The epidemiology of osteoporosis in Italian postmenopausal women according to the National Bone Health Alliance (NBHA) diagnostic criteria: a multicenter cohort study
Purpose The study was aimed at evaluating the prevalence of osteoporosis, defined by BMD and the National Bone Health Alliance (NBHA) criteria, and the prevalence of clinical risk factors for fractures in Italian postmenopausal women. Methods This is a cross-sectional, multicenter, cohort study eval...
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| Veröffentlicht in: | Journal of endocrinological investigation 2018-04, Vol.41 (4), p.431-438 |
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| creator | Cipriani, C. Pepe, J. Bertoldo, F. Bianchi, G. Cantatore, F. P. Corrado, A. Di Stefano, M. Frediani, B. Gatti, D. Giustina, A. Porcelli, T. Isaia, G. Rossini, M. Nieddu, L. Minisola, S. Girasole, G. Pedrazzoni, M. |
| description | Purpose
The study was aimed at evaluating the prevalence of osteoporosis, defined by BMD and the National Bone Health Alliance (NBHA) criteria, and the prevalence of clinical risk factors for fractures in Italian postmenopausal women.
Methods
This is a cross-sectional, multicenter, cohort study evaluating 3247 postmenopausal women aged ≥ 50 and older in different areas of Italy in the period 2012–2014. All the participants were evaluated as far as anthropometrics; questionnaires for FRAX
®
and DeFRA calculation were administered and bone mineral density was measured at lumbar spine, femoral neck and total hip by DXA.
Results
The prevalence of osteoporosis, as assessed by BMD and NBHA criteria was 36.6 and 57%, respectively. Mean ± SD values of FRAX
®
and DeFRA were: 10.2 ± 7.3 and 11 ± 9.4 for major fractures, and 3.3 ± 4.9 and 3.9 ± 5.9 for hip fractures, respectively. Among clinical risk factors for fracture, the presence of previous fracture, particularly non-spine/non-hip fracture, parental history of hip fracture and current smoking were the most commonly observed.
Conclusions
Our study showed that more that the half of postmenopausal women aged 50 and older in Italy has osteoporosis on the basis of the NBHA criteria. There is a relevant high risk of femur fracture, as assessed by the FRAX
®
and DeFRA and previous fracture, parental history of hip fracture and current smoking are the most common risk factors. The data should be considered particularly in relation to the need to increase prevention strategies on modifiable risk factors and therapeutic intervention. |
| doi_str_mv | 10.1007/s40618-017-0761-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1944437088</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1944437088</sourcerecordid><originalsourceid>FETCH-LOGICAL-c415t-84d3011ea01e49c0536877380af7d731e5fccbe0813f72f82072a9e0f32974d43</originalsourceid><addsrcrecordid>eNp1kc1u1DAUhS0EoqXwAGyQJTZlEbj-mdhhN62AqVSVTVlbrnMz4yqxg-2omhfiOfFoyo-QWNm-5_i7vj6EvGbwngGoD1lCy3QDTDWgWtbIJ-SUKQ6NFrp9-tf-hLzI-R5AKKHVc3LCdbdqedeekh-3O6Q4-x4nH8e43dM40JgLxjmmmH2mPtCrYkdvA52rMGGIs12yHelDrAdqnYup92FLS6Sl0m5s8TFU_SIGpBu0Y9nR9XggOKTnNxeb9Tvae7sNFecddckXTN5-pJZOy1hLGGqBuriLqdBcln7_kjwb7Jjx1eN6Rr59_nR7uWmuv365ulxfN06yVWm07AUwhhYYys7BSrRa1ZnBDqpXguFqcO4OQTMxKD5oDorbDmEQvFOyl-KMnB-5c4rfF8zFTD47HEcbMC7ZsE5KKRRoXa1v_7HexyXVubPhwEQnATivLnZ0ufqbOeFg5uQnm_aGgTmEaI4hmhqiOYRoDo9480he7ibsf9_4lVo18KMhVylsMf1p_X_qT4JLqMQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2013940022</pqid></control><display><type>article</type><title>The epidemiology of osteoporosis in Italian postmenopausal women according to the National Bone Health Alliance (NBHA) diagnostic criteria: a multicenter cohort study</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Cipriani, C. ; Pepe, J. ; Bertoldo, F. ; Bianchi, G. ; Cantatore, F. P. ; Corrado, A. ; Di Stefano, M. ; Frediani, B. ; Gatti, D. ; Giustina, A. ; Porcelli, T. ; Isaia, G. ; Rossini, M. ; Nieddu, L. ; Minisola, S. ; Girasole, G. ; Pedrazzoni, M.</creator><creatorcontrib>Cipriani, C. ; Pepe, J. ; Bertoldo, F. ; Bianchi, G. ; Cantatore, F. P. ; Corrado, A. ; Di Stefano, M. ; Frediani, B. ; Gatti, D. ; Giustina, A. ; Porcelli, T. ; Isaia, G. ; Rossini, M. ; Nieddu, L. ; Minisola, S. ; Girasole, G. ; Pedrazzoni, M.</creatorcontrib><description>Purpose
The study was aimed at evaluating the prevalence of osteoporosis, defined by BMD and the National Bone Health Alliance (NBHA) criteria, and the prevalence of clinical risk factors for fractures in Italian postmenopausal women.
