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Undergrad Research Conf.

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  • Consequences of hip fractures:
    24% will die from complications
    20% admitted to nursing home
  • Transcript

    • 1. Osteoporosis Related BehaviorsOsteoporosis Related Behaviors Among Middle-Aged WomenAmong Middle-Aged Women Two Years Following anTwo Years Following an InterventionIntervention Chelsea A. HewittChelsea A. Hewitt Department of Health ScienceDepartment of Health Science
    • 2. AbstractAbstract  The purpose of this study was to examine osteoporosisThe purpose of this study was to examine osteoporosis behaviors of middle-aged women after two years frombehaviors of middle-aged women after two years from intervention participation. The group studied (n=30) hadintervention participation. The group studied (n=30) had bone density readings in the low normal range. The womenbone density readings in the low normal range. The women were first screened for osteoporosis, then they were offeredwere first screened for osteoporosis, then they were offered educational classes, and last they were sent a survey twoeducational classes, and last they were sent a survey two years later to follow-up on behavior changes. The results ofyears later to follow-up on behavior changes. The results of the survey confirmed that the women’s alcohol and caffeinethe survey confirmed that the women’s alcohol and caffeine intake did not exceed recommendations; they met dairyintake did not exceed recommendations; they met dairy intake recommendations; most of the women with low dairyintake recommendations; most of the women with low dairy intake consumed calcium supplements, and over half of theintake consumed calcium supplements, and over half of the women consumed a multivitamin.women consumed a multivitamin.
    • 3. OsteoporosisOsteoporosis  Is fragile bone diseaseIs fragile bone disease  Is skeletal failureIs skeletal failure  Is the “silent thief”Is the “silent thief”  Causes 1.5 million fractures/yrCauses 1.5 million fractures/yr  Affects more than 20 million US womenAffects more than 20 million US women  1 in 2 women and 1 in 8 men over age 501 in 2 women and 1 in 8 men over age 50 will suffer an osteoporotic fracture.will suffer an osteoporotic fracture.  Results in excessive morbidity, crippling,Results in excessive morbidity, crippling, disfigurement, suffering and dependencydisfigurement, suffering and dependency  Costs $17 billion/yearCosts $17 billion/year
    • 4. Every 20 seconds osteoporosis causesEvery 20 seconds osteoporosis causes a fracture.a fracture. 71% of people with osteoporosis are71% of people with osteoporosis are undiagnosed.undiagnosed.
    • 5. PurposePurpose To examine osteoporosis-related behaviorsTo examine osteoporosis-related behaviors of middle-aged women two years afterof middle-aged women two years after participation in an osteoporosisparticipation in an osteoporosis education program.education program.
    • 6. MethodsMethods  Participants (n=30)Participants (n=30)  Participated in a theory-Participated in a theory- based osteoporosisbased osteoporosis prevention programprevention program  Surveys to assessSurveys to assess knowledge, attitudes andknowledge, attitudes and behaviors werebehaviors were administered following theadministered following the program and at follow upprogram and at follow up two years later.two years later.
    • 7. MethodsMethods  To assess behaviors, theTo assess behaviors, the OsteoporosisOsteoporosis Preventing Behaviors SurveyPreventing Behaviors Survey developed by Doheny and Sedlak wasdeveloped by Doheny and Sedlak was administered.administered.
    • 8. Theory-BasedTheory-Based Osteoporosis PreventionOsteoporosis Prevention ProgramProgram E ducational C lasses Screening Individual C onsultation and R eferral P rogram C om ponents
    • 9. MethodsMethods  Design: Cross sectionalDesign: Cross sectional  Two years following an intervention,Two years following an intervention, osteoporosis-related behaviors wereosteoporosis-related behaviors were examined.examined.  The selected women had bone densityThe selected women had bone density readings in the low normal range (t-readings in the low normal range (t- scores=-0.09 to 0.0)scores=-0.09 to 0.0)
    • 10. Behavior scores at 2 year follow upBehavior scores at 2 year follow up BehaviorBehavior Mean valueMean value Carbonated BeveragesCarbonated Beverages .33 drinks/week.33 drinks/week CoffeeCoffee 1.3 drinks/week1.3 drinks/week Dairy Intake TotalDairy Intake Total 12.9 products/week12.9 products/week SmokingSmoking 00 LiquorLiquor .23 drinks/week.23 drinks/week WineWine 2.4 drinks/week2.4 drinks/week BeerBeer .76 drinks/week.76 drinks/week Hormone ReplacementHormone Replacement .2.2 Calcium SupplementsCalcium Supplements .7.7 Multiple VitaminMultiple Vitamin .6.6 Calcium TTM stageCalcium TTM stage 44 Weight Bearing TTMWeight Bearing TTM 3.73.7
    • 11. Moderation = 1 drink or less a day for healthy women. Source USDA
    • 12. Dairy recommendations = 3 servings/day Source USDA Caffeine intake did not exceeded daily recommendations
    • 13. No women were taking Fosamax
    • 14. 1-No, and I do not intend to in the next 6 months. 2-No, but I intend to in the next 6 months. 3-No, but I intend to in the next 30 days. 4-Yes, I have been, but for less than 6 months. 5-Yes, I have been for more than 6 months.
    • 15. Do you get 1200-1500 mg of calcium everyday through some combination of food and calcium supplements? 1-No, and I do not intend to in the next 6 months. 2-No, but I intend to in the next 6 months. 3-No, but I intend to in the next 30 days. 4-Yes, I have been, but for less than 6 months. 5-Yes, I have been for more than 6 months.
    • 16. ConclusionsConclusions  The women of the study consumed adequateThe women of the study consumed adequate amounts of calcium, whether it be through dairyamounts of calcium, whether it be through dairy consumption or supplements.consumption or supplements.  Caffeine and alcohol intake did not exceededCaffeine and alcohol intake did not exceeded daily recommendations.daily recommendations.  Majority of the participants have been engagingMajority of the participants have been engaging in weight bearing exercise for more than 6in weight bearing exercise for more than 6 months.months.  Majority of the participants have beenMajority of the participants have been consuming the recommended 1200-1500 mg ofconsuming the recommended 1200-1500 mg of calcium for more than 6 months.calcium for more than 6 months.
    • 17. ConclusionConclusion Theory-based educational interventions mayTheory-based educational interventions may be effective in assisting women to practicebe effective in assisting women to practice osteoprotective lifestyle behaviors both inosteoprotective lifestyle behaviors both in the short and long term.the short and long term.

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