Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia.

<h4>Objective</h4>This study aimed to determine the prevalence of vertebral fractures (VF) in a selected urban population in Malaysia and to explore possible variables associated with VF in the study population.<h4>Methods</h4>A cross-sectional study involving community-livin...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Swan Sim Yeap, Subashini C Thambiah, Subapriya Suppiah, Salmiah Md-Said, Geeta Appannah, Intan Nureslyna Samsudin, Nurunnaim Zainuddin, Siti Yazmin Zahari-Sham, Fen Lee Hew
Formato: article
Lenguaje:EN
Publicado: Public Library of Science (PLoS) 2021
Materias:
R
Q
Acceso en línea:https://doaj.org/article/204db8c1528d474daa5c1b105c3fb53f
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:204db8c1528d474daa5c1b105c3fb53f
record_format dspace
spelling oai:doaj.org-article:204db8c1528d474daa5c1b105c3fb53f2021-12-02T20:06:33ZAsymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia.1932-620310.1371/journal.pone.0255069https://doaj.org/article/204db8c1528d474daa5c1b105c3fb53f2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255069https://doaj.org/toc/1932-6203<h4>Objective</h4>This study aimed to determine the prevalence of vertebral fractures (VF) in a selected urban population in Malaysia and to explore possible variables associated with VF in the study population.<h4>Methods</h4>A cross-sectional study involving community-living, healthy subjects aged between 45-90 years from the state of Selangor, Malaysia, were invited to attend a bone health check-up. Subjects with diseases known to affect bone metabolism or were on treatment for osteoporosis (OP) were excluded. Bone mineral density (BMD) was measured using dual energy X-ray absorptiometry (DXA). Lateral and antero-posterior view lumbar spine x-rays were performed and VF was determined by the semi-quantitative Genant method.<h4>Results</h4>A total of 386 subjects were studied. Asymptomatic morphometric VF were found in 44 (11.4%) subjects. T12 was the most common vertebrae to be fractured. The prevalence of VF was significantly higher in menopausal women (12.4%) compared to non-menopausal women, in those above the age of 60 (18.5%), in those of Chinese ethnicity (16.5%), in those with a low body fat percentage (17.1%) and among those with OP (27.0%). The mean (standard deviation) 25-hydroxyvitamin D [25(OH)D] levels were significantly higher in those with VF compared to those without VF, 67.64 (23.50) and 57.47 (21.71) nmol/L, respectively. However, after multiple regression analysis, age over 60 years and OP on DXA BMD measurement were the only significant associated factors for VF.<h4>Conclusion</h4>Overall, 11.4% of a selected Malaysian urban population had asymptomatic morphometric VF. Age over 60 years and OP on DXA BMD measurement, but not 25(OH)D levels, were associated with VF.Swan Sim YeapSubashini C ThambiahSubapriya SuppiahSalmiah Md-SaidGeeta AppannahIntan Nureslyna SamsudinNurunnaim ZainuddinSiti Yazmin Zahari-ShamFen Lee HewPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0255069 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Swan Sim Yeap
Subashini C Thambiah
Subapriya Suppiah
Salmiah Md-Said
Geeta Appannah
Intan Nureslyna Samsudin
Nurunnaim Zainuddin
Siti Yazmin Zahari-Sham
Fen Lee Hew
Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia.
description <h4>Objective</h4>This study aimed to determine the prevalence of vertebral fractures (VF) in a selected urban population in Malaysia and to explore possible variables associated with VF in the study population.<h4>Methods</h4>A cross-sectional study involving community-living, healthy subjects aged between 45-90 years from the state of Selangor, Malaysia, were invited to attend a bone health check-up. Subjects with diseases known to affect bone metabolism or were on treatment for osteoporosis (OP) were excluded. Bone mineral density (BMD) was measured using dual energy X-ray absorptiometry (DXA). Lateral and antero-posterior view lumbar spine x-rays were performed and VF was determined by the semi-quantitative Genant method.<h4>Results</h4>A total of 386 subjects were studied. Asymptomatic morphometric VF were found in 44 (11.4%) subjects. T12 was the most common vertebrae to be fractured. The prevalence of VF was significantly higher in menopausal women (12.4%) compared to non-menopausal women, in those above the age of 60 (18.5%), in those of Chinese ethnicity (16.5%), in those with a low body fat percentage (17.1%) and among those with OP (27.0%). The mean (standard deviation) 25-hydroxyvitamin D [25(OH)D] levels were significantly higher in those with VF compared to those without VF, 67.64 (23.50) and 57.47 (21.71) nmol/L, respectively. However, after multiple regression analysis, age over 60 years and OP on DXA BMD measurement were the only significant associated factors for VF.<h4>Conclusion</h4>Overall, 11.4% of a selected Malaysian urban population had asymptomatic morphometric VF. Age over 60 years and OP on DXA BMD measurement, but not 25(OH)D levels, were associated with VF.
format article
author Swan Sim Yeap
Subashini C Thambiah
Subapriya Suppiah
Salmiah Md-Said
Geeta Appannah
Intan Nureslyna Samsudin
Nurunnaim Zainuddin
Siti Yazmin Zahari-Sham
Fen Lee Hew
author_facet Swan Sim Yeap
Subashini C Thambiah
Subapriya Suppiah
Salmiah Md-Said
Geeta Appannah
Intan Nureslyna Samsudin
Nurunnaim Zainuddin
Siti Yazmin Zahari-Sham
Fen Lee Hew
author_sort Swan Sim Yeap
title Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia.
title_short Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia.
title_full Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia.
title_fullStr Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia.
title_full_unstemmed Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia.
title_sort asymptomatic morphometric vertebral fractures and its associated factors: a cross-sectional study among adults in a selected urban area in selangor, malaysia.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/204db8c1528d474daa5c1b105c3fb53f
work_keys_str_mv AT swansimyeap asymptomaticmorphometricvertebralfracturesanditsassociatedfactorsacrosssectionalstudyamongadultsinaselectedurbanareainselangormalaysia
AT subashinicthambiah asymptomaticmorphometricvertebralfracturesanditsassociatedfactorsacrosssectionalstudyamongadultsinaselectedurbanareainselangormalaysia
AT subapriyasuppiah asymptomaticmorphometricvertebralfracturesanditsassociatedfactorsacrosssectionalstudyamongadultsinaselectedurbanareainselangormalaysia
AT salmiahmdsaid asymptomaticmorphometricvertebralfracturesanditsassociatedfactorsacrosssectionalstudyamongadultsinaselectedurbanareainselangormalaysia
AT geetaappannah asymptomaticmorphometricvertebralfracturesanditsassociatedfactorsacrosssectionalstudyamongadultsinaselectedurbanareainselangormalaysia
AT intannureslynasamsudin asymptomaticmorphometricvertebralfracturesanditsassociatedfactorsacrosssectionalstudyamongadultsinaselectedurbanareainselangormalaysia
AT nurunnaimzainuddin asymptomaticmorphometricvertebralfracturesanditsassociatedfactorsacrosssectionalstudyamongadultsinaselectedurbanareainselangormalaysia
AT sitiyazminzaharisham asymptomaticmorphometricvertebralfracturesanditsassociatedfactorsacrosssectionalstudyamongadultsinaselectedurbanareainselangormalaysia
AT fenleehew asymptomaticmorphometricvertebralfracturesanditsassociatedfactorsacrosssectionalstudyamongadultsinaselectedurbanareainselangormalaysia
_version_ 1718375349462499328