Skip to main content
Top
Published in: Asia Pacific Family Medicine 1/2017

Open Access 01-12-2017 | Research

Knowledge, beliefs and practices regarding osteoporosis among female medical school entrants in Pakistan

Authors: Muhammad Bilal, Abdul Haseeb, Aleena Zehra Merchant, Abdur Rehman, Mohammad Hussham Arshad, Maarij Malik, Asad Hammad Ur Rehman, Pallavi Rani, Emaan Farhan, Taha S. Rehman, Umer Sultan Shamsi, Sadia Aminah

Published in: Asia Pacific Family Medicine | Issue 1/2017

Login to get access

Abstract

Background

Osteoporosis is a growing health problem around the world. The increasing incidence of osteoporotic fractures coupled with the lack of knowledge about the disease in the general community means that the disease is continuously increasing the burden on health sector and the general population. The purpose of the study is to assess knowledge, attitudes and practices about osteoporosis among female medical school entrants in Karachi.

Methods

This is a descriptive cross-sectional study conducted amongst 400 female medical school entrants of DOW University of Health Sciences (DUHS) and Jinnah Sindh Medical University (JSMU). A pre validated questionnaire, Osteoporosis Knowledge Assessment Tool (OKAT), was distributed amongst the participants. A food frequency questionnaire was also distributed to determine calcium intake. Descriptive statistics and Chi square test were used to compare the two groups of students with SPSS (20.0) being utilized for analysis. A p value of <0.05 was considered as significant.

Results

The mean age of the participants was 19.4 ± 1.2 years. Only 8.0% of the participants had a good score pertaining to knowledge about osteoporosis whereas majority of the participants (49.0%) had a poor score. Perceived susceptibility was low as only 14.0% of the participants believed that they were at a high risk for osteoporosis. The RDA for calcium was equal to or greater than 700 mg per day which was met by only 29.0% of the participants despite of the high motivation towards consuming a calcium rich diet. Exercise levels were insufficient in terms of both, duration and the recommended type of exercise. Only 12.0% of the participants engaged in exercises according to the recommended guidelines. Moreover, only 5.5% subjects were involved in definitive behaviors to improve bone health.

