Department of Medical Imaging, Cheng Hsin General Hospital, 45 Cheng Hsin Street, Taipei, 112, Taiwan.
Community Medicine Research Center, National Yang-Ming University, Taipei, Taiwan.
Arch Osteoporos. 2020 Aug 18;15(1):132. doi: 10.1007/s11657-020-00806-4.
The osteoporosis self-assessment tool was more accurate than hand grip strength, gait speed, and calf circumference in predicting osteoporosis in women. Hand grip strength was more accurate than the osteoporosis self-assessment tool, gait speed, and calf circumference in predicting osteoporosis in men.
The osteoporosis self-assessment tool, functional assessment, and anthropometric measurement are different techniques to identify those at risk of osteoporosis. This study aimed to compare the performance of these techniques in predicting osteoporosis.
In this cross-sectional, hospital-based study including 1109 participants, the bone mineral density of the spine and hips was evaluated using the dual-energy X-ray absorptiometry. The Osteoporosis Self-Assessment Tool was used as a simple clinical risk assessment tool to screen for osteoporosis. Gait speed and hand grip strength were used as functional assessments to predict osteoporosis. Calf circumference was used as an anthropometric measurement to predict osteoporosis risk.
In women, the Osteoporosis Self-Assessment Tool was better than hand grip strength, gait speed, and calf circumference in predicting osteoporosis. In contrast, in men, hand grip strength was better than the Osteoporosis Self-Assessment Tool, gait speed, and calf circumference.
The application of simple, cost-effective techniques for the identification of osteoporosis risk will be beneficial for both screening and patient care when dual-energy X-ray absorptiometry is not available. We suggest that the Osteoporosis Self-Assessment Tool can be used to identify the risk of osteoporosis in women and hand grip strength measurement can be used for men.
骨质疏松症自我评估工具在预测女性骨质疏松症方面比握力、步态速度和小腿围度更准确。握力比骨质疏松症自我评估工具、步态速度和小腿围度更能准确预测男性骨质疏松症。
骨质疏松症自我评估工具、功能评估和人体测量是识别骨质疏松症高危人群的不同技术。本研究旨在比较这些技术预测骨质疏松症的性能。
在这项横断面、基于医院的研究中，包括 1109 名参与者，使用双能 X 射线吸收法评估脊柱和臀部的骨密度。骨质疏松症自我评估工具被用作一种简单的临床风险评估工具来筛查骨质疏松症。步态速度和握力被用作功能评估来预测骨质疏松症。小腿围度被用作人体测量来预测骨质疏松症风险。
在女性中，骨质疏松症自我评估工具在预测骨质疏松症方面优于握力、步态速度和小腿围度。相比之下，在男性中，握力比骨质疏松症自我评估工具、步态速度和小腿围度更好。
在没有双能 X 射线吸收法的情况下，应用简单、经济有效的技术来识别骨质疏松症风险将有益于筛查和患者护理。我们建议骨质疏松症自我评估工具可用于识别女性骨质疏松症的风险，握力测量可用于男性。
