Review
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Year 2022, Volume: 12 Issue: 3, 772 - 782, 28.09.2022
https://doi.org/10.33808/clinexphealthsci.1019617

Abstract

References

  • NIH consensus development panel on osteoporosis prevention, diagnosis and therapy. JAMA 2001;285(6):785–95.
  • Kanis JA, Melton LJ 3rd, Christiansen C, Johnston CC, Khaltaev N. The diagnosis of osteoporosis. J Bone Miner Res 1994;9(8):1137–1141.
  • Consensus development conference: diagnosis, prophylaxis, and treatment of osteoporosis. Am J Med 1993;94(6):646–650.
  • Tuzun S, Eskiyurt N, Akarirmak U, Saridogan M, Senocak M, Johansson H, Kanis JA. Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int 2012;23(3):949–955.
  • Keskin Y, Çekin MD, Gündüz H, Lüleci NE, Giray E, Sur H, Akyüz G. The prevalence of osteoporosis in the thrace region of Turkey: A community-based study. Turk J Phys Med Rehabil 2014;60(4):335–340.
  • Kucukler FK, Simsek Y, Turk AÇ, Arduc A, Guler S. Osteoporosis and silent vertebral fractures in nursing home resident elderly men in Turkey. J Clin Densitom 2017; 20(2):188–195.
  • Clynes MA, Harvey NC, Curtis EM, Fuggle NR, Dennison EM, Cooper C. The epidemiology of osteoporosis. Br Med Bull 2020;133(1):105–117.
  • NOF. Learn What Osteoporosis Is and What It’s Caused by. National Osteoporosis Foundation 2018 May. Available from URL: https://www.nof.org/patients/what-is-osteoporosis/
  • Hernlund E, Svedbom A, Ivergård M, Compston J, Cooper C, Stenmark J, McCloskey EV, Jönsson B, Kanis JA. Osteoporosis in the European Union: medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos 2013;8(1):136.
  • Babatunde OT, Himburg SP, Newman FL, Campa A, Dixon Z. Theory-driven intervention improves calcium intake, osteoporosis knowledge, and self-efficacy in community-dwelling older Black adults. J Nutr Educ Behav 2011;43(6):434–440.
  • Law A V., Shapiro K. Impact of a community pharmacist directed clinic in improving screening and awareness of osteoporosis. J Eval Clin Pract 2005;11(3):247–255.
  • Piaseu N, Belza B, Mitchell P. Testing the effectiveness of an osteoporosis educational program for nursing students in Thailand. Arthritis Care Res 2001;45(3):246–251.
  • Dontas IA, Yiannakopoulos CK. Risk factors and prevention of osteoporosis-related fractures. J Musculoskelet Neuronal Interact 2007;7(3):268–272.
  • Pouresmaeili F, Kamalidehghan B, Kamarehei M, Goh YM.A comprehensive overview on osteoporosis and its risk factors. Ther Clin Risk Manag 2018;6(14):2029–2049.
  • Leboime A, Confavreux CB, Mehsen N, Paccou J, David C, Roux C. Osteoporosis and mortality. Jt bone spine 2010;77 (2):107-112.
  • Pai M V. Osteoporosis prevention and management. J Obstet Gynecol India 2017;67(4):237–242.
  • Blalock SJ, DeVellis BM, Patterson CC, Campbell MK, Orenstein DR, Dooley MA. Effects of an osteoporosis prevention program incorporating tailored educational materials. Am J Health Promot 2002;16(3):146–156.
  • Ciaschini PM, Straus SE, Dolovich LR, Goeree RA, Leung KM, Woods CR, Zimmerman GM, Majumdar SR, Spadafora S, Fera LA, Lee HN. Community based intervention to optimize osteoporosis management: Randomized controlled trial. BMC Geriatr 2010;10(1):60.
  • Duckham RL, Masud T, Taylor R, Kendrick D, Carpenter H, Iliffe S, Morris R, Gage H, Skelton DA, Dinan-Young S, Brooke-Wavell K. Randomised controlled trial of the effectiveness of community group and home-based falls prevention exercise programmes on bone health in older people: The ProAct65+ bone study. Age Ageing 2015;44(4):573–579.
  • Cameron ID, Kurrle S, Quine S, Sambrook P, March L, Chan D, Stocks J, Lockwood K, Cook B, Schaafsma. Increasing adherence with the use of hip protectors for older people living in the community. Osteoporos Int 2011;22(2):617–626.
  • Birks YF, Porthouse J, Addie C, Loughney K, Saxon L, Baverstock M, Francis RM, Reid DM, Watt I, Torgerson DJ, Primary Care Hip Protector Trial Group. Randomized controlled trial of hip protectors among women living in the community. Osteoporos Int 2004;15(9):701–706.
  • Tufanaru C, Munn Z, Aromataris E, Campbell J, Hopp L. Systematic Reviews of Effectiveness. In: JBI Manual for Evidence Synthesis. JBI 2020.
