The Fracture Liaison Service of the Virgen Macarena University Hospital Reduces the Gap in the Management of Osteoporosis, Particularly in Men. It Meets the International Osteoporosis Foundation Quality Standards

Objectives: To describe the Fracture Liaison Service (FLS), to know the characteristics of the patients attended with emphasis on sex differences, and to know the compliance of International Osteoporosis Foundation (IOF) quality standards. Methods: Observational, prospective research. All the consecutive patients that attended in usual clinical practice from May 2018 to October 2019, were over 50 years, and with a fragility fracture (FF), were included. Results: Our FLS is a type A multidisciplinary unit. We included 410 patients, 80% women. FF recorded in 328 women were: Hip (132, 40%), Clinical Vertebral (81, 25%) and No hip No vertebral (115, 35%). Those in 82 men were: Hip (53, 66%), Clinical Vertebral (20, 24%) and No hip No vertebral (9, 10%), p = 0.0001. Men had more secondary osteoporosis (OP). The most remarkable result was the low percentage of patients with OP receiving treatment and the differences between sex. Forty-nine (16%) women versus nine (7%) men had received it at some point in their lives, p = 0.04. The probability of a man not receiving prior treatment was 2.5 (95%CI 1.01–6.51); p = 0.04, and after the FF was 0.64 (0.38–1.09). Treatment adherence in the first year after the FLS was 96% in both sexes. The completion of IOF quality standards was bad for patient identification and reference time. It was poor for initial OP screening standard and good for the remaining ten indicators. Conclusions: the FLS narrowed the gap in diagnosis, treatment, and follow-up of fragility fracture patients, especially men. The FLS meets the IOF quality standards.

Underweight Sebagai Faktor Resiko Osteoporosis Pada Lansia

Osteoporosis is a bone disease characterized by decreased bone density. The incidence of osteoporosis increases with age, especially age ≥ 50 years. Research from the International Osteoporosis Foundation (IOF) revealed that 1 in 4 women in Indonesia with an age range of 50-80 years have a risk of osteoporosis, where the risk of osteoporosis in women in Indonesia is 4 times higher than that of men. This study aims to determine the relationship between body mass index with the incidence of osteoporosis in Panti Nirmala Hospital Malang. The design of this study was case control with sample consisting of 40 case group and 40 control group. Data analysis used logistic regression. The results showed that in the underweight group, the percentage experiencing osteoporosis was greater by 62.5% when compared to non-underweight who had osteoporosis by 37.5%. After being controlled by osteoporosis family history variables and female gender, the characteristics of a body mass index of underweight have a 3.4 times greater chance of having osteoporosis than non-underweight characteristics. It is recommended that the public go on a healthy diet and regular physical activity to balance BMI and regular health checks at health service facilities to measure body health. Keywords: underweight; osteoporosis; elderly ABSTRAK Osteoporosis merupakan penyakit tulang yang ditandai dengan menurunnya kepadatan tulang akibat ketidakmampuan tubuh dalam mengatur kandungan mineral dalam tulang dan mengakibatkan pengeroposan tulang. Angka kejadian osteoporosis meningkat seiring dengan peningkatan usia, khususnya usia ≥ 50 tahun. Penelitian dari International Osteoporosis Foundation (IOF) mengungkapkan bahwa 1 dari 4 perempuan di Indonesia dengan rentang usia 50-80 tahun memiliki resiko terkena osteoporosis, dimana resiko osteoporosis pada perempuan di Indonesia 4 kali lebih tinggi dibandingkan laki-laki. Penelitian ini bertujuan untuk mengetahui hubungan antara indeks massa tubuh dengan kejadian osteoporosis di Rumah Sakit Panti Nirmala Malang. Desain penelitian ini adalah case control. Sampel berjumlah 80 data, terdiri dari 40 data kelompok kasus dan 40 data kelompok kontrol. Analisis data menggunakan regresi logistik. Hasil penelitian menunjukkan bahwa pada kelompok underweight, persentase yang mengalami osteoporosis lebih besar sebesar 62,5% jika dibandingkan pada non-underweight yang mengalami osteoporosis sebesar 37,5%. Setelah dikontrol oleh variabel riwayat keluarga osteoporosis dan jenis kelamin perempuan, karakteristik indeks massa tubuh underweight memiliki odds 3,4 kali lebih besar untuk mengalami osteoporosis dibandingkan karakteristik non underweight. Dianjurkan kepada masyarakat untuk melakukan diet sehat dan aktivitas fisik yang teratur untuk menyeimbangkan indeks massa tubuh dan pemeriksaan kesehatan secara berkala pada fasilitas pelayanan kesehatan untuk mengukur kesehatan tubuh. Kata kunci: underweight; osteoporosis; lansia

