The impact of the presence of risk factors for fragility fractures in people with osteoporosis

Abstract

Osteoporosis is an important clinical problem due to the increased bone fragility that predisposes to fractures. The objective of this study was to analyse the implication of risks factors for fragility fractures in people with osteoporosis and the differences between people with osteoporosis without fragility fractures and those with fragility fractures. MATERIAL AND METHODS: We conducted a retrospective study of people diagnosed with osteoporosis. Two groups were formed: one that included people diagnosed with osteoporosis who had fragility fractures that required surgery and one that included people diagnosed with osteoporosis who did not have fractures at the time of inclusion. We compare the two groups in order to differentiate the significance of risk factors for fractures associated osteoporosis. RESULTS: The gender distribution of the two groups highlights the predominance of females, and the average age was 79.8 years with a tendency to distribute osteoporosis to old age; all women in both groups were menopausal; the sedentary lifestyle and reduced physical activity were seen in both groups; 77% of those included in the study showed functional impotence; frequent falls, which predispose to fragility fractures, is noted in the case group at 41 of the 59 included in the study compared to 8 in the control group; the presence of hypertension was noted in 43 people in the case group and 40 in the control group, respectively, while the presence of diabetes and stroke have no statistical significance in this study. CONCLUSIONS: Women and old age are prone to osteoporosis. The presence of menopause and a sedentary lifestyle predispose to functional impotence. In terms of risk factors, falls prevention, screening for hypertension requires careful management of medication that influences bone mineral density.