  • Moher D, Liberati A, Tetzlaff J, Altman DG, The Prisma Group. Preferred reporting ıtems for systematic reviews and meta-analyses: The PRISMA statement. Ann Intern Med 2009;151(4):264-269.
  • Woo J, Hong A, Lau E, Lynn H. A randomised controlled trial of Tai Chi and resistance exercise on bone health, muscle strength and balance in community-living elderly people. Age Ageing 2007;36(3):262–268.
  • Kukuljan S, Nowson CA, Sanders KM, Nicholson GC, Seibel MJ, Salmon J, Daly RM. Independent and combined effects of calcium-vitamin d3 and exercise on bone structure and strength in older men: An 18-month factorial design randomized controlled trial. J Clin Endocrinol Metab 2011;96(4):955–963.
  • Yuksel N, Majumdar SR, Biggs C, Tsuyuki RT. Community pharmacist-initiated screening program for osteoporosis: Randomized controlled trial. Osteoporos Int 2010;21(3):391–8.
  • Francis KL, Matthews BL, Van Mechelen W, Bennell KL, Osborne RH. Effectiveness of a community-based osteoporosis education and self-management course: A wait list controlled trial. Osteoporos Int 2009;20(9):1563–1570.
  • Kalkım A, Dağhan Ş. Theory-based osteoporosis prevention education and counseling program for women: A randomized controlled trial. Asian Nurs Res 2017;11(2):119–127.
  • Levy BT, Hartz A, Woodworth G, Xu Y, Sinift S. Interventions to improving osteoporosis screening: An Iowa Research Network (IRENE) study. J Am Board Fam Med 2009;22(4):360–367.
  • Cleghorn D, O’Loughlin PD, Schroeder BJ, Nordin BE. An open, crossover trial of calcium-fortified milk in prevention of early postmenopausal bone loss. Med J Aus 2001;175(5):242–245.
  • Hien VTT, Khan NC, Mai LB, Lam NT, Phuong TM, Nhung BT, Nhien NV, Nakamori M, Yamamoto S. Effect of community based nutrition education intervention on calcium intake and bone mass in postmenopausal Vietnamese women. Public Health Nutr 2009;12(5):674–679.
  • Kloseck M, Fitzsimmons DA, Speechley M, Savundranayagam MY, Crilly RG. Improving the diagnosis and treatment of osteoporosis using a senior-friendly peer-led community education and mentoring model: A randomized controlled trial. Clin Interv Aging 2017;12: 823–833.
  • Plawecki K, Chapman-Novakofski K. Effectiveness of community intervention in improving bone health behaviors in older adults. J Nutr Gerontol Geriatr 2013;32(2): 145–160.
  • Bohlen LC, Michie S, Bruin M De, Rothman AJ, Kelly MP, Groarke HNK, Carey RN, Hale J, Johnston M. Do combinations of behavior change techniques that occur frequently in interventions reflect underlying theory ? Ann Behav Med 2020 54(11):827–842.
  • des Bordes J, Prasad S, Pratt G, Suarez-Almazor ME, Lopez-Olivo MA. Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies. PLoS One 2020;15(1):827-842.
  • Rinonapoli G, Ruggiero C, Meccariello L, Bisaccia M, Ceccarini P, Caraffa A. Osteoporosis in men: A review of an underestimated bone condition. Int J Mol Sci 2021;22(4):2105.
  • Sava M, Tseng LY, Valderrama M, Mabey D, García PJ, Hsieh E. Osteoporosis knowledge and health beliefs among female community leaders in Peru. Women’s Heal Reports 2020;1(1):47–54.
  • Pinar G, Kaplan S, Pinar T, Akalin A, Abay H, Akyol M, Sezer N, Akkuş S, Sarıyıldız S, Dinç S. The prevalence and risk factors for osteoporosis among 18 – to 49-year-old Turkish women. Women Heal 2017;57(9):1080–1097.
  • Kastner M, Perrier L, Munce SEP, Adhihetty CC, Lau A, Hamid J, Treister V, Chan J, Lai Y, Straus SE. Complex interventions can increase osteoporosis investigations and treatment: a systematic review and meta-analysis. Osteoporos Int 2018;29(1):5–17.
  • Martin J, Viprey M, Castagne B, Merle B, Giroudon C, Chapurlat R, Schoot AM. Interventions to improve osteoporosis care: a systematic review and meta-analysis Osteoporosis Int 2020;31(3):429–446.
  • Weaver CM, Gordon CM, Janz KF, Kalkwarf HJ, Lappe JM, Lewis R, Karma O, Wallace TC, Zemel BS. The National Osteoporosis Foundation’s position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations. Osteoporos Int 2016;27(4):1281–1386.
  • Shojaa M, von Stengel S, Kohl M, Schoene D, Kemmler W. Effects of dynamic resistance exercise on bone mineral density in postmenopausal women: a systematic review and meta-analysis with special emphasis on exercise parameters. Osteoporosis Int 2020;31(8):1427–1444.