Conclusions

Participants possessed an insufficient knowledge of the disease and that too was not adequately applied in preventative practices. There is a serious lack of adoption of preventative practices for osteoporosis. This was primarily due to little appreciation of the seriousness of osteoporosis. Hence, this study highlights the dire need for awareness about practices and attitudes related to the disease. Furthermore, it could be of paramount importance to future studies conducted on practices and beliefs related to osteoporosis.
Literature
1.
go back to reference Rafraf M, Bazyun B, Afsharnia F. Osteoporosis-related life habits and knowledge about osteoporosis among women in Tabriz, Iran. Int Med J. 2009;8:17–20. Rafraf M, Bazyun B, Afsharnia F. Osteoporosis-related life habits and knowledge about osteoporosis among women in Tabriz, Iran. Int Med J. 2009;8:17–20.
3.
go back to reference Spencer SJ. Lack of knowledge of osteoporosis: a multi-centre, observational study. Scott Med J. 2007;52:13–6.CrossRefPubMed Spencer SJ. Lack of knowledge of osteoporosis: a multi-centre, observational study. Scott Med J. 2007;52:13–6.CrossRefPubMed
4.
5.
go back to reference Ahmad MS. Review of the Risk Factor of Osteoporosis in the Malaysian Population. RUMes. 2014;3:77–82. Ahmad MS. Review of the Risk Factor of Osteoporosis in the Malaysian Population. RUMes. 2014;3:77–82.
6.
go back to reference American College of Sports Medicine. Position stand: physical activity and bone health. Med Sci Sports Exerc. 2004;11:1985–96. American College of Sports Medicine. Position stand: physical activity and bone health. Med Sci Sports Exerc. 2004;11:1985–96.
7.
go back to reference Borer K. Physical activity in the prevention and amelioration of osteoporosis in women: interaction of mechnical, hormonal and dietary factors. Sports Med. 2005;35:779–830.CrossRefPubMed Borer K. Physical activity in the prevention and amelioration of osteoporosis in women: interaction of mechnical, hormonal and dietary factors. Sports Med. 2005;35:779–830.CrossRefPubMed
8.
go back to reference Terrio K, Auld GN. Osteoporosis knowledge, calcium intake, and weight bearing physical activity in three age groups of women. J Community Health. 2002;27:307–20.CrossRefPubMed Terrio K, Auld GN. Osteoporosis knowledge, calcium intake, and weight bearing physical activity in three age groups of women. J Community Health. 2002;27:307–20.CrossRefPubMed
9.
go back to reference Liew YL, Mann D, Piterman L. Osteoporosis risks. A comparative study of Asian Australian and Caucasian Australian women. Aust Fam Phys. 2002;31:291–7. Liew YL, Mann D, Piterman L. Osteoporosis risks. A comparative study of Asian Australian and Caucasian Australian women. Aust Fam Phys. 2002;31:291–7.
10.
go back to reference Haq N, Tahir M, Iqbal Q, Naseem Q. Exploration of Osteoporosis Knowledge and Perception among Young Women in Quetta, Pakistan. J Osteopor Phys Act. 2015;3:145. doi:10.4172/2329-9509.1000145. Haq N, Tahir M, Iqbal Q, Naseem Q. Exploration of Osteoporosis Knowledge and Perception among Young Women in Quetta, Pakistan. J Osteopor Phys Act. 2015;3:145. doi:10.​4172/​2329-9509.​1000145.
12.
go back to reference Bailey DA, Faulker RA, McKay HA. Growth, physical activity, and bone mineral acquisition. In: Hollosky JO, editor. Exercise and sport sciences reviews. Baltimore: Williams and Wilkins; 1996. p. 233–66. Bailey DA, Faulker RA, McKay HA. Growth, physical activity, and bone mineral acquisition. In: Hollosky JO, editor. Exercise and sport sciences reviews. Baltimore: Williams and Wilkins; 1996. p. 233–66.
14.
go back to reference Winzenberg TM, Oldenburg B, Frendin S, Jones G. The design of a valid and reliable questionnaire to measure osteoporosis knowledge in women: the Osteoporosis Knowledge Assessment Tool (OKAT). BMC Musculoskelet Disord. 2003;4:17.CrossRefPubMedPubMedCentral Winzenberg TM, Oldenburg B, Frendin S, Jones G. The design of a valid and reliable questionnaire to measure osteoporosis knowledge in women: the Osteoporosis Knowledge Assessment Tool (OKAT). BMC Musculoskelet Disord. 2003;4:17.CrossRefPubMedPubMedCentral
15.
go back to reference Kim KK, Horan ML, Gendler P, Patel MK. Development and evaluation of the osteoporosis health belief scale. Res Nurs Health. 1991;14:155–63.CrossRefPubMed Kim KK, Horan ML, Gendler P, Patel MK. Development and evaluation of the osteoporosis health belief scale. Res Nurs Health. 1991;14:155–63.CrossRefPubMed
