PROSPECTIVE EVALUATION OF BONE DENSITOMETRY IN ELDERLY WOMEN ASSISTED AT A REFERENCE CENTER
DOI:
https://doi.org/10.56238/arev7n10-095Keywords:
Osteoporosis, Comprehensive Health Care, Densitometry, Cohort StudiesAbstract
Background and objective: Rapid population aging has made postmenopausal osteoporosis a major public health problem. This study aimed to evaluate the factors associated with osteoporosis and the evolutionary character of bone densitometry exams in elderly women in northern Minas Gerais. Methods: This is a retrospective cohort study conducted at a referral center for elderly healthcare, involving women aged 65 years or older who underwent two bone densitometry exams five years apart (2017/2018 and 2022/2023). Sociodemographic data, BMI, lifestyle habits, morbidities, and medication use were collected. Bivariate analysis and multiple logistic regression were used to identify factors associated with osteoporosis. Results: 339 postmenopausal women participated in the study. Most women were Black/Mixed race (72%) and had low education (85%). The prevalence of osteoporosis increased from 44.2% to 54.0% during the period evaluated, with 18.9% of women experiencing worsening bone classification. After multiple analysis, the factors associated with the presence of osteoporosis were age ≥ 80 years (OR: 2.07; 95% CI: 1.27-3.38) and BMI > 27 (OR: 0.22; 95% CI: 0.14-0.35). Conclusion: The results show a significant and worrying progression of osteoporosis in the studied cohort, with few women showing improvement. Advanced age was confirmed as an important risk factor, and high BMI was shown to be a protective factor.
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