IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i2p384-d305932.html
   My bibliography  Save this article

Determinants of Bone Health Status in a Multi-Ethnic Population in Klang Valley, Malaysia

Author

Listed:
  • Chin Yi Chan

    (Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Shaanthana Subramaniam

    (Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Norazlina Mohamed

    (Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Soelaiman Ima-Nirwana

    (Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Norliza Muhammad

    (Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Ahmad Fairus

    (Department of Anatomy, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Pei Yuen Ng

    (Drug and Herbal Research Centre, Faculty of Pharmacy, Universiti Kebangsaan Malaysia Kuala Lumpur Campus, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia)

  • Nor Aini Jamil

    (Faculty of Health Science, Universiti Kebangsaan Malaysia Kuala Lumpur Campus, Jalan Raja Muda Abdul Aziz, Kuala Lumpur 50300, Malaysia)

  • Noorazah Abd Aziz

    (Department of Family Medicine, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

  • Kok-Yong Chin

    (Department of Pharmacology, Universiti Kebangsaan Malaysia Medical Centre, Cheras 56000, Malaysia)

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.

Suggested Citation

  • 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, 2020. "Determinants of Bone Health Status in a Multi-Ethnic Population in Klang Valley, Malaysia," IJERPH, MDPI, vol. 17(2), pages 1-16, January.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:2:p:384-:d:305932
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/2/384/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/17/2/384/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Kok-Yong Chin & Nie Yen Low & Wan Ilma Dewiputri & Soelaiman Ima-Nirwanaa, 2017. "Factors Associated with Bone Health in Malaysian Middle-Aged and Elderly Women Assessed via Quantitative Ultrasound," IJERPH, MDPI, vol. 14(7), pages 1-13, July.
    2. Chin Yi Chan & Shaanthana Subramaniam & Kok-Yong Chin & Soelaiman Ima-Nirwana & Norliza Muhammad & Ahmad Fairus & Pei Yuen Ng & Nor Aini Jamil & Noorazah Abd Aziz & Norazlina Mohamed, 2019. "Levels of Knowledge, Beliefs, and Practices Regarding Osteoporosis and the Associations with Bone Mineral Density among Populations More Than 40 Years Old in Malaysia," IJERPH, MDPI, vol. 16(21), pages 1-22, October.
    3. Kok-Yong Chin & Wan Zurinah Wan Ngah & Soelaiman Ima-Nirwana, 2016. "Lessons from the Bone Chapter of the Malaysian Aging Men Study," IJERPH, MDPI, vol. 13(6), pages 1-15, May.
    4. Gökhan S. Hotamisligil, 2006. "Inflammation and metabolic disorders," Nature, Nature, vol. 444(7121), pages 860-867, December.
    5. Hae-Dong Jang & Jae-Young Hong & Kyungdo Han & Jae Chul Lee & Byung-Joon Shin & Sung-Woo Choi & Seung-Woo Suh & Jae-Hyuk Yang & Si-Young Park & Chungwon Bang, 2017. "Relationship between bone mineral density and alcohol intake: A nationwide health survey analysis of postmenopausal women," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-11, June.
    6. Chin Yi Chan & Shaanthana Subramaniam & Kok-Yong Chin & Soelaiman Ima-Nirwana & Norliza Muhammad & Ahmad Fairus & Abdul Manap Mohd Rizal & Pei Yuan Ng & Jamil Nor Aini & Noorazah Abd Aziz & Norazlina , 2019. "Knowledge, Beliefs, Dietary, and Lifestyle Practices Related to Bone Health among Middle-Aged and Elderly Chinese in Klang Valley, Malaysia," IJERPH, MDPI, vol. 16(10), pages 1-20, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Chin Yi Chan & Shaanthana Subramaniam & Kok-Yong Chin & Soelaiman Ima-Nirwana & Norliza Muhammad & Ahmad Fairus & Pei Yuen Ng & Jamil Nor Aini & Noorazah Abd Aziz & Norazlina Mohamed, 2022. "Effect of a Screening and Education Programme on Knowledge, Beliefs, and Practices Regarding Osteoporosis among Malaysians," IJERPH, MDPI, vol. 19(10), pages 1-16, May.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Chin Yi Chan & Shaanthana Subramaniam & Kok-Yong Chin & Soelaiman Ima-Nirwana & Norliza Muhammad & Ahmad Fairus & Pei Yuen Ng & Jamil Nor Aini & Noorazah Abd Aziz & Norazlina Mohamed, 2022. "Effect of a Screening and Education Programme on Knowledge, Beliefs, and Practices Regarding Osteoporosis among Malaysians," IJERPH, MDPI, vol. 19(10), pages 1-16, May.
    2. Shaanthana Subramaniam & Chin-Yi Chan & Ima-Nirwana Soelaiman & Norazlina Mohamed & Norliza Muhammad & Fairus Ahmad & Pei-Yuen Ng & Nor Aini Jamil & Noorazah Abd Aziz & Kok-Yong Chin, 2020. "Development of Osteoporosis Screening Algorithm for Population Aged 50 Years and above in Klang Valley, Malaysia," IJERPH, MDPI, vol. 17(7), pages 1-12, April.
    3. Farman, Muhammad & Ahmad, Aqeel & Zehra, Anum & Nisar, Kottakkaran Sooppy & Hincal, Evren & Akgul, Ali, 2024. "Analysis and controllability of diabetes model for experimental data by using fractional operator," Mathematics and Computers in Simulation (MATCOM), Elsevier, vol. 218(C), pages 133-148.
