AI Article Synopsis

  • The study aimed to determine the prevalence of osteoporosis in postmenopausal Indian women using dual-energy x-ray absorptiometry, while also examining dietary calcium intake and vitamin D levels' effects on bone mineral density (BMD).
  • The research found that osteoporosis affected 48% of lumbar spines, 16.7% of femoral necks, and 50% at any site, with dietary calcium intake significantly lower than recommended levels for this age group.
  • There was a notable correlation between body mass index and BMD, and women with insufficient vitamin D had lower BMD at the femoral neck, highlighting the need for better calcium and vitamin D intake in this population.

Article Abstract

Objective: To assess the prevalence of osteoporosis in healthy ambulatory postmenopausal Indian women as measured by dual-energy x-ray absorptiometry and to study the dietary calcium intake and vitamin D status and their influence on bone mineral density (BMD).

Methods: We conducted a community-based cross-sectional study in a semiurban region. A randomized cluster sampling technique was used. The study cohort consisted of 150 ambulatory postmenopausal women (> or = 50 years old). Dual-energy x-ray absorptiometry for BMD was performed at the lumbar spine and femoral neck. Dietary calcium intake and biochemical variables were assessed.

Results: The prevalence of osteoporosis was 48% at the lumbar spine, 16.7% at the femoral neck, and 50% at any site. The mean dietary calcium intake was much lower than the recommended intake for this age-group. There was a significant positive correlation between body mass index and BMD at the lumbar spine and the femoral neck (r = 0.4; P = .0001). BMD at the femoral neck was significantly less (mean, 0.657 versus 0.694 g/cm(2)) in the vitamin D-insufficient study subjects in comparison with the vitamin D-sufficient women (P = .03).

Conclusion: The high prevalence of osteoporosis and vitamin D insufficiency in this semiurban group of postmenopausal women in India is a major health concern. Measures such as adequate calcium intake and vitamin D supplementation in women of this age-group may be beneficial.

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Source
http://dx.doi.org/10.4158/EP.14.6.665DOI Listing

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