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This research is a descriptive - analytic study which has been conducted in order to assess the application for prevention of osteoporosis, on menopausal women referred to the health care centers of Tehran University of Medical Sciences in 2001.The research subjects were composed of 336 menopausal women who had been selected by two-stage sampling.The results of the research showed only 4.8% of research subject had adequate calcium intake.Also 5.1% of research subjects have been treated by hormonal drugs, 7.7% of research subjects have taken non hormonal drugs adequately, and (78/3%) had no physical activity.Also the results showed, the application of preventive agents for osteoporosis was influenced by the variables such as: age menopausal characteristic, educational level, marietal status, family income, history of bone fracture, family history of osteoporosis, having employed relatives engaged in medical group, also receiving and having preventive information.

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Background & Objective: Osteoporosis is a metabolic disease which results from gradual destruction of bone mass. Prevention of osteoporosis should be started from childhood by getting adequate calcium and doing weight-bearing exercises. Participating of mothers in health education interventions is likely to promote longer-lasting health behaviors in their daughters. The aim of this study was to investigate the effect of simultaneous education of mothers and daughters on osteoporosis preventive behavior among high school female students.

Methods & Materials: In this interventional study, 400 female students were randomly selected via a two-phased sampling method. At first stage, four schools were selected randomly. At the second stage, 400 students were divided randomly into two groups. Their osteoporosis preventive behaviors were measured using a two-sectioned questionnaire: demographic section, and osteoporosis preventive behaviors assessment section. The first group participated in the educational programs with their mothers and the other group participated without their mothers. The educational program had two sessions, each one lasted 45 minutes. The second stage of the study was performed three months later. Data analysis was carried out using t-test and chi squared test.

Results: Results showed that in both groups, osteoporosis preventive behaviors scores increased significantly after intervention. It was higher in case group (P<0.001). Eating behavior was significantly different in two groups (P=0.003).

Conclusion: Results showed that simultaneous educational program for mothers and daughters promotes eating behavior in the girls.

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Background & Aim: Osteoporosis is a silent and preventable disease that mostly affects women. Osteoporosis prevention requires enhancing knowledge and awareness of students. The purpose of this study was to assess the effectiveness of education on prevention of osteoporosis among high school female students in the sixth distinct of Tehran.

Methods & Materials: In this randomized controlled trial, 600 students were selected using cluster sampling method. Data were gathered using a three-part questionnaire including demographic, knowledge, and practice items. After the baseline measurement, the students were randomly allocated into intervention and control groups. Two educational sessions were held for the intervention group. At the end of the sessions, educational booklets were distributed among the students. The educational strategies included giving lectures, and practicing physical exercises. After two weeks, the participants completed the questionnaires again. The educational classes were held for the control group after the last measurements.

Results: Data analysis showed that the mean of knowledge score and the participants&apos practice were significantly different between two groups after the intervention (P<0.001).

Conclusion: Regarding the effect of education on enhancing students&apos awareness and practice about osteoporosis prevention, designing educational programs could be beneficial.

 

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Background & Objective: Life style has potential role in bone mass density and prevention of osteoporosis in adolescents. The aim of this study was to determine the life style of female students influencing osteoporosis prevention in Nursing and Midwifery school at Zanjan University of Medical Sciences.
Methods & Materials: All female students (n=166) were recruited in this cross-sectional study. Data were gathered using three questionnaires: 1) demographic questionnaire, 2) General Practitioner Physical Activity Questionnaire, and 3) dietary recall questionnaire. Validity and reliability of the questionnaires were determined. Date was analyzed using descriptive statistic, Chi-square, and t-test.
Results: Mean calcium intake was statistically different between dormitory and non-dormitory students (P<0.001). Regarding physical activity, only 19.2% of the students had appropriate activity. The main activity of the students was walking (83.5%). There was a significant difference between economic status and life style (P=0.047). There was no statistically significant difference between life style with the parents&apos educational level, and the educational program.
Conclusion: It seems that life style-related osteoporosis preventive behaviors are not appropriate among nursing and midwifery students. Planning appropriate educational programs could promote high standard nutritional plans and physical activity among the female students.

 

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Background & Objective: Osteoporosis is a serious public health concern known to have several etiologic factors. This study compared lifestyles among postmenopausal women with normal and abnormal bone marrow densitometries (BMD).

Methods & Materials: In this case-control study, 81 postmenopausal women (33 cases with abnormal BMD and 48 control individuals with normal BMD) were selected using simple random sampling from Osteodensitometry center of Shariati hospital in Tehran. The BMD at lumbar spine and femoral neck had been measured with DXA. The Lifestyle was assessed using a questionnaire containing items about taking calcium, vitamin D, hormones, and Alendronat, doing physical activity, consuming tea and cola, and smoking. Reproductive characteristics were also collected via a questionnaire. Data were analyzed using χ2 test and independent sample t-test. Crude and adjusted odds ratios and relevant 95% confidence intervals were calculated through logistic regression, using SPSS v.13.

Results: The results showed significant differences between two groups in weight (P>0.001), BMI (P=0.022), number of pregnancies (P=0.002), number of children (P=0.004), duration of lactation (P=0.0002), dietary calcium intake (P≤0.001), and period of calcium supplement intake (P=0.002). The average of acquired scores of lifestyle factors in the case group was significantly lower than the control group (P=0.037). Inappropriate lifestyle had increased risk of the disease (OR=3.36, 95%, CI: 1.10-10.26). Meanwhile in the multivariate analysis, only insufficient intake of calcium was found to be a risk factor (P=0.002) for osteoporosis.

