Burden of osteoporosis in Vietnam: An analysis of population risk.

<h4>Purpose</h4>To estimate the proportion of men and women aged 50 years and older who would be classified as "high risk" for fracture and eligible for anti-fracture treatment.<h4>Methods</h4>The study involved 1421 women and 652 men aged 50 years and older, who we...

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Autores principales:	Duy K Hoang, Minh C Doan, Linh D Mai, Thao P Ho-Le, Lan T Ho-Pham
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6489507fd1cc4028b0a75946ab094610
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spelling	oai:doaj.org-article:6489507fd1cc4028b0a75946ab0946102021-12-02T20:10:36ZBurden of osteoporosis in Vietnam: An analysis of population risk.1932-620310.1371/journal.pone.0252592https://doaj.org/article/6489507fd1cc4028b0a75946ab0946102021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252592https://doaj.org/toc/1932-6203<h4>Purpose</h4>To estimate the proportion of men and women aged 50 years and older who would be classified as "high risk" for fracture and eligible for anti-fracture treatment.<h4>Methods</h4>The study involved 1421 women and 652 men aged 50 years and older, who were recruited from the general population in Ho Chi Minh City, Vietnam. Fracture history was ascertained from each individual. Bone mineral density (BMD) was measured at the lumbar spine and femoral neck by DXA (Hologic Horizon). The diagnosis of osteoporosis was based on the T-scores ≤ -2.50 derived from either femoral neck or lumbar spine BMD. The 10-year risks of major fractureand hip fracture were estimated from FRAX version for Thai population. The criteria for recommended treatment were based on the US National Osteoporosis Foundation (NOF).<h4>Results</h4>The average age of women and men was ~60 yr (SD 7.8). Approximately 11% (n = 152) of women and 14% (n = 92) of men had a prior fracture. The prevalence of osteoporosis was 27% (n = 381; 95% CI, 25 to 29%) in women and 13% (n = 87; 95% CI, 11 to 16%) in men. Only 1% (n = 11) of women and 0.1% (n = 1) of men had 10-year risk of major fracture ≥ 20%. However, 23% (n = 327) of women and 9.5% (n = 62) of men had 10-year risk of hip fracture ≥ 3%. Using the NOF recommended criteria, 49% (n = 702; 95% CI, 47 to 52%) of women and 35% (n = 228; 95% CI, 31 to 39%) of men would be eligible for therapy.<h4>Conclusion</h4>Almost half of women and just over one-third of men aged 50 years and older in Vietnam meet the NOF criteria for osteoporosis treatment. This finding can help develop guidelines for osteoporosis treatment in Vietnam.Duy K HoangMinh C DoanLinh D MaiThao P Ho-LeLan T Ho-PhamPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252592 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Duy K Hoang Minh C Doan Linh D Mai Thao P Ho-Le Lan T Ho-Pham Burden of osteoporosis in Vietnam: An analysis of population risk.
description	<h4>Purpose</h4>To estimate the proportion of men and women aged 50 years and older who would be classified as "high risk" for fracture and eligible for anti-fracture treatment.<h4>Methods</h4>The study involved 1421 women and 652 men aged 50 years and older, who were recruited from the general population in Ho Chi Minh City, Vietnam. Fracture history was ascertained from each individual. Bone mineral density (BMD) was measured at the lumbar spine and femoral neck by DXA (Hologic Horizon). The diagnosis of osteoporosis was based on the T-scores ≤ -2.50 derived from either femoral neck or lumbar spine BMD. The 10-year risks of major fractureand hip fracture were estimated from FRAX version for Thai population. The criteria for recommended treatment were based on the US National Osteoporosis Foundation (NOF).<h4>Results</h4>The average age of women and men was ~60 yr (SD 7.8). Approximately 11% (n = 152) of women and 14% (n = 92) of men had a prior fracture. The prevalence of osteoporosis was 27% (n = 381; 95% CI, 25 to 29%) in women and 13% (n = 87; 95% CI, 11 to 16%) in men. Only 1% (n = 11) of women and 0.1% (n = 1) of men had 10-year risk of major fracture ≥ 20%. However, 23% (n = 327) of women and 9.5% (n = 62) of men had 10-year risk of hip fracture ≥ 3%. Using the NOF recommended criteria, 49% (n = 702; 95% CI, 47 to 52%) of women and 35% (n = 228; 95% CI, 31 to 39%) of men would be eligible for therapy.<h4>Conclusion</h4>Almost half of women and just over one-third of men aged 50 years and older in Vietnam meet the NOF criteria for osteoporosis treatment. This finding can help develop guidelines for osteoporosis treatment in Vietnam.
format	article
author	Duy K Hoang Minh C Doan Linh D Mai Thao P Ho-Le Lan T Ho-Pham
author_facet	Duy K Hoang Minh C Doan Linh D Mai Thao P Ho-Le Lan T Ho-Pham
author_sort	Duy K Hoang
title	Burden of osteoporosis in Vietnam: An analysis of population risk.
title_short	Burden of osteoporosis in Vietnam: An analysis of population risk.
title_full	Burden of osteoporosis in Vietnam: An analysis of population risk.
title_fullStr	Burden of osteoporosis in Vietnam: An analysis of population risk.
title_full_unstemmed	Burden of osteoporosis in Vietnam: An analysis of population risk.
title_sort	burden of osteoporosis in vietnam: an analysis of population risk.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/6489507fd1cc4028b0a75946ab094610
work_keys_str_mv	AT duykhoang burdenofosteoporosisinvietnamananalysisofpopulationrisk AT minhcdoan burdenofosteoporosisinvietnamananalysisofpopulationrisk AT linhdmai burdenofosteoporosisinvietnamananalysisofpopulationrisk AT thaophole burdenofosteoporosisinvietnamananalysisofpopulationrisk AT lanthopham burdenofosteoporosisinvietnamananalysisofpopulationrisk
_version_	1718375003085340672

Burden of osteoporosis in Vietnam: An analysis of population risk.

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