Determinants of bone health status in a multi-ethnic population in Klang Valley, Malaysia

Chin Yi Chan, Shaanthana Subramaniam, Norazlina Mohamed, Soelaiman Ima-Nirwana, Norliza Muhammad, Ahmad Fairus, Pei Yuen Ng, Nor Aini Jamil, Noorazah Abd Aziz, Kok Yong Chin

Research output: Contribution to journalArticle

Abstract

Background and objectives: Studies on osteoporosis risk factors are limited in Malaysia, so this study assesses the factors associated with bone health assessed using dual-energy X-ray absorptiometry (DXA) among Malaysians aged ≥40 years. Subjects and Methods: Data on demography, medical history, dietary and lifestyle practices of 786 Malaysians (51.4% women) aged ≥40 years recruited in Klang Valley were obtained. Their body composition and bone health were determined using DXA. The association between risk factors and bone health status was assessed using binary logistic regression. Results: The prevalence of suboptimal bone health and osteoporosis was higher in women (59.4% and 16.1%) than men (40.8% and 8.4%). Overall, the predictors of suboptimal bone health and osteoporosis among the subjects were increased age and higher fat mass. Lower monthly income was positively associated with osteoporosis. Being menopausal was a risk factor for both suboptimal bone health and osteoporosis in women. Women with no formal education were more likely to get osteoporosis. Being a smoker and Chinese were positively related to suboptimal bone health among men. Meanwhile, predictors of osteoporosis among men were regular alcohol and dairy product consumption, higher fat mass and having a tertiary education. Conclusions: This study calls for immediate and effective interventions for middle-aged and elderly populations with risk factors to halt the progression of bone loss.

Original languageEnglish
Article number384
JournalInternational journal of environmental research and public health
Volume17
Issue number2
DOIs
Publication statusPublished - 2 Jan 2020

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Malaysia
Health Status
Osteoporosis
Bone and Bones
Population
Health
Photon Absorptiometry
Fats
Men's Health
Education
Dairy Products
Body Composition
Life Style
Logistic Models
Alcohols
Demography

Keywords

  • Bone mineral density
  • Elderly
  • Middle-aged
  • Osteopenia
  • Osteoporosis
  • Predictors

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

Cite this

Determinants of bone health status in a multi-ethnic population in Klang Valley, Malaysia. / Chan, Chin Yi; Subramaniam, Shaanthana; Mohamed, Norazlina; Ima-Nirwana, Soelaiman; Muhammad, Norliza; Fairus, Ahmad; Ng, Pei Yuen; Jamil, Nor Aini; Aziz, Noorazah Abd; Chin, Kok Yong.

In: International journal of environmental research and public health, Vol. 17, No. 2, 384, 02.01.2020.

Research output: Contribution to journalArticle

Chan, CY, Subramaniam, S, Mohamed, N, Ima-Nirwana, S, Muhammad, N, Fairus, A, Ng, PY, Jamil, NA, Aziz, NA & Chin, KY 2020, 'Determinants of bone health status in a multi-ethnic population in Klang Valley, Malaysia', International journal of environmental research and public health, vol. 17, no. 2, 384. https://doi.org/10.3390/ijerph17020384
Chan, Chin Yi ; Subramaniam, Shaanthana ; Mohamed, Norazlina ; Ima-Nirwana, Soelaiman ; Muhammad, Norliza ; Fairus, Ahmad ; Ng, Pei Yuen ; Jamil, Nor Aini ; Aziz, Noorazah Abd ; Chin, Kok Yong. / Determinants of bone health status in a multi-ethnic population in Klang Valley, Malaysia. In: International journal of environmental research and public health. 2020 ; Vol. 17, No. 2.
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