Bone health status of postmenopausal Chinese XXXX .

@entity1 @entity170 @entity173 @entity2331 @entity460
OBJECTIVES: To evaluate the prevalence of @entity170 in treatment-na  ve postmenopausal @entity1 , their treatment adherence, and the risk factors for @entity170 . DESIGN: Cross-sectional study of bone density reports, a self-administered health checklist, and computerised consultation records. SETTING: Primary care sexual and reproductive health service in Hong Kong. @entity1 : Postmenopausal Chinese @entity1 who had never received @entity170 treatment or hormone replacement therapy. INTERVENTION: Each @entity1 completed a checklist of risk factors for @entity170 , menopause age, history of hormone replacement therapy, and @entity170 treatment prior to undergoing bone mineral density measurement at the postero-anterior lumbar spine and left femur. The consultation records of those with @entity170 were reviewed to determine their treatment adherence. MAIN OUTCOME MEASURES: T-score at the spine and hip, presence or absence of risk factors for @entity170 , and treatment adherence. RESULTS: Between January 2008 and December 2011, 1507 densitometries were performed for eligible @entity1 ; 51.6% of whom were diagnosed with @entity2331 and 25.7% with @entity170 . The mean age of @entity1 with normal bone mineral density, @entity2331 , and @entity170 was 57.0, 58.0, and 59.7 years, respectively. Approximately half of them had an inadequate dietary @entity460 intake, performed insufficient weight-bearing exercise, or had too little sun exposure. Logistic regression analysis revealed that age, body mass index of <18.5 kg/m(2), parental history of @entity170 or @entity173 , and duration of menopause were significant risk factors for @entity170 . Among those with @entity170 , 42.9% refused treatment, 30.7% complied with treatment, and 26.3% discontinued treatment or defaulted from follow-up. Those who refused treatment were significantly older. CONCLUSIONS: @entity170 is prevalent in postmenopausal @entity1 . Only 50% adopted primary prevention strategies. Almost 70% refused treatment or stopped prematurely.
