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ORIGINAL PAPER
 
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Evaluation of osteoporotic fractures in the group of woman over 50 years of age – Comparison of tools FRAX® BMD versus FRAX® BMI

Cezary Strugała 1  ,  
 
1
Poradnia Leczenia Osteoporozy NZOZ Euromedica-Spec w Grudziądzu / N.Z.O.Z. Osteoporotic Outpatient Clinic Euromedica-Spec, Grudziądz, Poland
2
Instytut Medycyny Pracy im. prof. J. Nofera / Nofer Institute of Occupational Medicine, Łódź, Poland (Zakład Epidemiologii Środowiskowej / Department of Environmental Epidemiology)
Med Pr 2013;64(3):327–333
KEYWORDS:
ABSTRACT:
Background: The aim of the project is to identify the risk of osteoporotic fractures in women aged over 50, the evaluation of FRAX® BMD and FRAX® BMI in women with and without osteoporotic fractures and the proposal of therapeutic starting points for treatment of osteoporosis. Material and Methods: A group of 1014 women aged 50-89, living in the Kujawsko-Pomorskie province, was investigated. The analysis was based on the WHO definition of osteoporosis. Calculations of 10-year absolute risk of major osteoporotic fractures (AR-10 MOF Fx) and femoral neck fractures (AR-10 FN Fx) were done using Polish 3.3 version of FRAX® tool. The analysis of fracture risk employed the logistic regression method. Results: A statistically significant relationship was found between the risk of osteoporotic fractures and age, femoral neck BMD, a history of previous osteoporotic fractures, estimated calcaneal BMD and vertebral column BMD. The differences between 10-year absolute risk of major osteoporotic fractures BMD and BMI was small, which means that FRAX® BMI might be a useful tool for GPs and occupational medicine specialists. Conclusions: A high usefulness of the FRAX® BMI tool for evaluating the risk of major osteoporotic fractures provide a new possibility of identifying women at risk of such events. The mean value of 10-year absolute risk of major osteoporotic fractures for FRAX® BMD and BMI was identified as 10% and 12%, respectively and these values were proposed as therapeutic starting points for treatment of osteoporosis in women living in the Kujawsko-Pomorskie province. Med Pr 2013;64(3):327–333
CORRESPONDING AUTHOR:
Cezary Strugała   
Poradnia Leczenia Osteoporozy NZOZ Euromedica-Spec, ul. Chełmińska 74, 86-300 Grudziądz
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eISSN:2353-1339
ISSN:0465-5893