Category: Clinical Sciences/Health Conditions
Objectives: Background: Osteoporosis is a risk factor for hip and other fractures. Hypertension is a progressive silent disease affecting bone mass, leading to increased susceptibility to fractures.
Objective: To determine the incremental role of hypertension for fracture risk in osteoporotic patients.
Design: A total 106 patient with osteoporosis were included for this comparative cross sectional study which was conducted during the period of 1st January to 31st December, 2017 at two tertiary centers in Dhaka city. Patients were divided into hypertensive osteoporotic and non-hypertensive osteoporotic groups. Data were collected by face to face interview using semi-structured questionnaire and checklist. Online assessment of fracture risk probability was done among the two groups by FRAX tool and statistical analysis was performed by Statistical Packages for Social Sciences (SPSS-23).
The study revealed thatthe mean ages were 62.57±9.222 years in hypertensive and 59.85±10.997 years in non-hypertensive patients. Among the patients, 67(63.2%) were hypertensive and 39(36.8%) were non-hypertensive.The mean duration of hypertension was 6.97±4.812 years in osteoporotic patients whereas the mean duration of osteoporosis were 8.04±4.962 years in hypertensive and 7.59±6.008 years in non-hypertensive patients. The difference of major osteoporotic fracture (MOF)& hip fracture (HF) risk by age was significantly (χ2, p˂0.05) higher among the patients belonged to age group 70-79 years as well as comparatively higher in hypertensive patients. MOF risk by hypertension was comparatively higher among the hypertensive patients but it was not statistically significant (χ2, p˃0.05). However,hip fracture (HF) risk by hypertension was comparatively higher among the hypertensive patients and it was statistically significant (χ2, p˂0.05).
The study reflected that the fracture risk was significantly higher in hypertensive patients.These findings would enrich treatment protocol in hypertensive osteoporotic patients.
Afsana Mahjabin– Assistant Professor, Monno Medical College
Md Ziaul Islam– Professor, National Institute of Preventive and Social Medicine
Mohammad Tariqul Islam– Associate Professor, Department of Physical Medicine & Rehabilitation, Bangabandhu Sheikh Mujib Medical University