Abstract

Dr. Nandkishor Kale and Dr. Laxmikant Paymalle*

ABSTRACT

Background: Bone fragility is a silent condition enhanced by low bone mass and microarchitecture deterioration of bone tissue which leads to osteoporosis. It increases bone fracture risk. The incidence of osteoporotic fractures increases with age and is approximately twice as high in women as in men at all ages. Some study from the southern India in Rural population also reported prevalence of Osteoporosis 50% for women and 30% for men. So to calculate prevalence in rural population of Hiwara Ashram, Dist.Buldana (Maharashtra), The study was conducted by organizing screening camp of low bone mineral density. By using Calcaneus quantitative ultrasound (QUS) scan. Methods: In this retrospective study, 77 participants (Aged 28 years and above) evaluated for bone mineral density.Demographic details, food habit, weight was assessed in the prescribed format. By obtaining, BMD t- score, participants were labelled as normal (T-score< - 1 SD), osteopenia (t-score – 1 to – 2.5 SD) and osteoporosis (t- score < - 2.5 SD). Results: Mean age of study population was 52 ± 11.58 years. Of the total 77 participants there were 42(54.55%) cases of osteoporosis and 34 (44.16%) cases of osteopenia and only 1 (1.30%) case with a normal BQI. There were 23(62.1%) females with a low BQI and 14 (37.83%) had osteoporosis, 19 (47.5%) males had osteopenia. There were 17 (53.1%) cases of osteoporosis, 14 (43.75%) cases of osteopenia and only one normal case was non-vegetarian. In vegetarians 25 (55.55%) had osteoporosis, 20 (44.44%) had osteoporosis. In the present study, the incidence of osteoporosis was (3.89%) and osteopenia was 15.58%. The maximum number of both osteoporosis and osteopenia recorded in the age group of 41-60 years. The average bone quality index (BQI) score for men was 59.63 and for women was 57.34% i. e. males have a higher average BQI score. Conclusion: The prevalence of osteoporosis and osteopenia was increasing with the advancement in age. The higher incidence of osteoporosis in females with a low BQI was noted. Increase in sedentary life style and lack of awareness of bone health leading toosteoporosis in general population. This review focuses on need to early management of bone disorders for healthy human resource.