Interventions Preventing Osteoporosis in Primary Care: A Systematic Review

Year 2022, Volume: 12 Issue: 3, 772 - 782, 28.09.2022
https://doi.org/10.33808/clinexphealthsci.1019617

Abstract

Objective: The aim of this study was to conduct a systematic review to find interventions in primary health care that would increase osteoporosis prevention behaviors.
Methods: Systematic searches of CINAHL, Eric, Medline complete, PsycInfo, Ovid, Web of Science, Cochrane Library (N=1270). A total of 17 published articles met our inclusion criteria. English-language articles published between January 2000-May 2019, in primary care settings, participants with healthy or risk of osteoporosis, investigated osteoporosis preventing behaviors. The data extracted included population characteristics, diagnosis, mean age and setting, intervention and control groups, and outcomes of significance to the review question and specific objectives. In this review, a meta-analysis could not be performed due to the heterogeneity of the data.
Results: The majority of studies have been found to use multiple strategies to prevent osteoporosis. Eight studies focused only on the female gender and seven studies focused only on older adults. Compared to the control groups, it was found that the participants’ osteoporosis knowledge increased significantly (p<0.01) with four interventions including prevention and self-management courses, counseling session, group discussion, various exercises, educational booklets, and motivational messages. Studies that assessed outcomes found that osteoporosis knowledge, calcium and vitamin D intake, bone mineral density, exercise, factors underlying behavior, quality of life, risk management, respectively.
Conclusion: Using educational interventions can improve osteoporosis knowledge, calcium-vitamin D intake, and bone mineral density among healthy or at-risk populations about osteoporosis in primary care. Behavior change provide also health promotion. Handling an individual’s health beliefs, attitudes, and self-efficacy can facilitate behavior change.

