OSTEOPOROSIS: Anamnestic risk factor questionnaire as reliable diagnostic instrument for osteoporosis (reduced bone morphogenic density)

ROYAL MONACO RIVIERA WEB MAGAZINE

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PAGINA WEB AMBASCIATA D'ITALIA NEL PRINCIPATO DI MONACO   
  ►http://www.ambprincipatomonaco.esteri.it/Ambasciata_Monaco/ 

MEDICINE & CHINESE TRADITIONAL MEDICINE

Luigi Mattera is a certified by CERFPA (St. Laurent du Var-France) in HOMEOPATHY & ZUO TUINA MASSAGE OF TRADITIONAL CHINESE MEDICINE - Online certificate from TEXAS CHIROPRACTIC COLLEGE (Pasadena-Texas 2007) in CHIROPRACTIC SPORTS & CHIROPRACTIC TREATMENT OF GOLF INJURIES

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PRESENTS:

Research article

Osteoporosis : Anamnestic risk factor questionnaire as reliable diagnostic instrument for osteoporosis (reduced bone morphogenic density)

Leila Kolios , Caner Takur , Arash Moghaddam , Mirjam Hitzler , Heinrich Schmidt-Gayk , Arnold Suda , Bernd Honer , Paul A Grutzner and Christoph Wolfl

BMC Musculoskeletal Disorders 2011, 12:187doi:10.1186/1471-2474-12-187

Published:	17 August 2011

Abstract (provisional)

Background

Osteoporosis is a major health problem worldwide, and is included in the WHO list of the top 10 major diseases. However, it is often undiagnosed until the first fracture occurs, due to inadequate patient education and lack of insurance coverage for screening tests. Anamnestic risk factors like positive family anamnesis or early menopause are assumed to correlate with reduced BMD.

Methods

In our study of 78 patients with metaphyseal long bone fractures, we searched for a correlation between anamnestic risk factors, bone specific laboratory values, and the bone morphogenic density (BMD). Each indicator was examined as a possible diagnostic instrument for osteoporosis. The secondary aim of this study was to demonstrate the high prevalence of osteoporosis in patients with metaphyseal fractures.

Results

76.9% of our fracture patients had decreased bone density and 43.6% showed manifest osteoporosis in DXA (densitometry) measurements. Our questionnaire, identifying anamnestic risk factors, correlated highly significantly (p=0.01) with reduced BMD, whereas seven bone-specific laboratory values (p=0.046) correlated significantly.

Conclusions

Anamnestic risk factors correlate with pathological BMD. The medical questionnaire used in this study would therefore function as a cost-effective primary diagnostic instrument for identification of osteoporosis patients.

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