Conclusion: In conclusion, the results of this study showed positive effect of calcium intake on bone mineral density.

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Background & Objective: Osteoporosis is a serious metabolic bone disorder and a major health concern in women. Osteoporosis affects the quality of life of women. Studying the osteoporosis related food habits and behaviors can promote health promotion program planning. It seems that female teachers are the best models and educational sources for female students. This study was carried out to determine the osteoporosis related food habits and behaviors among female teachers.

Methods & Materials: This study was a cross-sectional study in which 308 female teachers were randomly selected using stratified sampling method from the schools of the 6^th district of Tehran. Data were collected using a questionnaire and analyzed using student t-test, one-way analysis of variance and Tukey test.

Results: Mean score of osteoporosis related food habits and behaviors was 14.9±4.2 (out of a possible 24 maximum attainable score). Osteoporosis related food habits and behaviors score was significantly higher in the teachers who had higher knowledge score, aged more than 50 years old, had worked for more than 25 years , had used educational books and booklets as the first informational source, and among the post- menopausal teachers (P<0.03).

Conclusion: According to the findings, the teachers demonstrated average level of osteoporosis related food habits and behaviors, whereas their mean calcium intake was relatively adequate, but their other food habits and behaviors were relatively inappropriate. It seems developing and implementation of educational programs and offering educational booklets to teacher can help to promote their food habits and behavior which may be helpful in enhancing students&apos food habits.

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Background & Aim: Osteoporosis is a silent and progressive disease that causes disability in people particularly women, with age and has irreversible consequences in their lives. This study aimed to determine the effect of an educational intervention program based on BASNEF model on prevention of osteoporosis among women referred to health centers in the south of Tehran.
Methods & Materials: This is a quasi-experimental study with two groups of intervention and control, performed on 162 women (81 in the intervention group and 81 in the control group) aged 30-49 years, referred to health centers in the south of Tehran in 2018. The data collection tool included demographic information, a researcher-made questionnaire based on BASNEF model constructs and another part of the questionnaire was Health Promotion Standards Questionnaire (HPLP II). Questionnaires were completed for both the intervention and control groups before and six months after the intervention. Data were analyzed by the SPSS software using chi-square, t-test, and paired t-test at a significance level of 0.05.
Results: The mean of women’s age in this study was 37.79±5.47 years old. There was no significant difference in demographic variables and BASNEF model constructs before the intervention (P>0.05). After the intervention, the mean score of BASNEF model constructs and the dimensions of health promoting behaviors significantly increased in the intervention group (P<0.001).
Conclusion: The study results revealed a positive effect of the BASNEF model-based educational program on health promoting behaviors regarding osteoporosis prevention among women. It is suggested to use this model as a successful model in educational interventions to prevent osteoporosis in women.
Clinical trial registry: IRCT20130213012460N15
 

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Background & Aim: Osteoporosis is a common problem in menopausal women, and adopting preventive behaviors is crucial in addressing this issue. The purpose of the study is to evaluate the effect of an educational intervention based on the health belief model (HBM) on promoting osteoporosis-preventive behaviors in menopausal women.
Methods & Materials: This quasi-experimental study with a control group was conducted on 64 menopausal women referred to Urmia urban health centers in 2023. Participants were selected using random sampling and then randomly allocated into two groups: control (32) and intervention (32). The data collection instruments included questionnaires comprising demographic information, knowledge assessments, Health Belief Model constructs, food frequency, and physical activity items. Following pre-test evaluations and needs assessment, a training program was designed and delivered to the intervention group. The collected data were analyzed using SPSS software version 26.
Results: The mean scores for knowledge, perceived susceptibility, perceived severity, perceived benefits, perceived self-efficacy, and cues to action in the intervention group significantly increased compared to both the pre-intervention assessment and the control group. Conversely, there was a significant decrease in the mean score for perceived barriers (P<0.05). These changes resulted in a significant increase in the mean score for osteoporosis preventive behaviors within the intervention group (P<0.05).
Conclusion: Education based on the HBM has been effective in shaping the knowledge and health beliefs of menopausal women concerning osteoporosis and its preventive behaviors. Therefore, it is recommended that health educators incorporate the approaches and findings of this study when developing educational interventions related to osteoporosis.

 

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Background & Aim: Osteoporosis is a common condition in the elderly, contributing to fracture incidence and associated pain. This study aims to analyze trends in osteoporosis-related fractures within the elderly population from 2017 to 2021.
Methods & Materials: A descriptive cross-sectional study was conducted in 2024 involving 448 elderly people over 60 who experienced pelvic, hip, distal hand, or spinal injuries during 2017-2021 in Kashan. Data were extracted from the National Trauma Registry of Iran, including demographic information, injury severity, and frequency of fractures. The data were analyzed using analysis of variance and chi-square tests, with a significance level set at P<0.05.
Results: Among the 448 participants, 244 were female (54.5%), with an average age exceeding 75 years among those diagnosed with osteoporosis. The most common fracture types included hip and pelvic fractures, affecting 331 individuals (73.9%), followed by distal hand fractures in 71 individuals (15.8%), and spinal fractures in 65 individuals (14.5%). The average injury severity score increased from 8.43±2.80 in 2017 to 8.96±2.77 in 2021. No significant changes were observed in the age distribution of the elderly population during this period; however, the proportion of males increased by approximately 6%.
Conclusion: The study results indicate a rising trend in hip fractures among the elderly in Kashan. To reduce fracture incidence, it is recommended to implement proactive screening for osteoporosis risk factors in this population.