Methods
This is a cross-sectional, multicenter, cohort study evaluating 3247 postmenopausal women aged ≥ 50 and older in different areas of Italy in the period 2012–2014. All the participants were evaluated as far as anthropometrics; questionnaires for FRAX
®
and DeFRA calculation were administered and bone mineral density was measured at lumbar spine, femoral neck and total hip by DXA.
Results
The prevalence of osteoporosis, as assessed by BMD and NBHA criteria was 36.6 and 57%, respectively. Mean ± SD values of FRAX
®
and DeFRA were: 10.2 ± 7.3 and 11 ± 9.4 for major fractures, and 3.3 ± 4.9 and 3.9 ± 5.9 for hip fractures, respectively. Among clinical risk factors for fracture, the presence of previous fracture, particularly non-spine/non-hip fracture, parental history of hip fracture and current smoking were the most commonly observed.
Conclusions
Our study showed that more that the half of postmenopausal women aged 50 and older in Italy has osteoporosis on the basis of the NBHA criteria. There is a relevant high risk of femur fracture, as assessed by the FRAX
®
and DeFRA and previous fracture, parental history of hip fracture and current smoking are the most common risk factors. The data should be considered particularly in relation to the need to increase prevention strategies on modifiable risk factors and therapeutic intervention.</description><identifier>ISSN: 1720-8386</identifier><identifier>ISSN: 0391-4097</identifier><identifier>EISSN: 1720-8386</identifier><identifier>DOI: 10.1007/s40618-017-0761-4</identifier><identifier>PMID: 28956296</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aged ; Bone Density ; Bone mineral density ; Cohort analysis ; Cohort Studies ; Cross-Sectional Studies ; Dual energy X-ray absorptiometry ; Endocrinology ; Epidemiology ; Female ; Femur ; Fractures ; Health risk assessment ; Hip ; Humans ; Italy - epidemiology ; Medicine ; Medicine & Public Health ; Metabolic Diseases ; Middle Aged ; Original Article ; Osteoporosis ; Osteoporosis, Postmenopausal - complications ; Osteoporosis, Postmenopausal - diagnosis ; Osteoporosis, Postmenopausal - epidemiology ; Osteoporotic Fractures - diagnosis ; Osteoporotic Fractures - epidemiology ; Osteoporotic Fractures - etiology ; Post-menopause ; Postmenopause ; Prevalence ; Risk Assessment ; Risk Factors ; Smoking ; Spine (lumbar)</subject><ispartof>Journal of endocrinological investigation, 2018-04, Vol.41 (4), p.431-438</ispartof><rights>Italian Society of Endocrinology (SIE) 2017</rights><rights>Copyright Springer Science & Business Media 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-84d3011ea01e49c0536877380af7d731e5fccbe0813f72f82072a9e0f32974d43</citedby><cites>FETCH-LOGICAL-c415t-84d3011ea01e49c0536877380af7d731e5fccbe0813f72f82072a9e0f32974d43</cites><orcidid>0000-0002-0141-1202</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40618-017-0761-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40618-017-0761-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28956296$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cipriani, C.</creatorcontrib><creatorcontrib>Pepe, J.</creatorcontrib><creatorcontrib>Bertoldo, F.</creatorcontrib><creatorcontrib>Bianchi, G.</creatorcontrib><creatorcontrib>Cantatore, F. P.</creatorcontrib><creatorcontrib>Corrado, A.</creatorcontrib><creatorcontrib>Di Stefano, M.</creatorcontrib><creatorcontrib>Frediani, B.</creatorcontrib><creatorcontrib>Gatti, D.</creatorcontrib><creatorcontrib>Giustina, A.</creatorcontrib><creatorcontrib>Porcelli, T.</creatorcontrib><creatorcontrib>Isaia, G.</creatorcontrib><creatorcontrib>Rossini, M.</creatorcontrib><creatorcontrib>Nieddu, L.</creatorcontrib><creatorcontrib>Minisola, S.</creatorcontrib><creatorcontrib>Girasole, G.</creatorcontrib><creatorcontrib>Pedrazzoni, M.</creatorcontrib><title>The epidemiology of osteoporosis in Italian postmenopausal women according to the National Bone Health Alliance (NBHA) diagnostic criteria: a multicenter cohort study</title><title>Journal of endocrinological investigation</title><addtitle>J Endocrinol Invest</addtitle><addtitle>J Endocrinol Invest</addtitle><description>Purpose
