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204177

Assessment of Risk of Fracture among obese elderly women attending primary health clinic at geriatric hospital in Ain Shams University Hospitals

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Last updated: 22 Jan 2023

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Abstract

Background: Elderly are more susceptible to develop fractures due to many risk factors such as osteo porosis and others risk factors as frequent falls, visual impairment, functional impairment and numerous comorbidities. Women have about twice as high a risk of any fracture than men. Because women live longer than men and are exposed, hence, for extended periods to reduced bone density and other risk factors for osteoporosis and fractures. Obesity is linked to a higher risk of some fragility fractures. A higher weight increases the risk of falling. On the other hand, the high values of body mass index (BMI), even though associated with good values of bone mineral density (BMD), are at high fracture risk based on an increased risk of fall, so obesity might not protect against all osteoporotic fractures as it was initially considered although BMD is the maj or element of the fracture risk . Fractures have major negative impacts on patient quality of life; increased risk of hospitalization .This is consequently a significant public health issue from the medical, social and economic perspectives . Aim: To assess risk of fractures among community dwelling obese women attending the primary health clinic in the Geriatric Hospital in Ain Shams University. Subjects and Methods: A cross sectional study done with 65 elderly females who were subjected to comprehensive geriatric assessment, assessment of BMI, fall risk by (Time up and go test)TUGT and fracture risk by both Garvan calculator and Q fracture 2016. Results: Age has positive correlation with risk of fractures (P -value: <0.001). Body mass index (BMI) has negat ive correlation with fracture risk by both Garvan calculator and Q fracture 2016. (P -value: .008*), (p-value: <0.001*). Risk of fracture is higher among non -obese in comparison with obese. (P-value: .008*), (p-value: <0.001*). As regard correlation between fracture risk, Time up and go test there was no statically significant correlation. As regard co - morbidities among studied population there is no statically significant association with risk of fractures. Conclusion: Obese females has lower risk of fract ure (as calculated by both Garvan calculator and Q fracture 2016) than non-obese elderly females.

DOI

10.21608/ejgg.2021.204177

Keywords

risk of fractures, Elderly, Obesity, Age

Authors

First Name

Manar

Last Name

M. Abdel Kader

MiddleName

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Affiliation

Geriatrics and Gerontology Department, Faculty of Medicine Ain Shams University

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Volume

8

Article Issue

2

Related Issue

28803

Issue Date

2021-10-01

Receive Date

2021-11-10

Publish Date

2021-10-01

Page Start

37

Page End

42

Print ISSN

2356-8712

Online ISSN

2536-9792

Link

https://ejgg.journals.ekb.eg/article_204177.html

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https://ejgg.journals.ekb.eg/service?article_code=204177

Order

7

Type

Original Article

Type Code

365

Publication Type

Journal

Publication Title

The Egyptian Journal of Geriatrics and Gerontology

Publication Link

https://ejgg.journals.ekb.eg/

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Article

Created At

22 Jan 2023