Ações de prevenção primária e secundária relacionadas aos fatores de risco para osteoporose

Giulia Ohana Franco,Giulia Sestini, Gabriel Antonio Cabriott Dumbra, Mariana Storino Conte,Felipe Colombelli Pacca, Daniela Vichiato Polizelli Roma,Patrícia da Silva Fucuta,Tamara Veiga Faria

Revista Brasileira em Promoção da Saúde(2020)

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摘要
Objective: To analyze the effectiveness of the International Osteoporosis Foundation (IOF) test for primary and secondary prevention related to risk factors for osteoporosis. Methods: This is a cross-sectional study conducted in the interior of Sao Paulo, Brazil, during the Osteoporosis Prevention Campaign carried out in October 2016. 400 people, selected at random, interviewed according to the IOF one-minute osteoporosis risk test, participated. Statistical analysis used the Kolmogorov-Smirnov test, Pearson's chi-square test, Mann-Whitney, and multivariate analysis for risk factors associated with osteoporosis using the binary logistic regression model. The results were presented in odds ratios, with a 95% confidence interval. Results: The sample consisted of 260 women and 140 men, with a median of 57 years, and 95% indicated having some risk factor. The questions with the highest positivity index indicated that both sexes are exposed to low exposure to the sun, low intake of foods rich in vitamin D (p=0.140), and the habit of physical activities for less than 30 min (p=0.657 ). The body mass index (BMI) less than 19 kg/m2 (p=0.336) indicated less positivity. Logistic regression showed an association between four risk factors (bone densitometry, fall due to weakness, change in height after 40 years and sex) and the study population over 60 years. Conclusion: The IOF test proved to be a functional tool in promoting health and primary care, and can bring socioeconomic benefits.
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关键词
prevenção primária,prevenção secundária,fatores de risco,osteoporose,saúde pública
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