Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia
Objective: This study aimed to determine the prevalence of vertebral fractures (VF) in a selected urban population in Malaysia and to explore possible variables associated with VF in the study population. Methods: A cross-sectional study involving community-living, healthy subjects aged between 45–9...
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my.upm.eprints.961322023-02-21T04:52:01Z http://psasir.upm.edu.my/id/eprint/96132/ Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia Yeap, Swan Sim Thambiah, Subashini C. Suppiah, Subapriya Md Said, Salmiah Appannah, Geeta Samsudin, Intan Nureslyna Zainuddin, Nurunnaim Zahari Sham, Siti Yazmin Fen, Lee Hew Objective: This study aimed to determine the prevalence of vertebral fractures (VF) in a selected urban population in Malaysia and to explore possible variables associated with VF in the study population. Methods: A cross-sectional study involving community-living, healthy subjects aged between 45–90 years from the state of Selangor, Malaysia, were invited to attend a bone health check-up. Subjects with diseases known to affect bone metabolism or were on treatment for osteoporosis (OP) were excluded. Bone mineral density (BMD) was measured using dual energy X-ray absorptiometry (DXA). Lateral and antero-posterior view lumbar spine x-rays were performed and VF was determined by the semi-quantitative Genant method. Results: A total of 386 subjects were studied. Asymptomatic morphometric VF were found in 44 (11.4%) subjects. T12 was the most common vertebrae to be fractured. The prevalence of VF was significantly higher in menopausal women (12.4%) compared to non-menopausal women, in those above the age of 60 (18.5%), in those of Chinese ethnicity (16.5%), in those with a low body fat percentage (17.1%) and among those with OP (27.0%). The mean (standard deviation) 25-hydroxyvitamin D [25(OH)D] levels were significantly higher in those with VF compared to those without VF, 67.64 (23.50) and 57.47 (21.71) nmol/L, respectively. However, after multiple regression analysis, age over 60 years and OP on DXA BMD measurement were the only significant associated factors for VF. Conclusion: Overall, 11.4% of a selected Malaysian urban population had asymptomatic morphometric VF. Age over 60 years and OP on DXA BMD measurement, but not 25(OH)D levels, were associated with VF. Public Library of Science 2021 Article PeerReviewed Yeap, Swan Sim and Thambiah, Subashini C. and Suppiah, Subapriya and Md Said, Salmiah and Appannah, Geeta and Samsudin, Intan Nureslyna and Zainuddin, Nurunnaim and Zahari Sham, Siti Yazmin and Fen, Lee Hew (2021) Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia. PLoS One, 16 (7). art. no. 0255069. pp. 1-13. ISSN 1932-6203 https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0255069 10.1371/journal.pone.0255069 |
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Objective: This study aimed to determine the prevalence of vertebral fractures (VF) in a selected urban population in Malaysia and to explore possible variables associated with VF in the study population. Methods: A cross-sectional study involving community-living, healthy subjects aged between 45–90 years from the state of Selangor, Malaysia, were invited to attend a bone health check-up. Subjects with diseases known to affect bone metabolism or were on treatment for osteoporosis (OP) were excluded. Bone mineral density (BMD) was measured using dual energy X-ray absorptiometry (DXA). Lateral and antero-posterior view lumbar spine x-rays were performed and VF was determined by the semi-quantitative Genant method. Results: A total of 386 subjects were studied. Asymptomatic morphometric VF were found in 44 (11.4%) subjects. T12 was the most common vertebrae to be fractured. The prevalence of VF was significantly higher in menopausal women (12.4%) compared to non-menopausal women, in those above the age of 60 (18.5%), in those of Chinese ethnicity (16.5%), in those with a low body fat percentage (17.1%) and among those with OP (27.0%). The mean (standard deviation) 25-hydroxyvitamin D [25(OH)D] levels were significantly higher in those with VF compared to those without VF, 67.64 (23.50) and 57.47 (21.71) nmol/L, respectively. However, after multiple regression analysis, age over 60 years and OP on DXA BMD measurement were the only significant associated factors for VF. Conclusion: Overall, 11.4% of a selected Malaysian urban population had asymptomatic morphometric VF. Age over 60 years and OP on DXA BMD measurement, but not 25(OH)D levels, were associated with VF. |
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Yeap, Swan Sim Thambiah, Subashini C. Suppiah, Subapriya Md Said, Salmiah Appannah, Geeta Samsudin, Intan Nureslyna Zainuddin, Nurunnaim Zahari Sham, Siti Yazmin Fen, Lee Hew |
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Yeap, Swan Sim Thambiah, Subashini C. Suppiah, Subapriya Md Said, Salmiah Appannah, Geeta Samsudin, Intan Nureslyna Zainuddin, Nurunnaim Zahari Sham, Siti Yazmin Fen, Lee Hew Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia |
author_facet |
Yeap, Swan Sim Thambiah, Subashini C. Suppiah, Subapriya Md Said, Salmiah Appannah, Geeta Samsudin, Intan Nureslyna Zainuddin, Nurunnaim Zahari Sham, Siti Yazmin Fen, Lee Hew |
author_sort |
Yeap, Swan Sim |
title |
Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia |
title_short |
Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia |
title_full |
Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia |
title_fullStr |
Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia |
title_full_unstemmed |
Asymptomatic morphometric vertebral fractures and its associated factors: A cross-sectional study among adults in a selected urban area in Selangor, Malaysia |
title_sort |
asymptomatic morphometric vertebral fractures and its associated factors: a cross-sectional study among adults in a selected urban area in selangor, malaysia |
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Public Library of Science |
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2021 |
url |
http://psasir.upm.edu.my/id/eprint/96132/ https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0255069 |
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13.159267 |