title: [Educational intervention for the prevention of osteoporosis in a rural primary healthcare service].
abstract: OBJECTIVE
  The aim of this study is to determine whether an educational intervention in perimenopausal women in rural environments achieves significant changes in risk behaviors related to osteoporosis.
  
  
  METHODS
  Randomized clinical trials of parallel groups: 216 women (45-54 years old) of a rural Primary Healthcare service. Pre- and post- intervention were covered: body mass index (BMI), densitometry and blood test (calcium [Ca], parathormone [PTH]). Intervention group (n1=110): 2 interactive workshops on the prevention of osteoporosis. Control group (n2=106): information by post.
  
  
  RESULTS
  After the educational intervention, the intervention group maintained its BMI, increased its bone mineral density (BMD) (P<.001) and decreased the Ca (P ≤.048) and PTH (P<.001) levels. The control group increased its BMI (P<.001) and its BMD (P ≤.048), maintained its Ca levels and decreased the PTH values (P=.01).
  
  
  CONCLUSIONS
  The improvement in the objective parameters related to osteoporosis indicates the importance of health education as a preventive measure in this group of women. It would be interesting to analyze the repercussions of this improvement on a long-term basis in terms of reducing the incidence of osteoporosis and fractures.
authors.affiliation: Escuela Universitaria de Enfermería de Ourense, SERGAS, Ourense, España. Electronic address: mariareyes.perez.fernandez@sergas.es.
authors.forename: María Reyes
authors.initials: MR
authors.lastname: Pérez Fernández
authors.forename: Raquel
authors.initials: R
authors.lastname: Almazán Ortega
authors.forename: José María
authors.initials: JM
authors.lastname: Martínez Portela
authors.forename: M Teresa
authors.initials: MT
authors.lastname: Alves Pérez
authors.forename: M Carmen
authors.initials: MC
authors.lastname: Segura Iglesias
authors.forename: Román
authors.initials: R
authors.lastname: Pérez Fernández
mesh_terms: D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D015663:Osteoporosis, Postmenopausal / Q000209:etiology / Q000517:prevention & control*; D010353:Patient Education as Topic / Q000379:methods*; D011320:Primary Health Care / Q000379:methods*; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012423:Rural Health; D019035:Rural Health Services; D016896:Treatment Outcome
keywords: Educational intervention; Intervención educativa; Mujeres; Osteoporosis; Women