Background: Osteoporosis is a disease that weakens bones to the point where they break easily—most often, bones in the hip, backbone (spine), and wrist. Osteoporosis is called a “silent disease. This study was undertaken with the objective to assess the knowledge about risk and preventive factors for osteoporosis among Ortho OPD patients in civil hospital Rohru. Material & Methods: This cross sectional study was conducted between Aug- December 2020 among Ortho OPD patients in civil hospital Rohru selected by convenience Sampling Technique.Information regarding their socio-demographic characteristics and knowledge, regarding risk and preventive factors for osteoporosis were obtained using a self-administered, pre-tested, semi-structured questionnaire. Data was analyzed using Epi info v7 software using appropriate statistical tests. Results: In the present study, 35% (140) of the Patients fall were below 40 years of age while 65% (260) were above 40 years. 54% (216) of patients were male and 46% (184) were female. Among the total patients, 182(45.5%) didn’t know about any risk factor of osteoporosis. 180 (45%) respondents told that Inadequate amounts of dietary calcium is the risk factor of osteoporosis followed by , Lack of physical activity by 176(44%) and low vitamin D intake by 167(41.75%). Maximum patients 184(46%) told that Eating calcium-rich foods help in preventing osteoporosis followed by Calcium and Vitamin D supplements by 167 (41.75%), and Enough vitamin D through sunlight by 154(38.5%). Also in the present study, 182(45.5%) patients didn’t know about the preventive factors of osteoporosis. Conclusion: Still almost half of the respondents didn’t know about the risk as well as preventive factors of osteoporosis. Eating calcium-rich foods, healthily and balanced diet, Calcium and Vitamin D supplements and getting enough vitamin D through sunlight helps in prevention of osteoporosis.
Osteoporosis literally means ‘bones with holes’. It occurs when bones lose minerals such as calcium more quickly than the body can replace them. They become less dense, lose strength and break more easily [1].
Most people don’t realise they have osteoporosis until a fracture happens, as there are usually no signs or symptoms. This is why osteoporosis is often called the ‘silent disease’. Although osteoporosis can strike at any age, it is most common among older people, especially older women. Osteoporosis particularly affects women in their middle and later years, although some men are also affected [2-4].
Osteoporosis causes no specific pain or symptoms. However, it does increase the risk of serious or debilitating fractures. If you have osteoporosis, lifestyle changes and medical treatment can prevent further bone loss and reduce your risk of bone fractures [1,5].
A number of studies conducted in different parts of India reveal widespread ignorance about the osteoporosis among people. As this disease largely relies on prevention and the right information at the right time is essential to bring about a behavioral change when the population is most receptive. Hence, this study was undertaken with the objective to assess the knowledge of risk and preventive factors for osteoporosis among ortho OPD patients in civil hospital Rohru.
Objectives of the Study
To evaluate the knowledge of patients attending Ortho OPD towards risk and preventive factors for osteoporosis in civil hospital Rohru.
Research Approach – Descriptive
Research Design – Descriptive survey design
Setting of the study – Ortho OPD of civil hospital Rohru
Study duration – between August-December 2020
Study population – Ortho OPD patients in civil hospital Rohru
Sample size – 400 Ortho OPD patients
Sampling Technique – convenience sampling technique
Sampling criteria- first five patients attending the Ortho OPD of civil hospital Rohru everyday were selected till the completion of sample size after explaining the purpose of the study. Informed consent/assent was taken from them and confidentiality of the selected participants was also maintained
Inclusive Criteria- Patients selected during the day of data collection in study setting and who were willing to participate in the study
Exclusion Criteria: Patients who were not willing to participate in the study
Development of Tool-Knowledge related questionnaires
Description of Tool
Section A
Socio-demographic characteristics of the patients (Age, Gender etc.).
Sections B
Questions regarding knowledge of risk and preventive factors for osteoporosis.
Validity of tool - by the experts in this field
Permission- obtained from the concerned head of the civil hospital
Data collection by myself and patients was given 5 minutes time to complete that questionnaire and collected at the end of the prescribed time
Data analysis with appropriate statistical test in terms of frequencies and percentage.
The present study was Non-experimental descriptive study carried out to evaluate knowledge of risk and preventive factors for osteoporosis in civil hospital Rohru.
In the present study 35% (140) of the Patients fall were below 40 years of age while 65% (260) were above 40 years. 54% (216) of patients were male and 46% (184) were female.
Among the total patients, maximum 184(46%) told that Eating calcium-rich foods help in preventing osteoporosis followed by Calcium and Vitamin D supplements by 167 (41.75%), Enough vitamin D through sunlight by 154(38.5%), Eat healthily and balanced diet 129(32.25%), Avoid smoking by 87(21.75%), Limit alcohol consumption by 69 (17.25%), Limit tea and coffee by 29(7.25%), Good night’s sleep by 27(6.75%), reduce your stress, tension and anxieties by 19(4.75%) patients.
