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Screening of Fracture Risk and Osteoporosis Among Older Long-term Care Residents: A Prospective Study.

Authors :
Fu SH
Lai CY
Wang CY
Hung CC
Ye JD
Yen HK
Wu CH
Ku LE
Yu T
Yang RS
Hsiao FY
Li CY
Source :
The journal of nutrition, health & aging [J Nutr Health Aging] 2023; Vol. 27 (12), pp. 1255-1261.
Publication Year :
2023

Abstract

This prospective study assessed the effectiveness of screening older long-term care residents (LTCRs) for fracture risk and osteoporosis in Taiwan. Fracture risk screening was done using the Fracture Risk Assessment Tool (FRAX), and those with high or moderate risk were offered osteoporosis workup and treatment at the hospital. Among 785 LTCRs screened, 338 men (mean age 75.6) and 447 women (mean age 81.2) were included. Only 5.2% of women and no men were using anti-osteoporosis medication. Based on the Bone Health and Osteoporosis Foundation (BHOF) recommendations, 69.2% of men and 92.6% of women were classified as high fracture risk. In 110 participants willing to receive bone mineral density examination, osteoporosis was diagnosed in 86.2% of women and half of men. FRAX could effectively differentiate fracture risk in 648 LTCRs who completed 2-year follow-ups; no fracture occurred in the low-risk group. The study emphasizes the importance of fracture risk screening to enhance osteoporosis diagnosis and treatment among LTCRs.<br />Competing Interests: The authors of this study declare no conflicts of interest.

Details

Language :
English
ISSN :
1760-4788
Volume :
27
Issue :
12
Database :
MEDLINE
Journal :
The journal of nutrition, health & aging
Publication Type :
Academic Journal
Accession number :
38151877
Full Text :
https://doi.org/10.1007/s12603-023-2045-3