Chang Shu Fang, Yang Rong Sen
Department of Nursing, College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
J Clin Nurs. 2014 Sep;23(17-18):2628-35. doi: 10.1111/jocn.12483. Epub 2013 Dec 25.
To examine the cut-off point of the osteoporosis self-assessment tool, age, weight and body mass index for osteoporosis among young adult Taiwanese women, using a large-scale health examination database containing bone mineral density tests.
The cut-off points of osteoporosis risk factors identified earlier focus on menopausal or senior Caucasian and Asian women. However, young adult Asian women have seldom been identified.
A retrospective historical cohort study.
Using the 2009-2011 health examination database of a large-scale medical centre in northern Taiwan, this study investigated young adult Asian women (i.e. range in age from 30-49 years) in Taiwan who had received dual-energy X-ray absorptiometry test. This study also explored the cut-off point, sensitivity, specificity and diagnostic accuracy of receiver operating characteristics of osteoporosis among young adult females in Taiwan.
This study collected 2454 young adult Asian women in Taiwan. Cochran-Armitage analysis results indicated that the prevalence of osteoporosis increased with decreasing weight, body mass index and osteoporosis self-assessment method quartiles. According to the results of receiver operating characteristics, weight, body mass index and osteoporosis self-assessment tool approaches can generally be used as indicators to predict osteoporosis among young adult Asian women.
Results of this study demonstrate that Taiwanese women contracting osteoporosis tend to be young and underweight, as well as having a low body mass index and osteoporosis self-assessment scores. Those results further suggest that the assessment indicators for cut-off points are appropriately suitable for young adult women in Taiwan.
Early detection is the only available means of preventing osteoporosis. Professional nurses should apply convenient and accurate assessment procedures to help young adult women to adopt preventive strategies against osteoporosis early, thus eliminating the probability of osteoporotic fracture.
利用包含骨密度测试的大规模健康检查数据库，研究骨质疏松自我评估工具、年龄、体重和身体质量指数在台湾年轻成年女性中对骨质疏松的切点。
早期确定的骨质疏松风险因素切点主要针对绝经后或老年白种人和亚洲女性。然而，很少有针对年轻成年亚洲女性的研究。
一项回顾性历史队列研究。
利用台湾北部一家大型医疗中心2009 - 2011年的健康检查数据库，本研究调查了台湾接受双能X线吸收法测试的年轻成年亚洲女性（年龄范围为30 - 49岁）。本研究还探讨了台湾年轻成年女性骨质疏松的切点、敏感性、特异性以及受试者工作特征曲线的诊断准确性。
本研究收集了2454名台湾年轻成年亚洲女性的数据。 Cochr an - Armitage分析结果表明，骨质疏松的患病率随着体重、身体质量指数和骨质疏松自我评估方法四分位数的降低而增加。根据受试者工作特征曲线的结果，体重、身体质量指数和骨质疏松自我评估工具方法通常可作为预测台湾年轻成年亚洲女性骨质疏松的指标。
本研究结果表明，患骨质疏松症的台湾女性往往年轻、体重过轻，身体质量指数较低且骨质疏松自我评估得分低。这些结果进一步表明，切点的评估指标适用于台湾年轻成年女性。
早期检测是预防骨质疏松症的唯一可用方法。专业护士应采用方便准确的评估程序，帮助年轻成年女性尽早采取预防骨质疏松症的策略，从而消除骨质疏松性骨折的可能性。