Perbandingan Massa Tulang Sebelum dan Sesudah Melakukan Senam Zumba pada Wanita Dewasa

Osteopenia commonly occurs in people over 50 years, however, several studies also showed that osteopenia affected young adults. Osteopenia can develop into osteoporosis. International Osteoporosis Foundation estimated that women in Indonesia had risk of developing osteoporosis four times greater than men. Osteopenia and osteoporosis can be prevented by physical exercise such as aerobic exercises inter alia Zumba exercise. This study was aimed to determine whether there was a difference in bone mass before and after 4-week Zumba exercise. This was an experimental study with one group pretest and posttest design conducted on 16 subjects of adult females in a fitness center in Manado, North Sulawesi. Zumba exercise was performed in 4 weeks. Bone mass before and after Zumba exercise was measured by using Bioelectrical Impedance Analysis (BIA). Data were analyzed with paired sample t-test. The results showed that the average of bone mass before Zumba exercise was 2.281 kg and the average of bone mass after Zumba exercise was 2.306 kg with a P value of 0.104. Conclusion: There was no significant difference in bone mass before and after 4-week Zumba exercise.Keywords: bone mass, Zumba exerciseAbstrak: Osteopenia umumnya terjadi pada orang berusia di atas 50 tahun, namun beberapa penelitian menunjukkan bahwa osteopenia telah menyerang usia muda. Osteopenia dapat berlanjut menjadi osteoporosis. Menurut International Osteoporosis Foundation, risiko osteoporosis pada wanita di Indonesia 4 kali lebih tinggi dibandingkan pria. Osteopenia dan osteoporosis dapat dicegah dengan melakukan aktivitas fisik seperti olahraga aerobik, antara lain senam Zumba. Penelitian ini bertujuan untuk mengetahui apakah terdapat perbedaan massa tulang sebelum dan sesudah melakukan senam Zumba. Jenis penelitian ialah eksperimental lapangan dengan rancangan one group pretest dan posttest yang dilakukan pada 16 wanita dewasa pada salah satu pusat kebugaran di Manado, Sulawesi Utara. Senam Zumba dilaksanakan selama 4 minggu. Massa tulang sebelum dan sesudah senam Zumba diukur menggunakan Bioelectrical Impedance Analysis (BIA). Uji statistik dilakukan menggunakan uji t berpasangan. Hasil penelitian menunjukkan rerata massa tulang sebelum senam Zumba 2,281 kg dan rerata massa tulang sesudah senam Zumba selama 4 minggu 2,306 kg dengan nilai P=0,104. Simpulan: Tidak terdapat perbedaan bermakna antara massa tulang sebelum dan sesudah melakukan senam Zumba selama 4 minggu.Kata kunci: massa tulang, senam Zumba

EPIDEMIOLOGY OF PROXIMAL FEMUR IN THE REPUBLIC OF BELARUS’

Purpose: to determine the incidence of proximal femur (PF) fracture in the inhabitants of the Republic of Belarus aged 50 years and over. The study was initiated by the Russian Association on Osteoporosis with support from International Osteoporosis Foundation. Material and methods. The data collection is performed by the protocol that assumes an active search of PF fracture cases for 3 years in all available sources with their subsequent verification within one city of the Republic of Belarus with population over 100 000 residents. Results. Standardized indices of PF fracture incidence in the Republic of Belarus for males and females aged 50 years and over made up 147 and 250 cases per 100 000 inhabitants, respectively. The obtained data are in line with the general information on PF fracture incidence in the neighboring countries. According to the population growth forecast the 25.8% increase of PF fracture cases in this age group is expected by 2050.

Epidemiology of Proximal Femur in the Republic of Belarus’

Purpose: to determine the incidence of proximal femur (PF) fracture in the inhabitants of the Republic of Belarus aged 50 years and over. The study was initiated by the Russian Association on Osteoporosis with support from International Osteoporosis Foundation. Material and methods. The data collection is performed by the protocol that assumes an active search of PF fracture cases for 3 years in all available sources with their subsequent verification within one city of the Republic of Belarus with population over 100 000 residents. Results. Standardized indices of PF fracture incidence in the Republic of Belarus for males and females aged 50 years and over made up 147 and 250 cases per 100 000 inhabitants, respectively. The obtained data are in line with the general information on PF fracture incidence in the neighboring countries. According to the population growth forecast the 25.8% increase of PF fracture cases in this age group is expected by 2050.