Al-Ayyadhi Najla, Refaat Laila Abd ElRaheem, Ibrahim Mahasen Mohamed, Abd ElGalil Heba Mohamed
Public Health Department, Ministry of Health, Kuwait City, Kuwait.
Community and Occupational Medicine Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
J Multidiscip Healthc. 2020 Dec 18;13:1983-1991. doi: 10.2147/JMDH.S280261. eCollection 2020.
Attaining greater peak bone mass (PBM) prior to the onset of bone loss is getting increasing public health attention as healthy strong bones are essential to maintain our life. Females are more susceptible to bone loss. Knowledge and awareness about low peak bone mass and its related risk factors are important contributors to its preventive behavior.
To screen apparently healthy young Kuwaiti future mothers for low bone mineral density (BMD) and to assess their knowledge level about determinants of PBM and preventive practices.
A cross-sectional comparative study on 445 eligible women aged 18-35 years (either students or employees from Kuwait University) was performed. Data on socio-demographic and lifestyle variables were obtained by a semi-structured questionnaire. Their knowledge was assessed using the modified Osteoporosis Knowledge Assessment Tool (OKAT). Bone mineral Density (BMD) was measured using Quantitative Ultrasonography (QUS).
More than half (59.3%) of females had poor knowledge. A statistically significant relation was noted between the overall knowledge score and age, college, occupation, and socioeconomic class (<0.05 for each). Only 13.9% have low Z-score by QUS. By logistic regression, less carbonated beverages and coffee consumption positively affect BMD, while inadequate exercises level, indoor exposure to sunlight, and less frequency of brisk walking negatively affect BMD.
Unacceptable knowledge score significantly associated with BMD Z-score status. More attention should be devoted to education programs targeting adolescents and young females to promote knowledge about PBM and practice towards accrual and maintenance of bone health.
在骨质流失开始之前获得更高的峰值骨量（PBM）越来越受到公众健康关注，因为健康强壮的骨骼对于维持我们的生活至关重要。女性更容易发生骨质流失。关于低峰值骨量及其相关风险因素的知识和意识是其预防行为的重要因素。
对表面健康的科威特未来母亲进行低骨矿物质密度（BMD）筛查，并评估她们对峰值骨量决定因素和预防措施的知识水平。
对445名年龄在18 - 35岁的符合条件的女性（科威特大学的学生或员工）进行了横断面比较研究。通过半结构化问卷获取社会人口统计学和生活方式变量的数据。使用改良的骨质疏松症知识评估工具（OKAT）评估她们的知识。使用定量超声（QUS）测量骨矿物质密度（BMD）。
超过一半（59.3%）的女性知识水平较差。总体知识得分与年龄、大学、职业和社会经济阶层之间存在统计学显著关系（每项<0.05）。通过QUS只有13.9%的人Z值较低。通过逻辑回归分析，较少饮用碳酸饮料和咖啡对骨密度有积极影响，而运动水平不足、室内阳光暴露和快走频率较低对骨密度有负面影响。
不可接受的知识得分与骨密度Z值状态显著相关。应更加关注针对青少年和年轻女性的教育项目，以促进关于峰值骨量的知识以及对骨骼健康积累和维持的实践。
