The correlation between body mass index and the risk of osteoporosis in Acehnese adult females in Zainoel Abidin General Hospital

  • Nadia Safhira Putri Ananda Syiah Kuala University
  • Husnah Husnah Faculty of Medicine, Syiah Kuala University, Aceh
  • Safrizal Rahman Faculty of Medicine, Syiah Kuala University, Zainoel Abidin General Hospital, Aceh
Keywords: BMI, osteoporosis risk, OSTA score, Acehnese tribe

Abstract

Background: Osteoporosis is a condition in which bone become weak and brittle characterized with lower bone density and quality causing increased risk of fracture. The elderly is the most common group to be affected and female is more prone compared to male. One of modifiable risk factors of osteoporosis is low body mass index or underweight. This study aimed to investigate the correlation between body mass index and the risk of osteoporosis on Acehnese adult females in RSUDZA.Methods: This was an analytic observational-cross sectional study which was completed at the Internal Medicine and Orthopedic Policlinic at Zainoel Abidin General Hospital Banda Aceh from August 27th to September 13th 2019. The sampling method used was nonprobability sampling with accidental sampling technique. The body mass index was obtained by measuring respondents’ height and weight while the risk of osteoporosis was assessed by measuring OSTA Score.Results: Results showed that most of respondents was aged between 40-45 years old (55.4%) and there are 62 respondents (74.7%) with abnormal body mass index consisted of 9 underweight respondents (10.8%), 11 overweight respondents (13.3%), and 42 obese respondents (50.6%). The risk of osteoporosis was dominantly mild (69.9%). There were 7 underweight respondents (77.8) had moderate risk of osteoporosis while 2 underweight respondents had severe risk (22.2%). Meanwhile, 41 obese respondents had mild risk of osteoporosis (97.6%). Correlation test using Spearman showed p value 0.000 (p < 0.05) and rs = -0,731 which means that there is a strong correlation between body mass index and the risk of osteoporosis.Conclusions: Lower body mass index is directly proportional with higher risk of osteoporosis.

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Author Biographies

Nadia Safhira Putri Ananda, Syiah Kuala University
Faculty of Medicine
Husnah Husnah, Faculty of Medicine, Syiah Kuala University, Aceh
Department of Nutrition
Safrizal Rahman, Faculty of Medicine, Syiah Kuala University, Zainoel Abidin General Hospital, Aceh
Department of Orthopedic

References

Szulc P, Bouxsein ML, Compston JE. Vertebral Fracture Initiative: Overview of osteoporosis: Epidemiology and clinical management. Int Osteoporos Found. 2017;

Sefrina A, Re!MediaService. Osteoporosis The Silent Disease. Maya, editor. Yogyakarta: Rapha Publishing; 2016.

Thambiah SC, Yeap SS, Chretien G, Martin F. Osteoporosis in South-East Asian Countries. Clin Biochem Rev. 2020;41(1):29–40.

International Osteoporosis Foundation (IOF). KEY STATISTICS FOR ASIA [Internet]. 2020 [cited 2020 Dec 24]. Available from: https://www.osteoporosis.foundation/facts-statistics/key-statistic-for-asia

Kementerian Kesehatan RI. Data & Kondisi Penyakit Osteoporosis di Indonesia [Internet]. Infodatin Pusat Data dan Informasi Kementrian Kesehatan RI. 2015. p. 1–8. Available from: http://www.depkes.go.id/download.php?file=download/pusdatin/infodatin/infodatin-osteoporosis.pdf

Nuti R, Brandi ML, Checchia G, Di Munno O, Dominguez L, Falaschi P, et al. Guidelines for the management of osteoporosis and fragility fractures. Intern Emerg Med [Internet]. 2019;14(1):85–102. Available from: https://doi.org/10.1007/s11739-018-1874-2

C Cooper, Ferrari S. IOF Compendium of Osteoporosis. First Edit. Mitchell P, Harvey N, Dennison E, editors. Switzerland; 2017. 76 p.

Misra A. Ethnic-Specific Criteria for Classification of Body Mass Index: A Perspective for Asian Indians and American Diabetes Association Position Statement. Diabetes Technol Ther [Internet]. 2015;17(9):667–71. Available from: http://www.liebertpub.com/doi/10.1089/dia.2015.0007

Prihatini S, Mahirawati VK, Jahari AB, Sudiman H. Faktor Determinan Risiko Osteoporosis di Tiga Provinsi di Indonesia. Media Litbang Kesehat [Internet]. 2010;XX(2):91–9. Available from: http://bpk.litbang.depkes.go.id/index.php/MPK/article/viewFile/787/875

Montazerifar F, Karajibani M, Alamian S, Sandoughi M, Zakeri Z, Dashipour AR. Age, Weight and Body Mass Index Effect on Bone Mineral Density in Postmenopausal Women. Heal Scope. 2014;3(1).