16.
go back to reference Andrea HT, Robertson TP, Sellmeyer DE. Validation of two food frequency questionnaires for dietary calcium assessment. J Am Diet Assoc. 2009;109:1237–40.CrossRefPubMedCentral Andrea HT, Robertson TP, Sellmeyer DE. Validation of two food frequency questionnaires for dietary calcium assessment. J Am Diet Assoc. 2009;109:1237–40.CrossRefPubMedCentral
17.
go back to reference Barba CV, Cabrera MIZ. Recommended dietary allowances harmonization in Southeast Asia. Asia Pac J Clin Nutr. 2008;17(S2):405–8.PubMed Barba CV, Cabrera MIZ. Recommended dietary allowances harmonization in Southeast Asia. Asia Pac J Clin Nutr. 2008;17(S2):405–8.PubMed
18.
go back to reference de Silva Ediriweera, et al. A descriptive study of knowledge, beliefs and practices regarding osteoporosis among female medical school entrants in Sri Lanka. Asia Pac Fam Med. 2014;13:15.CrossRef de Silva Ediriweera, et al. A descriptive study of knowledge, beliefs and practices regarding osteoporosis among female medical school entrants in Sri Lanka. Asia Pac Fam Med. 2014;13:15.CrossRef
19.
go back to reference Kasper MJ, Garber M, Walsdorf K. Young women’s knowledge and beliefs about osteoporosis: Re-sults from a cross-sectional survey of college females. Am J Health Educ. 2007;38:186–93.CrossRef Kasper MJ, Garber M, Walsdorf K. Young women’s knowledge and beliefs about osteoporosis: Re-sults from a cross-sectional survey of college females. Am J Health Educ. 2007;38:186–93.CrossRef
20.
go back to reference Rosenstock IM. The health belief model and preventive health behavior. Health Educ Monogr. 1974;2:328–35.CrossRef Rosenstock IM. The health belief model and preventive health behavior. Health Educ Monogr. 1974;2:328–35.CrossRef
21.
go back to reference Edmonds E, Turner LW, Usdan SL. Osteoporosis knowledge, beliefs, and calcium intake of college students: Utilization of the health belief model. Open J Prev Med. 2012;2(1):27–34.CrossRef Edmonds E, Turner LW, Usdan SL. Osteoporosis knowledge, beliefs, and calcium intake of college students: Utilization of the health belief model. Open J Prev Med. 2012;2(1):27–34.CrossRef
22.
go back to reference Jones G, Nguyen T, Sambrook PN, Kelly PJ, Gilbert C, et al. Symptomatic fracture incidence in elderly men and women: the Dubbo Osteoporosis Epidemiology Study (DOES). Osteoporos Int. 1994;4:277–82.CrossRefPubMed Jones G, Nguyen T, Sambrook PN, Kelly PJ, Gilbert C, et al. Symptomatic fracture incidence in elderly men and women: the Dubbo Osteoporosis Epidemiology Study (DOES). Osteoporos Int. 1994;4:277–82.CrossRefPubMed
23.
go back to reference Iqbal R, Khan AH. Possible causes of vitamin D deficiency (VDD) in Pakistani population residing in Pakistan. J Pak Med Assoc. 2010;60:1–2.PubMed Iqbal R, Khan AH. Possible causes of vitamin D deficiency (VDD) in Pakistani population residing in Pakistan. J Pak Med Assoc. 2010;60:1–2.PubMed
24.
go back to reference von Hurst PR, Wham CA. Attitudes and knowledge about osteoporosis risk prevention: a survey of New Zealand women. Public Health Nutr. 2007;10(07):747–53. von Hurst PR, Wham CA. Attitudes and knowledge about osteoporosis risk prevention: a survey of New Zealand women. Public Health Nutr. 2007;10(07):747–53.
25.
go back to reference Rafraf M, Bazyun B, Afsharnia F. Osteoporosis-related life habits and knowledge about osteoporosis among women in Tabriz, Iran. Int Med J Malaysia. 2009;8(2):17–20. Rafraf M, Bazyun B, Afsharnia F. Osteoporosis-related life habits and knowledge about osteoporosis among women in Tabriz, Iran. Int Med J Malaysia. 2009;8(2):17–20.
Metadata
Title
Knowledge, beliefs and practices regarding osteoporosis among female medical school entrants in Pakistan
Authors
Muhammad Bilal
Abdul Haseeb
Aleena Zehra Merchant
Abdur Rehman
Mohammad Hussham Arshad
Maarij Malik
Asad Hammad Ur Rehman
Pallavi Rani
Emaan Farhan
Taha S. Rehman
Umer Sultan Shamsi
Sadia Aminah
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Asia Pacific Family Medicine / Issue 1/2017
Electronic ISSN: 1447-056X
DOI
https://doi.org/10.1186/s12930-017-0036-4

Other articles of this Issue 1/2017

Asia Pacific Family Medicine 1/2017 Go to the issue