Post Menopausal Osteoporosis in Egypt
Current Status
Osteoporosis
Our Patients
18000 Egyptian
Postmenopausal ladies
11096Rural
6904Urban
CAIROMeet HalfaEl Ahraz
Shebin El Kom Kom Berra.El bagour.
MansouraTalkhaBerken
Beni SwiefSedsEl Fashn
El MenyaMaghaghaBayaho
Parameters investigated
• Body: Height & weight
• Family income.
• Level of education.
• Physical exercise.
• Smoking.
• BMD.
• Fractures.
They were all
•Age 60-80 years
•Ambulatory
•Signed an informed Consent
•At least 5 years postmenopausal
•Risk Factor Assessment…Through a structured Questionnaire during the
participant interview
•Education
•Weight at 25 years
•Fractures since 50 years old
•Physical activity
•Socioeconomic Classification
Osteoporosis of the Lumbar Spine
T-score -4
Osteoporosis of the Femur Neck
T-score -2.7
Assessment of Fractures
•Radiologically performed
ResultsResults
The mean age and age at menopause and their distribution
AgeValueMean age (years)66.1 ± 4.6 years
Age at menopause50.8 ± 0.87
Age < 65 years678637.3%
Age > 65 years1121462.3%
The percentage of level of education
Level of educationNo.(%)
Less than a preparatory school including Illiterates(%)
1252869.6
High-school (Preparatory-Secondary) graduate(%) 310517.25
University Graduates(%) 236713.15
69.60%
17.25% 13.15%
0.00%
20.00%
40.00%
60.00%
80.00%
Less than a preparatory school including Illiterates (%)
High-school (Preparatory-Secondary) graduate (%)
University Graduates (%)
The Incidence & Distribution Of Monthly Income
Monthly incomeEgyptian pound
Freq.%
100-300 LE500427.8%
300-500 LE1137662.3%
500-1000 LE12156.75%
>1000 LE5673.15%
27.80%
62.30%
6.75%3.15%
0.00%
20.00%
40.00%
60.00%
80.00%
Monthly Income
100-300 LE 300-500 LE 500-1000 LE >1000 LE
The mean height and weight
Mean ± SD
Weight (Kg)73.53 ±
3.68
Height (Cm)154.6 ± 5.8
Average weight gain since age of 25 years
21.95 ± 5.8
Average height at age of 25 (cm)
157.5 ± 1.14
73.53
154.6
21.95
157.5
-10
10
30
50
70
90
110
130
150
170
Mean
Weight (Kg)Height (Cm)
Average weight gain since age of 25 years Average height at age of 25 (cm)
Repartition of the Participants (total 18000) according to their BMD status
NormalOsteopenicOsteoporotic
%%%
Femoral Neck
277215.4%966653.7%556230.9%
Lumbar Spine
712839.6%689438.3%397822.1%
Both Sites10896.05%1117862.1%572431.8%
309
1073
618
793765
442
121
1243
636
0
200
400
600
800
1000
1200
1400
Femoral Neck Lumbar Spine Both Sites
Normal Osteopenia Osteoporosis
The prevalence of vertebral fractures at baseline
NormalOsteopenicOsteoporoticAll
No.%No.%No.%No.%
1-3 fracture908.26%6305.63%113419.8%185410.3%
<3 fractures90.82%450.402%2524.4%3061.7%
All Fractures999.09%6756.03%138624.2%216012%
Total number108911187277215048
10
70
126
15
28
11
75
154
0
20
40
60
80
100
120
140
160
1-3 fractures > 3 fractures
Normal Osteopenic Osteoporotic
Distribution of Smoking History in urban and rural populations
UrbanRuralTotalχ2p
Smoking
Current198234432
0.010.996 Previous360441801
Negative7578919816761
Total8136986418000
Distribution of smoking status and BMD among Urban and Rural populations
Smoking NormalOsteopeniaOsteoporosisχ2P
CurrentUrban907236
0.0490.98Rural728136
PreviousUrban10817181
0.0540.975Rural126207108
NegativeUrban29748152223
00.998Rural36058412997
Distribution of monthly income in relation to BMD in urban and rural populations
IncomeNormalOsteopeniaOsteoporosisTotalχ2P
Urban
100-3009081913592268
397.1<0.001
300-50054398710265067
500-1000270162117549
<1000819081252
Total495505825838163
Rural
100-30010899016382736
476.8<0.001
300-50063483312516147
500-1000324198144666
<100099108108315
Total594612931419864
Distribution of monthly income in relation to BMD in urban and rural populations
Distribution of Exercise in urban and rural populations
UrbanRuralTotalχ2p
Exercise
Positive341141317542
00.957 Negative4725573310458
Total8136986418000