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. 2020 Mar 31;31(1):42-49.
doi: 10.31138/mjr.31.1.42. eCollection 2020 Mar.

Epidemiology of osteoporosis and its determinants in physically active Majorcan elderly

Antonio Juan  1 , Guillem Frontera  2 , Ana Paula Cacheda  1 , Inmaculada Ros  1 , Javier Narváez  3   4 , Bartolomé Marí  4 , Joan Miquel Nolla  3   4
Affiliations

Epidemiology of osteoporosis and its determinants in physically active Majorcan elderly

Antonio Juan et al. Mediterr J Rheumatol. .

Abstract

Objective: To estimate the prevalence and distribution of determinants of osteoporosis (OP) in a population of physically active Majorcans over 60.

Methods: Health survey in which consecutive women and men above 60 years old visiting sports facilities during a two-month period were recruited. All underwent a densitometry of the lumbar spine (LS) and femoral neck (FN). Osteoporosis was defined according to the World Health Organization densitometric criteria (T-score <2.5 SD in the LS or FN, and osteopenia if the result was between -2.5 and -1 SD). As osteoporosis shows substantial differences between genders, the study of its determinants was conducted independently for men and women.

Results: The sample included 731 subjects (86% female), with an average age of 70 (SD 5) among men and 65 (8) among women. The overall prevalence of osteoporosis was 35.7% in the LS, 8.9% in the FN and 39.4% in the LS and/or FN. The analysis by gender showed a higher prevalence of osteoporosis in women than in men (43.8 % vs. 11.1%). The presence of osteoporosis increased with age in men and women (7.8% for 61-75 years old vs 22.7% > 75 years old for men and 48.5% for 61-75 years old vs 62.7% > 75 for women).

Conclusions: Densitometric osteoporosis is frequent among physically active elderly population, and higher than expected in a largely sunlight-exposed area.

Keywords: aged people; bone mineral density; osteoporosis; prevalence.

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