    4. Hai-Hua Chuang & Rong-Ho Lin & Wen-Cheng Li & Wei-Chung Yeh & Yen-An Lin & Jau-Yuan Chen, 2020. "High-Sensitivity C-Reactive Protein Elevation Is Independently Associated with Subclinical Renal Impairment in the Middle-Aged and Elderly Population—A Community-Based Study in Northern Taiwan," IJERPH, MDPI, vol. 17(16), pages 1-10, August.
    5. Piontak, Joy Rayanne & Russell, Michael A. & Danese, Andrea & Copeland, William E. & Hoyle, Rick H. & Odgers, Candice L., 2017. "Violence exposure and adolescents' same-day obesogenic behaviors: New findings and a replication," Social Science & Medicine, Elsevier, vol. 189(C), pages 145-151.
    6. Jaime Gomez-Ramirez, 2012. "Inverse Thinking in Economic Theory: A Radical Approach to Economic Thinking," Papers 1208.3460, arXiv.org.
    7. Dong Jun Sung & Harshvardhan Singh & Seung-Bum Oh & SoJung Kim, 2019. "Bone-Loading Physical Activity and Alcohol Intake but not BMI Affect Areal Bone Mineral Density in Young College-Aged Korean Women: A Cross-Sectional Study," IJERPH, MDPI, vol. 16(24), pages 1-10, December.
    8. Surapon Tangvarasittichai, 2018. "Iron Homeostasis and Diabetes Risk," Current Research in Diabetes & Obesity Journal, Juniper Publishers Inc., vol. 7(4), pages 1-11, July.
    9. Reiko Kuroda & Kazuhiro Nogawa & Yuuka Watanabe & Hideki Morimoto & Kouichi Sakata & Yasushi Suwazono, 2021. "Association between High-Sensitive C-Reactive Protein and the Development of Liver Damage in Japanese Male Workers," IJERPH, MDPI, vol. 18(6), pages 1-11, March.
    10. José Manuel Leiva-Valderrama & Adrián Montes-de-Oca-Garcia & Edgardo Opazo-Diaz & Jesus G. Ponce-Gonzalez & Guadalupe Molina-Torres & Daniel Velázquez-Díaz & Alejandro Galán-Mercant, 2021. "Effects of High-Intensity Interval Training on Inflammatory Biomarkers in Patients with Type 2 Diabetes. A Systematic Review," IJERPH, MDPI, vol. 18(23), pages 1-19, November.
    11. Bin Li, 2019. "Sirt1 Inhibits Adipose Tissue Inflammation by Foxos/ mTOR/S6K1 Signal Pathway in Mice," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 19(5), pages 14646-14655, July.
    12. Hua Jiang & Wen-Hua Yan & Chan-Juan Li & An-Ping Wang & Jing-Tao Dou & Yi-Ming Mu, 2014. "Elevated White Blood Cell Count Is Associated with Higher Risk of Glucose Metabolism Disorders in Middle-Aged and Elderly Chinese People," IJERPH, MDPI, vol. 11(5), pages 1-13, May.
    13. Maria E. Bleil & Cathryn Booth-LaForce & Aprile D. Benner, 2017. "Race Disparities in Pubertal Timing: Implications for Cardiovascular Disease Risk Among African American Women," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 36(5), pages 717-738, October.
    14. Inhwan Lee & Jeonghyeon Kim & Hyunsik Kang, 2020. "Cardiorespiratory Fitness is Inversely Associated with Risk of Low Bone Mineral Density in Older Korean Men," IJERPH, MDPI, vol. 17(21), pages 1-10, October.
    15. Ucee Dguzeh & Natasha C. Haddad & Kathia T. S. Smith & John O. Johnson & Angelia A. Doye & Judith K. Gwathmey & Georges E. Haddad, 2018. "Alcoholism: A Multi-Systemic Cellular Insult to Organs," IJERPH, MDPI, vol. 15(6), pages 1-12, May.
    16. Seok Hui Kang & Kyu Hyang Cho & Jun Young Do, 2019. "Association between periodontitis and cardiometabolic risk: Results from the Korean National Health and Nutrition Examination Survey 2008-2014," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-12, April.
    17. Ema Schönberger & Vjera Mihaljević & Kristina Steiner & Sandra Šarić & Tomislav Kurevija & Ljiljana Trtica Majnarić & Ines Bilić Ćurčić & Silvija Canecki-Varžić, 2023. "Immunomodulatory Effects of SGLT2 Inhibitors—Targeting Inflammation and Oxidative Stress in Aging," IJERPH, MDPI, vol. 20(17), pages 1-19, August.
    18. Goosby, Bridget J. & Cheadle, Jacob E. & McDade, Thomas, 2016. "Birth weight, early life course BMI, and body size change: Chains of risk to adult inflammation?," Social Science & Medicine, Elsevier, vol. 148(C), pages 102-109.
    19. Chin Yi Chan & Shaanthana Subramaniam & Kok-Yong Chin & Soelaiman Ima-Nirwana & Norliza Muhammad & Ahmad Fairus & Pei Yuen Ng & Nor Aini Jamil & Noorazah Abd Aziz & Norazlina Mohamed, 2019. "Levels of Knowledge, Beliefs, and Practices Regarding Osteoporosis and the Associations with Bone Mineral Density among Populations More Than 40 Years Old in Malaysia," IJERPH, MDPI, vol. 16(21), pages 1-22, October.
    20. Jiajing Jiang & Kelei Li & Fenglei Wang & Bo Yang & Yuanqing Fu & Jusheng Zheng & Duo Li, 2016. "Effect of Marine-Derived n-3 Polyunsaturated Fatty Acids on Major Eicosanoids: A Systematic Review and Meta-Analysis from 18 Randomized Controlled Trials," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-18, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:2:p:384-:d:305932. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.