OSTEOPOROSIS KNOWLEDGE, OSTEOPOROSIS PREVENTING BEHAVİORS AND EATING HABITS AMONG HIGHLY EDUCATED YOUNG PREMENOPAUSAL TURKISH WOMEN

Abstract

The purpose of this study was to determine osteoporosis knowledge, osteoporosis preventing behaviors and eating habits among highly educated young premenopausal women under the age of bone mineralization termination. This cross-sectional study was conducted on 189 academic and administrative staff of Erciyes University, aged 18-35 years. The knowledge level of osteoporosis was evaluated with the Turkish version of the Osteoporosis Knowledge Test (OKT). Osteoporosis preventing behaviors and eating habits of participants were assessed. Despite the high educational level of women, they had poor levels of knowledge about osteoporosis. The mean total score for knowledge achieved by all women, out of a possible score of 24, was 14.08±3.69 or 58.6%. The mean nutrition subscale score was 9.63±3.07 and the exercise subscale score was 9.19±2.85. The total osteoporosis knowledge score and nutrition subscale scores were higher among women who have adequate consumption (≥3 servings/day) of dairy products (p<0.001) and have less frequent coffee consumption (p<0.05). No association was found between the osteoporosis knowledge score and other osteoporosis preventive behaviors. This study showed that the osteoporosis knowledge score and nutrition subscale score was higher among women who have adequate consumption of dairy products. It is a promising result in transferring knowledge to practice. However, for the dissemination of osteoporosis preventive behaviors, awareness is required to be adopted the protective measures such as nutrition and exercise as a lifestyle in the prevention of osteoporosis, which is a preventable and manageable major public health problem.

Keywords

• Osteoporosis
• Osteoporosis knowledge
• Calcium
• Nutrition

References

1. [1] Janiszewska, M., Kulik, T.B., Dziedzic, M.A., Żołnierczuk-Kieliszek, D.U., & Jarosz M.J., ‘‘Knowledge of osteoporosis prophylaxis and health behaviours of the population of chosen countries of the world’’, Annals of Agricultural and Environmental Medicine, 21(2), 364-8, 2014. doi: 10.5604/1232-1966.1108606.
2. [2]http://www.bonehealthandosteoporosis.org/wp-content/uploads/2015/12/Osteoporosis-Fast-Facts.pdf [Accessed August 06-2021].
3. [3] Sava, M., Tseng, L.Y., Valderrama, M., Mabey, D., García, P., & Hsieh, E., ‘‘Osteoporosis Knowledge and Health Beliefs Among Female Community Leaders in Peru’’, Women's Health Reports, 1, 47-54, 2020.
4. [4] Hallit, S., Hage, C.E., Hajj, A., Salameh, P., Sacre, H., Rahme, C., Akel, M., & Dagher, E., ‘‘Construction and validation of the Lebanese Osteoporosis Knowledge Scale among a representative sample of Lebanese women’’, Osteoporosis International, 31, 379-389, 2020.
5. [5] Kim, K.K., Horan, M.L., Gendler, P., & Patel MK., ‘‘Development and evaluation of the osteoporosis health belief scale’’, Research in Nursing & Health, 14(2), 155-163, 1991.
6. [6] Ungan, M. & Tümer, M., ‘‘Turkish women’s knowledge of osteoporosis’’, Family Practice, 18, 199-203, 2001.
7. [7] Kılıç, D. & Erci, B., ‘‘Osteoporoz sağlık inanç ölçeği, osteoporoz öz-etkililik/yeterlilik ölçeği ve Osteoporoz bilgi testinin geçerlik ve güvenirliği’’, Atatürk Üniversitesi Hemşirelik Yüsekokulu Dergisi, 7, 89-102, 2004.
8. [8] Kim, K.K., Horan, M.L., & Gendler, P., ‘‘Osteoporosis Knowledge Test, Osteoporosis Health Belief Scale, and Osteoporosis Self Efficacy Scale’’, Allendale, MI, thesis, Grand Valley State University, 1991.

9. [9] Turkey Dietary Guidelines, Ministry of Health of Turkey Publication No: 1046, Ankara, 2016.
10. [10] Peng, L., Reynolds, N., He, A., Liu, M., Yang, J., She, P., & Zhang, Y., ‘‘Osteoporosis knowledge and related factors among orthopedic nurses in Hunan province of China’’, International Journal of Orthopaedic and Trauma Nursing, 36, 100714, 2020. doi: 10.1016/j.ijotn.2019.100714.
11. [11] Malak, M.Z. & Toama, Z.T., ‘‘The effect of osteoporosis health education program based on health belief model on knowledge and health beliefs towards osteoporosis among Jordanian female teachers, European Scientific Journal, (1):ISSN:1857–7881, 2015.
12. [12] Hurst, P.R., & Wham, C.A., ‘‘Attitudes and knowledge about osteoporosis risk prevention:a survey of New Zealand women, Public Health Nutrition, 10(7), 747-753, 2007.
13. [13] Ishtaya, G.A., Anabtawi, Y.M., Zyoud, S.H. & Sweileh, W.M., ‘‘Osteoporosis knowledge and beliefs in diabetic patients: a cross sectional study from Palestine’’, BMC Musculoskeletal Disorders, 7, 19(1), 43, 2018. doi: 10.1186/s12891-018-1961-6.
14. [14] Gemalmaz, A. & Oge, A., ‘‘Knowledge and awareness about osteoporosis and its related factors among rural Turkish women’’, Clinical Rheumatology, 27(6), 723-728, 2008.
15. [15] Aslan, G. & Kilic, D., ‘‘Osteoporosis health belief, knowledge level and risk factors in individuals whose bone mineral density was required’’, Belitung Nursing Journal, 3(3), 162-173, 2017.
16. [16] Vadivelan, R., Sudeep, S., Vikash, S. & Manogaran, E., ‘‘Assessment of Osteoporosis knowledge test among community population in Ootacamund, The Nilgiris’’, Journal of Pharmaceutical Advanced Research, 3(4), 829-832, 2020.
17. [17] Mortada, E.M., El Seifi, O.S. & Abdo, N.M., ‘‘Knowledge, Health Beliefs and Osteoporosis Preventive Behaviour Among Women of Reproductive Age in Egypt’’, Malaysian Journal Of Medicine And Health Sciences, 16(1), 9-16, 2020.
18. [18] Koç, A., Aypak, C., Yıkılkan, H., Akbıyık, D.İ. & Görpelioğlu, S., ‘‘Knowledge, Attitude and Behavior Levels About Osteoporosis Among 18-35 Years Old Women’’, Turkish Journal of Osteoporosis, 22, 11-6, 2016.
19. [19] Ramli, N., Rahman, N.A.A. & Haque, M., ‘‘Knowledge, Attitude, and Practice Regarding Osteoporosis Among Allied Health Sciences Students in a Public University in Malaysia’’, Erciyes Medical Journal, 40(4), 210-7, 2018.
20. [20] Jalili, Z., Nakhaee, N., Askari, R. & Sharifi, V., ‘‘Knowledge, attitude and preventive practice of women concerning osteoporosis’’, Iranian Journal of Public Health, 36(2), 19-25, 2007.