Health Believes and Osteoporosis

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    `

    Prof Dr Amal Ahmed El Badawy.

    ` Prof Dr Samir Ahmed El Badawy.

    ` All Teams Who Participate In ThisWork.

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    `Osteoporosis (OP) is a disease

    of low bone mass.

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    `affecting up to 40% of

    women and 12% of men at

    some point during life .

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    ` 16.7% of 1190 Egyptian menopausal

    females had lumbar osteoporosis .

    ` Egyptian women have a lower bonemineral density compared to their

    western countries

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    ` Although, osteoporotic fractures

    are a major cause of morbidity and

    mortality among the elderlypopulation , it may be controlled

    and prevented by proper

    educational campaigns

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    ` Prevention programs should start

    at an early age to avoid the

    behavioral risk factors.

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    `Assessment of osteoporosis

    among population of two

    districts in sharkiagovernorate.

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    `Also, to implement an

    educational program to change

    health beliefs aboutosteoporosis.

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    ` A cross sectional study was

    conducted on males and females

    aged 18-80 y in two districtpopulation in Sharkia Governorate

    by using multistage random

    sampling technique .

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    phase one:

    A-Data collection through predesigned

    and tested questionnaire which

    included data about

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    ` 1-Socio-demographic characteristics.

    ` 2-Lifestyle characteristics: smoking

    habits, exposure to sunlight, and

    physical activities.

    ` 3-Family history of osteoporosis.

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    ` 4-Assessment of dietary calcium

    intake

    ` 5-Knowledge and beliefs about

    osteoporosis, exercise and ca

    intake

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    ` All subjects underwent bone mineral

    measurements at the right calcaneous

    using the SONOST 3000 (osteosys.com

    ) quantitative ultrasound bonedensitometer

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    ` Ultrasound bone densitometer was

    used in this study was available with

    the cooperation of ADWIA COMPANY

    for pharmaceuticals.

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    ` Health educational sessions were

    carried out and covered issues related

    to medical , dietary and exercise items.

    ` Post test was done 3 months after the

    program .

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    osreoporosis18%

    osteopenia52%

    normal BMD

    30%

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    OR(CI)VARIABLES

    2.48(1.23-5.0)

    2.99(1.93-4.61)7.26(4.81-10.95)

    7.74(3.92-15.57)

    Low frequency walk

    Low duration of walkLow level of climbing stair

    Low level of practice

    exercise.

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    OR (CI)Variables

    4.92(3.04-7.97)

    4.92(2.8-6.3)2.43(1.5-3.80

    3.2(1.78-5.81)

    4.2(2.8-6.3)

    1.9(1.2-3.1)5.19(3.14-8.58)

    susceptibility

    SeriousnessExercise benefit

    Exercise barrier

    Ca barrier

    Health motivationCa benefit

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    sigWALDSEBvariables

    0.000

    0.000

    0.000

    0.007

    0.02

    63.98

    13.62

    25.86

    7.16

    5.20

    0.573

    0.280

    0.415

    0.722

    0.001

    4.58

    1.03

    2.1

    1.932

    0.002

    Practice exercise

    Exercise benefit

    susceptibility

    Low frequency walk

    Intension to increase

    ca

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    52%

    10%

    86%

    33%

    osteoporosisexercise

    pretest posttest

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    40%

    27%

    70%

    48%

    change dietpractice exercise

    pretest posttest

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    low BMD was of high prevalence.

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    ` low physical activities.

    ` low beliefs about susceptibility ofosteoporosis, benefit of exercise

    `

    ` barrier against increasing dietary

    intake and practice exercise

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    ` Health education which stress

    on knowledge and beliefs

    successes in:` - change knowledge.

    ` - intension to change behavior.

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    ` From a public health point of

    view, a public health program

    should stress on` behavioral measures to increase

    knowledge and health beliefs to

    cause actual behavior change

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    ` Also, Behavioural changes must

    stress on improving lifestyle such

    as practice physical activity,regular exposure to sunlight,

    increasing ca continent on diet.

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