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Archives of Osteoporosis

, 10:16 | Cite as

Risk factors for osteoporosis and factors related to the use of DXA in Norway

  • M. P. HøibergEmail author
  • K. H. Rubin
  • J. Gram
  • A. P. Hermann
  • K. Brixen
  • G. Haugeberg
Original Article

Abstract

Summary

To evaluate the case-finding strategy for osteoporosis in Norway, a questionnaire concerning risk factors for osteoporosis and history of osteodensitometry was mailed to a population-based cohort of 6000 men and 6000 women. Suboptimal examination rates among high risk and reallocation of scanning capacity to seemingly low-risk individuals was found.

Purpose

In Norway, a case-finding strategy for osteoporosis has been used. No data exist regarding the efficacy of this approach. The aim was to examine the prevalence of risk factors for osteoporosis and factors related to the use of dual X-ray absorptiometry (DXA) in Norway.

Methods

Questionnaires regarding previous history of DXA, risk factors for osteoporosis and fracture were sent to an age-stratified, nationwide cross-sectional sample of 6000 men and 6000 women aged 40–90 years, drawn from the Norwegian Civil Registration System.

Results

Valid responses (6029) were included. Twenty-two point three percent of women and 3.8 % of men had been examined by DXA. Suboptimal examination rates among high risk (e.g., current/previous glucocorticoid treatment or previous low-energy fracture) and reallocation of scanning capacity to seemingly low-risk individuals was found. Of all DXA, 19.5 % were reported by women without any risk factor for osteoporosis, similarly by 16.2 % of men. Distance to DXA facilities and current smoking were inversely related to probability of reporting a DXA.

Conclusions

Suboptimal examination rates among high risk and reallocation of scanning capacity to seemingly low-risk individuals were found. Distance to DXA, current smoking, and male sex constituted possible barriers to the case-finding strategy employed. Cheap and more available diagnostic tools for osteoporosis are needed, and risk stratification tools should be employed more extensively.

Keywords

DXA FRAX Osteoporosis Osteodensitometry Epidemiology 

Notes

Conflict of interest

None.

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Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2015

Authors and Affiliations

  • M. P. Høiberg
    • 1
    • 2
    Email author
  • K. H. Rubin
    • 2
    • 3
  • J. Gram
    • 4
  • A. P. Hermann
    • 5
  • K. Brixen
    • 2
    • 5
  • G. Haugeberg
    • 6
    • 7
  1. 1.Department of Internal MedicineHospital of Southern NorwayKristiansandNorway
  2. 2.Institute of Clinical ResearchUniversity of Southern DenmarkOdenseDenmark
  3. 3.OPEN Odense Patient data Explorative NetworkUniversity of Southern DenmarkOdenseDenmark
  4. 4.Department of EndocrinologyHospital of Southwest DenmarkEsbjergDenmark
  5. 5.Department of Medical EndocrinologyOdense University HospitalOdenseDenmark
  6. 6.Department of RheumatologyHospital of Southern NorwayKristiansandNorway
  7. 7.Department of NeurosciencesNorwegian University of Science and TechnologyTrondheimNorway

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