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Asia-Pacific Journal of Public Health
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1010539508317130v1
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Article

Risk Factors for Fragility Fracture in Seremban District, Malaysia: A Comparison of Patients With Fragility Fracture in the Orthopedic Ward Versus Those in the Outpatient Department

Keng Yin Loh, MD, MMed*, King Hock Shong, MBBS, MCH Ortho, Soo Nie Lan, Wan-Yi Lo, and Shu Yuen Woon

* To whom correspondence should be addressed. E-mail: kengyin_loh{at}imu.edu.my.


  Abstract
Osteoporosis is a silent disease and becomes clinically significant in the presence of fragility fracture. Identifying risk factors that are associated with osteoporosis in the community is important in reducing the incidence of fragility fracture. The aim of this study is to identify risk factors associated with fragility fracture in the Seremban District of Malaysia. This is a population comparison study between orthopedic ward patients and outpatients attending a community health clinic for 6 months. Epidemiological data and the possible risk factors for osteoporosis were collected by direct interview. This study demonstrates that advancing age, low body weight, smoking, lack of regular exercise, low consumption of calcium containing foods, and using bone depleting drugs (steroids, thyroid hormone, and frusemides) are major risk factors for fragility fracture. Most of these risk factors are modifiable through effective lifestyle intervention.

First published on May 28, 2008, doi:10.1177/1010539508317130

Asia-Pacific Journal of Public Health 2008;20:251.

A more recent version of this article appeared on July 1, 2008

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