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Asia-Pacific Journal of Public Health
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*Osteoporosis
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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

International Medical University, Malaysia, kengyin_loh{at}imu.edu.my

King Hock Shong, MBBS, Mch Ortho

International Medical University, Malaysia

Soo Nie Lan, MBBS

International Medical University, Malaysia

Wan-Yi Lo, MBBS

International Medical University, Malaysia

Shu Yuen Woon, MBBS

International Medical University, Malaysia

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.

Key Words: fragility fracture • osteoporosis • risk factor • community • prevention

This version was published on July 1, 2008

Asia-Pacific Journal of Public Health, Vol. 20, No. 3, 251-257 (2008)
DOI: 10.1177/1010539508317130
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