FAKTOR DETERMINAN RISIKO OSTEOPOROSIS DI TIGA PROVINSI DI INDONESIA

摘要

Osteoporosis is one of the degenerative disease related to ageing process. It is estimated that in 2050 there will be 50% bone fracture in Asia associated with osteoporosis. However, epidemiological information about osteoporosis in Indonesia is still rarely. Objective: The objective of this study is to indentify the risk factors of osteoporosis in 3 provinces in Indonesia. Method: The study had been carried out in North Sulawesi, Yogyakarta and West Java provinces. Two districts were selected in each provinces. The samples were 2430 adult aged 25-70 years. Data collected were nutrient intake, age, gender, disease history, BMI, family planning, and life style. Bone density was measured by LG clinical bone density. Multivarite analysis identified various factors that associated with the risk of osteoporosis. Result: The proportion of osteoporosis risk in 3 provinces are 22.3% was osteoporosis risk and 32.7% was osteopenia. The proportion of osteoporosis risk is highest in North Sulawesi (27.7%). Multivariate analysis indicates the determinant factors in men are physical activity (OR: 0,68 , Cl:0,486-0,957), nutritional status BMK18.5 (OR:l,59, CI: 1,121-2,265), and age ≥ 55 years, OR:4,5, CI: 3,183-6,368) and in woman, physical activity (OR:0,57, CI:0,429-0,768), nutritional status BMK18.5 (OR:l,9, CI: 1,457-2,543), age ≥ 55 years (OR:4,98, CI: 3,442-7,208). menopause (OR: 1,58, CI: 1,074-2,328) and hormone contraceptive product (OR:0,58, CI:0,377-0,894). Conclusion: Determinant factors of risk of osteoporosis in men are physically activity, nutritional status, and age, and in woman are are physically activity, nutritional status, age, menopause and contraception. Keyword: Osteoporosis, osteopenia, risk factors