Edwards BJ. Osteoporosis Risk Calculators. J Clin Densitom [Internet]. 2017;20(3):379–88. Available from: http://dx.doi.org/10.1016/j.jocd.2017.06.024

Ristati L, Widyanti E, Kusumastuty I, Arfiani EP. Hubungan Komposisi Tubuh dengan Kepadatan Tulang Wanita Usia Subur di Kota Bandung. Indones J Hum Nutr. 2017;4(1):23–33.

Cosman F, de Beur SJ, LeBoff MS, Lewiecki EM, Tanner B, Randall S, et al. Clinician’s Guide to Prevention and Treatment of Osteoporosis. Osteoporos Int. 2014;25(10):2359–81.

Akesson K, Mitchell P. Capture the fracture. Osteoporos Int. 2013;

Helmi NZ. Buku Ajar Muskuloskeletal. Suslia A, editor. Jakarta: Penerbit Salemba Medika; 2013.

Sherwood L. Fisiologi Manusia Dari Sel ke Sistem. 8th ed. Penerbit Buku Kedokteran EGC; 2014. 716, 766–767 p.

Ferrari SL. Pocket Reference to Osteoporosis. Pocket Reference to Osteoporosis. 2018. 1–10 p.

Cheung EYN, Tan KCB, Cheung C-L, Kung AWC. Osteoporosis in East Asia: Current issues in assessment and management. Osteoporos Sarcopenia [Internet]. 2016;2(3):118–33. Available from: http://dx.doi.org/10.1016/j.afos.2016.07.001

Duque G, Kiel DP. Osteoporosis in older persons: Advances in pathophysiology and therapeutic approaches: Second edition. In: Osteoporosis in Older Persons: Advances in Pathophysiology and Therapeutic Approaches: Second Edition. 2016. p. 1–282.

Mendoza N. The importance of diet in osteoporosis. 2013;2013(May):79–84.

Kartono D, Hermina, Faatih M. BUKU STUDI DIET TOTAL SURVEI KONSUMSI MAKANAN INDIVIDU PROVINSI ACEH 2014. Lembaga Penerbit BADAN PENELITIAN DAN PENGEMBANGAN KESEHATAN; 2014.

Tomlinson DJ, Erskine RM, Morse CI, Onambélé GL. Body fat percentage, body mass index, fat mass index and the ageing bone: Their singular and combined roles linked to physical activity and diet. Nutrients. 2019;11(1).

International Osteoporosis Foundation. Osteoporosis and you What is osteoporosis ? Int Osteoporos Found [Internet]. 2018; Available from: https://www.iofbonehealth.org/sites/default/files/PDFs/osteoporosis_and_you_english.pdf

Dawson-Hughes B, Fuleihan GE-H, Clark P. Bone Care for the Postmenopausal Woman. Int Osteoporos Found [Internet]. 2013; Available from: http://www.iofbonehealth.org/epidemiology

Mazocco L, Chagas P. Association between body mass index and osteoporosis in women from northwestern Rio Grande do Sul. Rev Bras Reumatol (English Ed [Internet]. 2016;57(4):299–305. Available from: http://dx.doi.org/10.1016/j.rbre.2016.10.002

Cao JJ. Effects of obesity on bone metabolism. J Orthop Surg Res. 2011;6(1):30.

Muherdiyantiningsih, Ernawati F, Rustan E, Herman S. SINDROM Metabolik pada Orang Dewasa Gemuk di Wilayah Bogor. 2008;31(2):75–81.

Rahmani SM, Probosari E. Hubungan Indikator Obesitas dengan Kepadatan Tulang pada Wanita Dewasa Awal. J Nutr Coll. 2016;5(Jilid 4):444–51.

Eko Martanti L, Hesti KY, Laska Y. Hubungan Faktor Risiko Umur, Indeks Massa Tubuh, Kebiasaan Olahraga dan Konsumsi Kafein Dengan Gejala Osteoporosis pada Akseptor KB DMPA Di Wilayah Puskesmas Tengaran. J Kebidanan. 2018;8(1):22–8.

Syauqy A. Gambaran Indeks Massa Tubuh dan Densitas Massa Tulang sebagai Faktor Risiko Osteoporosis pada Wanita The Profile of Body Mass Index and Bone Mass Density Scan as Osteoporosis Risk Factor among Female. 2019;30(3):218–22.

WHO Scientific Group on the Prevention and Management of Osteoporosis‎. Prevention and management of osteoporosis : report of a WHO scientific group. World Health Organization. 2000. https://apps.who.int/iris/handle/10665/

Submitted

2020-06-17
Accepted
2021-02-04
Published
2021-02-26
Section
Articles