Osteoporosis in primary care: an opportunity to approach risk factors.
Climacteric women are susceptible to a number of changes, among them osteoporosis. Osteoporosis is a disease characterized by low bone mass and susceptibility to fracture. Currently, this disease is a public health issue, being necessary to recognize its risk factors.



Identify risk factors related to osteoporosis in women attending PROPIS/PROEX/UFMA, tracing a socio-demographic characterization and considering community lifestyles.



This is a transversal retrospective clinical with a quantitative approach study conducted between March and June 2013 in São Luís-MA with 107 women treated at the Programa de Práticas de Integralidade em Saúde (PROPIS - Integrality Health Practice Program). The study was approved by the University Hospital Ethics Committee of UFMA under opinion no. 362/07. Data were tabulated and analyzed in the epidemiological Epi-Info(®) software, version 3.4.1.



The brown color was predominant, consensual relationships proved to be a protective factor and low education was a risk factor. The average age of the group with menopause was 54.1 years and without menopause was 31.3 years (p<0.0001). The average age of menopause was 43.7 years. The irregular menstrual cycle was a protective factor. The average number of pregnancies was 4.56 for the group with menopause and 2.45 for the group without menopause, with most births occurring normally (p<0.0001). Smoking, physical inactivity and caffeine intake were risk factors, while the absence of alcoholism and of soda intake were protective factors for the disease.



The patients followed the socioeconomic and demographic profile of Maranhão. Most had menarche and menopause in appropriate periods, showed no positive family history of osteoporosis, did not usually drink alcohol, were sedentary and the caffeine intake was high.
Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil.
Angra Larissa Durans
AL
Costa
Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil.
Marcos Antonio Custódio Neto
MA
da Silva
Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil.
Luciane Maria Oliveira
LM
Brito
Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil.
Anna Cyntia Brandão
AC
Nascimento
Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil.
Maria
M
do Carmo Lacerda Barbosa
Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil.
José Eduardo
JE
Batista
Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil.
Geusa Felipa
GF
de Barros Bezerra
Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil.
Graça Maria
GM
De Castro Viana
Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil.
Walbert Edson Muniz
WE
Filho
Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil.
Flávia Castello Branco
FC
Vidal
Universidade Federal do Maranhão (UFMA), São Luís, MA, Brazil; Centro de Estudos Superiores de Caxias (CESC), Caxias, MA, Brazil. Electronic address: cnsd_ma@uol.com.br.
Maria do Desterro Soares Brandão
Mdo D
Nascimento
D000328:Adult; D015519:Bone Density; D005260:Female; D015438:Health Behavior; D006801:Humans; D008593:Menopause; D008875:Middle Aged; D010024:Osteoporosis / Q000453:epidemiology* / Q000517:prevention & control; D010298:Parity; D011320:Primary Health Care; D012189:Retrospective Studies; D012307:Risk Factors
Climacteric; Climatério; Fatores de risco; Osteoporose; Osteoporosis; Risk factors