References

  • NIH consensus development panel on osteoporosis prevention, diagnosis and therapy. JAMA 2001;285(6):785–95.
  • Kanis JA, Melton LJ 3rd, Christiansen C, Johnston CC, Khaltaev N. The diagnosis of osteoporosis. J Bone Miner Res 1994;9(8):1137–1141.
  • Consensus development conference: diagnosis, prophylaxis, and treatment of osteoporosis. Am J Med 1993;94(6):646–650.
  • Tuzun S, Eskiyurt N, Akarirmak U, Saridogan M, Senocak M, Johansson H, Kanis JA. Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int 2012;23(3):949–955.
  • Keskin Y, Çekin MD, Gündüz H, Lüleci NE, Giray E, Sur H, Akyüz G. The prevalence of osteoporosis in the thrace region of Turkey: A community-based study. Turk J Phys Med Rehabil 2014;60(4):335–340.
  • Kucukler FK, Simsek Y, Turk AÇ, Arduc A, Guler S. Osteoporosis and silent vertebral fractures in nursing home resident elderly men in Turkey. J Clin Densitom 2017; 20(2):188–195.
  • Clynes MA, Harvey NC, Curtis EM, Fuggle NR, Dennison EM, Cooper C. The epidemiology of osteoporosis. Br Med Bull 2020;133(1):105–117.
  • NOF. Learn What Osteoporosis Is and What It’s Caused by. National Osteoporosis Foundation 2018 May. Available from URL: https://www.nof.org/patients/what-is-osteoporosis/
  • Hernlund E, Svedbom A, Ivergård M, Compston J, Cooper C, Stenmark J, McCloskey EV, Jönsson B, Kanis JA. Osteoporosis in the European Union: medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos 2013;8(1):136.
  • Babatunde OT, Himburg SP, Newman FL, Campa A, Dixon Z. Theory-driven intervention improves calcium intake, osteoporosis knowledge, and self-efficacy in community-dwelling older Black adults. J Nutr Educ Behav 2011;43(6):434–440.
  • Law A V., Shapiro K. Impact of a community pharmacist directed clinic in improving screening and awareness of osteoporosis. J Eval Clin Pract 2005;11(3):247–255.
  • Piaseu N, Belza B, Mitchell P. Testing the effectiveness of an osteoporosis educational program for nursing students in Thailand. Arthritis Care Res 2001;45(3):246–251.
  • Dontas IA, Yiannakopoulos CK. Risk factors and prevention of osteoporosis-related fractures. J Musculoskelet Neuronal Interact 2007;7(3):268–272.
  • Pouresmaeili F, Kamalidehghan B, Kamarehei M, Goh YM.A comprehensive overview on osteoporosis and its risk factors. Ther Clin Risk Manag 2018;6(14):2029–2049.
  • Leboime A, Confavreux CB, Mehsen N, Paccou J, David C, Roux C. Osteoporosis and mortality. Jt bone spine 2010;77 (2):107-112.
  • Pai M V. Osteoporosis prevention and management. J Obstet Gynecol India 2017;67(4):237–242.
  • Blalock SJ, DeVellis BM, Patterson CC, Campbell MK, Orenstein DR, Dooley MA. Effects of an osteoporosis prevention program incorporating tailored educational materials. Am J Health Promot 2002;16(3):146–156.
  • Ciaschini PM, Straus SE, Dolovich LR, Goeree RA, Leung KM, Woods CR, Zimmerman GM, Majumdar SR, Spadafora S, Fera LA, Lee HN. Community based intervention to optimize osteoporosis management: Randomized controlled trial. BMC Geriatr 2010;10(1):60.
  • Duckham RL, Masud T, Taylor R, Kendrick D, Carpenter H, Iliffe S, Morris R, Gage H, Skelton DA, Dinan-Young S, Brooke-Wavell K. Randomised controlled trial of the effectiveness of community group and home-based falls prevention exercise programmes on bone health in older people: The ProAct65+ bone study. Age Ageing 2015;44(4):573–579.
  • Cameron ID, Kurrle S, Quine S, Sambrook P, March L, Chan D, Stocks J, Lockwood K, Cook B, Schaafsma. Increasing adherence with the use of hip protectors for older people living in the community. Osteoporos Int 2011;22(2):617–626.
  • Birks YF, Porthouse J, Addie C, Loughney K, Saxon L, Baverstock M, Francis RM, Reid DM, Watt I, Torgerson DJ, Primary Care Hip Protector Trial Group. Randomized controlled trial of hip protectors among women living in the community. Osteoporos Int 2004;15(9):701–706.
  • Tufanaru C, Munn Z, Aromataris E, Campbell J, Hopp L. Systematic Reviews of Effectiveness. In: JBI Manual for Evidence Synthesis. JBI 2020.
  • Moher D, Liberati A, Tetzlaff J, Altman DG, The Prisma Group. Preferred reporting ıtems for systematic reviews and meta-analyses: The PRISMA statement. Ann Intern Med 2009;151(4):264-269.
