A Prospective Evaluation of the Awareness and Current Treatment of osteoporosis in Rural Subjects: The Chungju Metabolic Disease Cohort(CMC) Study

Presentation Number: SAT-252
Date of Presentation: June 15th, 2013

Kwanhoon Jo*1, Moo-Il Kang2, Kyunghee Kim3, Sun Hee Ko1, Eun Hee Jang2 and Ki-Hyun Baek4
1Seoul St. Mary’s Hospital, The Catholic University of Korea, College of Medicine, Seoul, Korea, Republic of (South), 2Seoul St Mary's Hosp/Cath U, Seoul, Korea, Republic of (South), 3Division of Endocrinology & Metabolism, 4Division of Endocrinology and Metabolism, Department of Internal Medicine, Yeouido St. Mary’s Hospital, Seoul, Korea, Seoul, Korea, Republic of (South)

Abstract

A Prospective Evaluation of the Awareness and Current Treatment of osteoporosis in Rural Subjects: The Chungju Metabolic Disease Cohort(CMC) Study

Kwanhoon Jo, Kyunghee Kim, Sun Hee Ko, Eun Hee Jang, Ki-Hyun Baek, Moo-Il Kang

department of internal medicine, the Catholic University of Korea., South Korea

BACKGROUND:

It has been demonstrated that osteoporosis is a major public health problem, and the strategy of prevention and treatment is well established. Despite noteworthy progress in understanding about osteoporosis, public awareness is required for effective management in people with osteoporotic risks, especially for rural residents. The present study was attempted to clarify the awareness and current treatment of osteoporosis and the changes after education by health care provider in rural subjects.

METHODS:

We conducted a prospective, community-based cohort study of 6806 residents aged over 40 years who reside in Chungju, Korea, the central area of korea peninsula, from 2007 to 2010 who underwent an evaluation of bone mineral density by central bone densitometry and clinical information by an interviewer- administered standardized questionnaire. The health care provider informed them of the result of bone mineral density and recommended treatment of osteoporosis by the results. The 1395 subjects (515 men and 880 women) who attended a follow-up visit in March 2011 to February 2012 were included in the final analysis

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RESULTS:

 The mean age of the participants was 65.6 ± 8.6 (men) and 65.2 ± 8.6 (women) years old and the mean follow up duration was about 37.9 months. The prevalence of osteoporosis were 14.2% and 52.5% in men and women respectively (P<0.001). The awareness and treatment rate of osteoporosis were 19.2% and 0% in men, and 40.2% and 16.8% in women(P<0.001). The prevalence of osteoporotic fracture in men was significantly higher than in women.(19.2%, 8.7%, P=0.008) In follow-up visit, the rates of awareness and treatment of osteoporosis were increased 12.3% and 2.7% in men, 48.7% and 21.2% in women, respectively. Treatment rate in the participants who previously knew osteoporosis was shown much higher significantly than in those who were not in the follow up visit.(32.8%, 10.6%, P<0.001)      

CONCLUSION:

The awareness and treatment rate of osteoporosis were extremely low in rural area, especially men. Improved patient education by more health care provider-patient interaction may improve awareness and treatment of osteoporosis.

 

Nothing to Disclose: KJ, MIK, KK, SHK, EHJ, KHB