PRESCREENING OF INDIAN RURAL WOMEN FOR OSTEOPOROSIS USING QUANTITATIVE ULTRASOUND (QUS) BONE DENSITOMETRY AS APRELIMINARY SCREENING DEVICE

Authors

RavulaBharathi,  Assistant Professor
Department of Home Science, Sri Padmavati Mahila Visvavidyalayam, Tirupati, (Andhra Pradesh), INDIA 

Abstract

Osteoporosis is the silent common bone skeletal disorder characterized by low bone mass and microarchitectural deterioration of bone tissue leading to increased fragility and osteoporotic fractures. Dual energy x-ray Absorptiometry is considered as the ‘gold standard’ in assessing the bone mineral density to identify the low bone mass conditions of osteopenia and osteoporosis and also predicting fracture risk. However, it involves ionizing radiation, costlier and has limited access which become the main limitation for utilizing as screening device. In such instances, the Quantitative ultra sound bone densitometry technique occupies an important place as prescreening device as it does not involves any ionizing radiation, portable and relatively cheaper to diagnose people at community level on large scale. Based on this background, the current research is aimed at preliminary screening of rural women, Chitoor district of Andhra Pradesh in India with total sample size of 260 women. Meanwhile, the study also focused on age-related bone density changes and hence studied in the age range of 35 to 74 years covering young, middle age, aged and elderly women. The findings well demonstrated gradual bone deterioration with the advancing age. The incidence of osteoporosis was noticed as 10, 16 31 and 75 percent levels in the four respective age groups. The striking point observed that none of the elderly had normal bone mass and suffered from either osteopenia or osteoporosis demanding the dire need of early diagnosis for preventing further worsening condition of poor bone health and predisposing to osteoporotic fractures.