  • Woo J, Hong A, Lau E, Lynn H. A randomised controlled trial of Tai Chi and resistance exercise on bone health, muscle strength and balance in community-living elderly people. Age Ageing 2007;36(3):262–268.
  • Kukuljan S, Nowson CA, Sanders KM, Nicholson GC, Seibel MJ, Salmon J, Daly RM. Independent and combined effects of calcium-vitamin d3 and exercise on bone structure and strength in older men: An 18-month factorial design randomized controlled trial. J Clin Endocrinol Metab 2011;96(4):955–963.
  • Yuksel N, Majumdar SR, Biggs C, Tsuyuki RT. Community pharmacist-initiated screening program for osteoporosis: Randomized controlled trial. Osteoporos Int 2010;21(3):391–8.
  • Francis KL, Matthews BL, Van Mechelen W, Bennell KL, Osborne RH. Effectiveness of a community-based osteoporosis education and self-management course: A wait list controlled trial. Osteoporos Int 2009;20(9):1563–1570.
  • Kalkım A, Dağhan Ş. Theory-based osteoporosis prevention education and counseling program for women: A randomized controlled trial. Asian Nurs Res 2017;11(2):119–127.
  • Levy BT, Hartz A, Woodworth G, Xu Y, Sinift S. Interventions to improving osteoporosis screening: An Iowa Research Network (IRENE) study. J Am Board Fam Med 2009;22(4):360–367.
  • Cleghorn D, O’Loughlin PD, Schroeder BJ, Nordin BE. An open, crossover trial of calcium-fortified milk in prevention of early postmenopausal bone loss. Med J Aus 2001;175(5):242–245.
  • Hien VTT, Khan NC, Mai LB, Lam NT, Phuong TM, Nhung BT, Nhien NV, Nakamori M, Yamamoto S. Effect of community based nutrition education intervention on calcium intake and bone mass in postmenopausal Vietnamese women. Public Health Nutr 2009;12(5):674–679.
  • Kloseck M, Fitzsimmons DA, Speechley M, Savundranayagam MY, Crilly RG. Improving the diagnosis and treatment of osteoporosis using a senior-friendly peer-led community education and mentoring model: A randomized controlled trial. Clin Interv Aging 2017;12: 823–833.
  • Plawecki K, Chapman-Novakofski K. Effectiveness of community intervention in improving bone health behaviors in older adults. J Nutr Gerontol Geriatr 2013;32(2): 145–160.
  • Bohlen LC, Michie S, Bruin M De, Rothman AJ, Kelly MP, Groarke HNK, Carey RN, Hale J, Johnston M. Do combinations of behavior change techniques that occur frequently in interventions reflect underlying theory ? Ann Behav Med 2020 54(11):827–842.
  • des Bordes J, Prasad S, Pratt G, Suarez-Almazor ME, Lopez-Olivo MA. Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies. PLoS One 2020;15(1):827-842.
  • Rinonapoli G, Ruggiero C, Meccariello L, Bisaccia M, Ceccarini P, Caraffa A. Osteoporosis in men: A review of an underestimated bone condition. Int J Mol Sci 2021;22(4):2105.
  • Sava M, Tseng LY, Valderrama M, Mabey D, García PJ, Hsieh E. Osteoporosis knowledge and health beliefs among female community leaders in Peru. Women’s Heal Reports 2020;1(1):47–54.
  • Pinar G, Kaplan S, Pinar T, Akalin A, Abay H, Akyol M, Sezer N, Akkuş S, Sarıyıldız S, Dinç S. The prevalence and risk factors for osteoporosis among 18 – to 49-year-old Turkish women. Women Heal 2017;57(9):1080–1097.
  • Kastner M, Perrier L, Munce SEP, Adhihetty CC, Lau A, Hamid J, Treister V, Chan J, Lai Y, Straus SE. Complex interventions can increase osteoporosis investigations and treatment: a systematic review and meta-analysis. Osteoporos Int 2018;29(1):5–17.
  • Martin J, Viprey M, Castagne B, Merle B, Giroudon C, Chapurlat R, Schoot AM. Interventions to improve osteoporosis care: a systematic review and meta-analysis Osteoporosis Int 2020;31(3):429–446.
  • Weaver CM, Gordon CM, Janz KF, Kalkwarf HJ, Lappe JM, Lewis R, Karma O, Wallace TC, Zemel BS. The National Osteoporosis Foundation’s position statement on peak bone mass development and lifestyle factors: a systematic review and implementation recommendations. Osteoporos Int 2016;27(4):1281–1386.
  • Shojaa M, von Stengel S, Kohl M, Schoene D, Kemmler W. Effects of dynamic resistance exercise on bone mineral density in postmenopausal women: a systematic review and meta-analysis with special emphasis on exercise parameters. Osteoporosis Int 2020;31(8):1427–1444.
There are 42 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Review
Authors