Table 1: Knowledge about risk factors of osteoporosis among participants
S. No. | Practices | Frequency | Percent |
Inadequate amounts of dietary calcium | 180 | 45 | |
low vitamin D intake | 167 | 41.75 | |
Cigarette smoking | 89 | 22.25 | |
Excessive Alcohol intake | 66 | 16.5 | |
Excessive coffee/ Tea | 23 | 5.75 | |
Lack of physical activity | 176 | 44 | |
Early menopause | 23 | 5.75 | |
Long-term use of medication such as corticosteroids | 43 | 10.75 | |
Certain disease like Asthma, Arthritis, Liver & Kidney Disease | 11 | 2.75 | |
Don’t know | 182 | 45.5 |
Table 2: Knowledge of participants towards prevention of osteoporosis
S. No. | Preventive Factors | Frequency | Percent |
Eat calcium-rich foods | 184 | 46 | |
Eat healthily and balanced diet | 129 | 32.25 | |
Calcium and Vitamin D supplements | 167 | 41.75 | |
Enough vitamin D through sunlight | 154 | 38.5 | |
Limit alcohol consumption | 69 | 17.25 | |
Avoid smoking | 87 | 21.75 | |
Limit tea and coffee | 29 | 7.25 | |
Reduce your stress Tension and anxieties | 19 | 4.75 | |
Good night’s sleep | 27 | 6.75 | |
Don’t know | 182 | 45.5 |
In the current study, 182(45.5%) patients didn’t know about the preventive factors of osteoporosis.
Osteoporosis is a bone disease that occurs when the body loses too much bone, makes too little bone, or both. As a result, bones become weak and may break from a fall or, in serious cases, from sneezing or minor bumps [6].
Osteoporosis means “porous bone.” Viewed under a microscope, healthy bone looks like a honeycomb. When osteoporosis occurs, the holes and spaces in the honeycomb are much larger than in healthy bone. Osteoporotic bones have lost density or mass and contain abnormal tissue structure. As bones become less dense, they weaken and are more likely to break [6,7].
In the present study, maximum patients 184 (46%) told that Eating calcium-rich foods help in preventing osteoporosis followed by Calcium and Vitamin D supplements by 167 (41.75%), Enough vitamin D through sunlight by 154 (38.5%), Eat healthily and balanced diet 129 (32.25%), Avoid smoking by 87 (21.75%), Limit alcohol consumption by 69 (17.25%), Limit tea and coffee by 29(7.25%), Good night’s sleep by27 (6.75%), Reduce your stress Tension and anxieties by 19 (4.75%) patients. In the current study, 182 (45.5%) patients didn’t know about the preventive factors of osteoporosis.
Getting enough calcium and vitamin D can help keep the bones strong and prevent osteoporosis. Osteoporosis makes the bones weaker and more likely to fracture [2,5].
Vitamin D and calcium promote bone density. Vitamin D is important because it helps the body absorb the calcium in your diet. We obtain most of our vitamin D from the sun. Vitamin D can also be found in small quantities in foods such as: fatty fish (salmon, herring, and mackerel), liver, eggs, fortified foods such as low-fat milks and margarine. For most people, it is unlikely that adequate quantities of vitamin D will be obtained through diet alone. vitamin D supplements are necessary, if anyone concerned that he or she is not getting enough vitamin D [8-10].
Enjoying a healthy, balanced diet with a variety of foods and an adequate intake of calcium is a vital step to building and maintaining strong, healthy bones. If there is not enough calcium in the blood, body will take calcium from your bones. Enough calcium in the diet is an important way to preserve bone density. Dairy foods have the highest levels of calcium, but there are many other sources of calcium, including spinach and almonds. If anyone unable to get enough calcium from the diet alone, then calcium supplements is necessary [11].
Weight-bearing exercise encourages bone density and improves balance so falls are reduced. It does not treat established osteoporosis. General recommendations include: Choose weight-bearing activities such as brisk walking, jogging, tennis, netball or dance. While non-weight-bearing exercises, such as swimming and cycling, are excellent for other health benefits, they do not promote bone growth. Including some high-impact exercise into routine, such as jumping and rope skipping also helps. Strength training (or resistance training) is also an important exercise for bone health. It involves resistance being applied to a muscle to develop and maintain muscular strength, muscular endurance and muscle mass. Importantly for osteoporosis prevention and management, strength training can maintain, or even improve, bone mineral density [1,9].
General recommendations for lifestyle changes to protect against osteoporosis also include stop smoking as smokers have lower bone density than non-smokers, get some sun – exposure of some skin to the sun needs to occur on most days of the week to allow enough vitamin D production, drink alcohol in moderation as excessive alcohol consumption increases the risk of osteoporosis and limit caffeinated drinks – excessive caffeine can affect the amount of calcium that our body absorbs. Drink no more than two to three cups per day of cola, tea or coffee is advisable [12].
Still almost half of the respondents didn’t know about the risk as well as preventive factors of osteoporosis. Eating calcium-rich foods, healthily and balanced diet, Calcium and Vitamin D supplements, enough vitamin D through sunlight, limiting alcohol consumption, avoiding smoking, limiting tea and coffee, reducing your stress, tension and anxieties and having good night’s sleep helps in prevention of osteoporosis.
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