The study was aimed at evaluating the prevalence of osteoporosis, defined by BMD and the National Bone Health Alliance (NBHA) criteria, and the prevalence of clinical risk factors for fractures in Italian postmenopausal women.
Methods
This is a cross-sectional, multicenter, cohort study evaluating 3247 postmenopausal women aged ≥ 50 and older in different areas of Italy in the period 2012–2014. All the participants were evaluated as far as anthropometrics; questionnaires for FRAX
®
and DeFRA calculation were administered and bone mineral density was measured at lumbar spine, femoral neck and total hip by DXA.
Results
The prevalence of osteoporosis, as assessed by BMD and NBHA criteria was 36.6 and 57%, respectively. Mean ± SD values of FRAX
®
and DeFRA were: 10.2 ± 7.3 and 11 ± 9.4 for major fractures, and 3.3 ± 4.9 and 3.9 ± 5.9 for hip fractures, respectively. Among clinical risk factors for fracture, the presence of previous fracture, particularly non-spine/non-hip fracture, parental history of hip fracture and current smoking were the most commonly observed.
Conclusions
Our study showed that more that the half of postmenopausal women aged 50 and older in Italy has osteoporosis on the basis of the NBHA criteria. There is a relevant high risk of femur fracture, as assessed by the FRAX
®
and DeFRA and previous fracture, parental history of hip fracture and current smoking are the most common risk factors. The data should be considered particularly in relation to the need to increase prevention strategies on modifiable risk factors and therapeutic intervention.</description><subject>Aged</subject><subject>Bone Density</subject><subject>Bone mineral density</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Cross-Sectional Studies</subject><subject>Dual energy X-ray absorptiometry</subject><subject>Endocrinology</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Femur</subject><subject>Fractures</subject><subject>Health risk assessment</subject><subject>Hip</subject><subject>Humans</subject><subject>Italy - epidemiology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolic Diseases</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Osteoporosis</subject><subject>Osteoporosis, Postmenopausal - complications</subject><subject>Osteoporosis, Postmenopausal - diagnosis</subject><subject>Osteoporosis, Postmenopausal - epidemiology</subject><subject>Osteoporotic Fractures - diagnosis</subject><subject>Osteoporotic Fractures - epidemiology</subject><subject>Osteoporotic Fractures - etiology</subject><subject>Post-menopause</subject><subject>Postmenopause</subject><subject>Prevalence</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Smoking</subject><subject>Spine (lumbar)</subject><issn>1720-8386</issn><issn>0391-4097</issn><issn>1720-8386</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1u1DAUhS0EoqXwAGyQJTZlEbj-mdhhN62AqVSVTVlbrnMz4yqxg-2omhfiOfFoyo-QWNm-5_i7vj6EvGbwngGoD1lCy3QDTDWgWtbIJ-SUKQ6NFrp9-tf-hLzI-R5AKKHVc3LCdbdqedeekh-3O6Q4-x4nH8e43dM40JgLxjmmmH2mPtCrYkdvA52rMGGIs12yHelDrAdqnYup92FLS6Sl0m5s8TFU_SIGpBu0Y9nR9XggOKTnNxeb9Tvae7sNFecddckXTN5-pJZOy1hLGGqBuriLqdBcln7_kjwb7Jjx1eN6Rr59_nR7uWmuv365ulxfN06yVWm07AUwhhYYys7BSrRa1ZnBDqpXguFqcO4OQTMxKD5oDorbDmEQvFOyl-KMnB-5c4rfF8zFTD47HEcbMC7ZsE5KKRRoXa1v_7HexyXVubPhwEQnATivLnZ0ufqbOeFg5uQnm_aGgTmEaI4hmhqiOYRoDo9480he7ibsf9_4lVo18KMhVylsMf1p_X_qT4JLqMQ</recordid><startdate>20180401</startdate><enddate>20180401</enddate><creator>Cipriani, C.