Selma Baz 0000-0001-5315-7413

Aynur Uysal Toraman 0000-0001-8176-4042

Publication Date September 28, 2022
Submission Date November 5, 2021
Published in Issue Year 2022 Volume: 12 Issue: 3

Cite

APA Baz, S., & Uysal Toraman, A. (2022). Interventions Preventing Osteoporosis in Primary Care: A Systematic Review. Clinical and Experimental Health Sciences, 12(3), 772-782. https://doi.org/10.33808/clinexphealthsci.1019617
AMA Baz S, Uysal Toraman A. Interventions Preventing Osteoporosis in Primary Care: A Systematic Review. Clinical and Experimental Health Sciences. September 2022;12(3):772-782. doi:10.33808/clinexphealthsci.1019617
Chicago Baz, Selma, and Aynur Uysal Toraman. “Interventions Preventing Osteoporosis in Primary Care: A Systematic Review”. Clinical and Experimental Health Sciences 12, no. 3 (September 2022): 772-82. https://doi.org/10.33808/clinexphealthsci.1019617.
EndNote Baz S, Uysal Toraman A (September 1, 2022) Interventions Preventing Osteoporosis in Primary Care: A Systematic Review. Clinical and Experimental Health Sciences 12 3 772–782.
IEEE S. Baz and A. Uysal Toraman, “Interventions Preventing Osteoporosis in Primary Care: A Systematic Review”, Clinical and Experimental Health Sciences, vol. 12, no. 3, pp. 772–782, 2022, doi: 10.33808/clinexphealthsci.1019617.
ISNAD Baz, Selma - Uysal Toraman, Aynur. “Interventions Preventing Osteoporosis in Primary Care: A Systematic Review”. Clinical and Experimental Health Sciences 12/3 (September 2022), 772-782. https://doi.org/10.33808/clinexphealthsci.1019617.
JAMA Baz S, Uysal Toraman A. Interventions Preventing Osteoporosis in Primary Care: A Systematic Review. Clinical and Experimental Health Sciences. 2022;12:772–782.
MLA Baz, Selma and Aynur Uysal Toraman. “Interventions Preventing Osteoporosis in Primary Care: A Systematic Review”. Clinical and Experimental Health Sciences, vol. 12, no. 3, 2022, pp. 772-8, doi:10.33808/clinexphealthsci.1019617.
Vancouver Baz S, Uysal Toraman A. Interventions Preventing Osteoporosis in Primary Care: A Systematic Review. Clinical and Experimental Health Sciences. 2022;12(3):772-8.

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