.18203/2394-6040.ijcmph20170948

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Original Research Articles