</creator><creator>Pepe, J.</creator><creator>Bertoldo, F.</creator><creator>Bianchi, G.</creator><creator>Cantatore, F. P.</creator><creator>Corrado, A.</creator><creator>Di Stefano, M.</creator><creator>Frediani, B.</creator><creator>Gatti, D.</creator><creator>Giustina, A.</creator><creator>Porcelli, T.</creator><creator>Isaia, G.</creator><creator>Rossini, M.</creator><creator>Nieddu, L.</creator><creator>Minisola, S.</creator><creator>Girasole, G.</creator><creator>Pedrazzoni, M.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-0141-1202</orcidid></search><sort><creationdate>20180401</creationdate><title>The epidemiology of osteoporosis in Italian postmenopausal women according to the National Bone Health Alliance (NBHA) diagnostic criteria: a multicenter cohort study</title><author>Cipriani, C. ; Pepe, J. ; Bertoldo, F. ; Bianchi, G. ; Cantatore, F. P. ; Corrado, A. ; Di Stefano, M. ; Frediani, B. ; Gatti, D. ; Giustina, A. ; Porcelli, T. ; Isaia, G. ; Rossini, M. ; Nieddu, L. ; Minisola, S. ; Girasole, G. ; Pedrazzoni, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-84d3011ea01e49c0536877380af7d731e5fccbe0813f72f82072a9e0f32974d43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Bone Density</topic><topic>Bone mineral density</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Cross-Sectional Studies</topic><topic>Dual energy X-ray absorptiometry</topic><topic>Endocrinology</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Femur</topic><topic>Fractures</topic><topic>Health risk assessment</topic><topic>Hip</topic><topic>Humans</topic><topic>Italy - epidemiology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolic Diseases</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Osteoporosis</topic><topic>Osteoporosis, Postmenopausal - complications</topic><topic>Osteoporosis, Postmenopausal - diagnosis</topic><topic>Osteoporosis, Postmenopausal - epidemiology</topic><topic>Osteoporotic Fractures - diagnosis</topic><topic>Osteoporotic Fractures - epidemiology</topic><topic>Osteoporotic Fractures - etiology</topic><topic>Post-menopause</topic><topic>Postmenopause</topic><topic>Prevalence</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Smoking</topic><topic>Spine (lumbar)</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cipriani, C.</creatorcontrib><creatorcontrib>Pepe, J.</creatorcontrib><creatorcontrib>Bertoldo, F.</creatorcontrib><creatorcontrib>Bianchi, G.</creatorcontrib><creatorcontrib>Cantatore, F. P.</creatorcontrib><creatorcontrib>Corrado, A.</creatorcontrib><creatorcontrib>Di Stefano, M.</creatorcontrib><creatorcontrib>Frediani, B.</creatorcontrib><creatorcontrib>Gatti, D.</creatorcontrib><creatorcontrib>Giustina, A.</creatorcontrib><creatorcontrib>Porcelli, T.</creatorcontrib><creatorcontrib>Isaia, G.</creatorcontrib><creatorcontrib>Rossini, M.</creatorcontrib><creatorcontrib>Nieddu, L.</creatorcontrib><creatorcontrib>Minisola, S.</creatorcontrib><creatorcontrib>Girasole, G.</creatorcontrib><creatorcontrib>Pedrazzoni, M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endocrinological investigation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cipriani, C.</au><au>Pepe, J.</au><au>Bertoldo, F.</au><au>Bianchi, G.</au><au>Cantatore, F. P.</au><au>Corrado, A.</au><au>Di Stefano, M.