Osteoporosis screening in people with airways disease

We tested associations between risk factors and bone mineral density in airways disease subjects, and developed a clinical screening tool to identify people who could benefit from bone mineral density testing. Subjects were recruited through hospital outpatients and pharmacies (Newcastle, n = 172)....

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Bibliographic Details
Published in:Chronic respiratory disease 2005, Vol.2 (1), p.5-12
Main Authors: Smith, B J, McElroy, H J, Laslett, L L, Pile, K D, Phillips, P J, Phillipov, G, Evans, S M, Weekley, J S, Pilotto, L S
Format: Article
Language:English
Subjects:
Absorptiometry, Photon
Adult
Aged
Asthma - complications
Bone Density
Female
Humans
Male
Mass Screening
Middle Aged
Osteoporosis
Osteoporosis - complications
Osteoporosis - diagnosis
Pulmonary Disease, Chronic Obstructive - complications
Risk Factors
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Summary:We tested associations between risk factors and bone mineral density in airways disease subjects, and developed a clinical screening tool to identify people who could benefit from bone mineral density testing. Subjects were recruited through hospital outpatients and pharmacies (Newcastle, n = 172). With survey refinement, we then tested a revised tool in a second sample (Adelaide, n = 317). Study factors included oral/inhaled corticosteroid use, asthma severity, respiratory admissions, physical activity, percent predicted forced expiratory volume in one second (FEVI), body mass index, and smoking history. Outcomes were bone mineral density of lumbar vertebra (L2–4) and total (or neck of) femur. Analysis was logistic regression with generation of a simple screening algorithm based upon coefficients. Scoring algorithm risk factors for T–score of – 2.0: age 68 = 10 points, bone mineral density
ISSN:1479-9731
1479-9723
1479-9731
DOI:10.1191/1479972305cd051oa