</au><au>Frediani, B.</au><au>Gatti, D.</au><au>Giustina, A.</au><au>Porcelli, T.</au><au>Isaia, G.</au><au>Rossini, M.</au><au>Nieddu, L.</au><au>Minisola, S.</au><au>Girasole, G.</au><au>Pedrazzoni, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The epidemiology of osteoporosis in Italian postmenopausal women according to the National Bone Health Alliance (NBHA) diagnostic criteria: a multicenter cohort study</atitle><jtitle>Journal of endocrinological investigation</jtitle><stitle>J Endocrinol Invest</stitle><addtitle>J Endocrinol Invest</addtitle><date>2018-04-01</date><risdate>2018</risdate><volume>41</volume><issue>4</issue><spage>431</spage><epage>438</epage><pages>431-438</pages><issn>1720-8386</issn><issn>0391-4097</issn><eissn>1720-8386</eissn><abstract>Purpose
The study was aimed at evaluating the prevalence of osteoporosis, defined by BMD and the National Bone Health Alliance (NBHA) criteria, and the prevalence of clinical risk factors for fractures in Italian postmenopausal women.
Methods
This is a cross-sectional, multicenter, cohort study evaluating 3247 postmenopausal women aged ≥ 50 and older in different areas of Italy in the period 2012–2014. All the participants were evaluated as far as anthropometrics; questionnaires for FRAX
®
and DeFRA calculation were administered and bone mineral density was measured at lumbar spine, femoral neck and total hip by DXA.
Results
The prevalence of osteoporosis, as assessed by BMD and NBHA criteria was 36.6 and 57%, respectively. Mean ± SD values of FRAX
®
and DeFRA were: 10.2 ± 7.3 and 11 ± 9.4 for major fractures, and 3.3 ± 4.9 and 3.9 ± 5.9 for hip fractures, respectively. Among clinical risk factors for fracture, the presence of previous fracture, particularly non-spine/non-hip fracture, parental history of hip fracture and current smoking were the most commonly observed.
Conclusions
Our study showed that more that the half of postmenopausal women aged 50 and older in Italy has osteoporosis on the basis of the NBHA criteria. There is a relevant high risk of femur fracture, as assessed by the FRAX
®
and DeFRA and previous fracture, parental history of hip fracture and current smoking are the most common risk factors. The data should be considered particularly in relation to the need to increase prevention strategies on modifiable risk factors and therapeutic intervention.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>28956296</pmid><doi>10.1007/s40618-017-0761-4</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-0141-1202</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of endocrinological investigation, 2018-04, Vol.41 (4), p.431-438 |
| issn | 1720-8386 0391-4097 1720-8386 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Aged Bone Density Bone mineral density Cohort analysis Cohort Studies Cross-Sectional Studies Dual energy X-ray absorptiometry Endocrinology Epidemiology Female Femur Fractures Health risk assessment Hip Humans Italy - epidemiology Medicine Medicine & Public Health Metabolic Diseases Middle Aged Original Article Osteoporosis Osteoporosis, Postmenopausal - complications Osteoporosis, Postmenopausal - diagnosis Osteoporosis, Postmenopausal - epidemiology Osteoporotic Fractures - diagnosis Osteoporotic Fractures - epidemiology Osteoporotic Fractures - etiology Post-menopause Postmenopause Prevalence Risk Assessment Risk Factors Smoking Spine (lumbar) |
| title | The epidemiology of osteoporosis in Italian postmenopausal women according to the National Bone Health Alliance (NBHA) diagnostic criteria: a multicenter cohort study |
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