title: Clinical value of self-assessment risk of osteoporosis in Chinese.
abstract: BACKGROUND
  Early detection of high-risk population for osteoporosis is the key to preventing this disease.
  
  
  METHODS
  In this cross-sectional study a continuous sample of 270 women and 89 men (age: 20-90 years) was divided into four groups by age (≤ 55 or > 55 years) and sex. Participants completed the IOF test. Low-, medium-, and high-risk grades were defined by an OSTA index of greater than -1, -1 to -4, and less than -4, respectively.
  
  
  RESULTS
  Most participants were categorized in the low-risk group (240 people, 66.9%), followed by the medium-risk (102 people, 28.4%) and high-risk groups (17 people, 4.7%). Compared to women, men in both age groups had significantly higher OSTA index and greater numbers of positive answers on the IOF test. 64.3% individuals were susceptible to osteoporosis risk (≥1 positive answers on the IOF test). Multiple regression analysis demonstrated that family history of fragility fracture (OR: 0.503, 95% CI: 0.26-0.97), height loss exceeding 3 cm (OR: 2.51, 95% CI: 1.55-4.05), and earlier menopause (OR: 0.434, 95% CI: 0.19-0.97) were associated with higher risk grades.
  
  
  CONCLUSIONS
  Combined use of the OSTA and IOF test is a simple and effective method for assessing the risk of osteoporosis.
authors.affiliation: Department of Endocrinology, The Central Hospital of Wuhan, No.26, Shengli Street, Jiang'an District, 430014, Wuhan, China.
authors.forename: Hong-Mei
authors.initials: HM
authors.lastname: Zhang
authors.affiliation: Hubei Integrated Traditional Chinese and Western Medicine Hospital, Hubei University of Chinese Medicine Affiliated Hospital, No 5, New Tian-Men Dun Road,430015, Wuhan, China.
authors.forename: Hui-Ling
authors.initials: HL
authors.lastname: Liu
authors.affiliation: Wuhan Polytechnic University, No 68, Southern Xue-Fu Road, 430023, Wuhan China.
authors.forename: Xuan
authors.initials: X
authors.lastname: Wang
authors.affiliation: Hubei Integrated Traditional Chinese and Western Medicine Hospital, Hubei University of Chinese Medicine Affiliated Hospital, No 5, New Tian-Men Dun Road,430015, Wuhan, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Chen
authors.affiliation: Hubei Integrated Traditional Chinese and Western Medicine Hospital, Hubei University of Chinese Medicine Affiliated Hospital, No 5, New Tian-Men Dun Road,430015, Wuhan, China.
authors.forename: Dan
authors.initials: D
authors.lastname: Chen
authors.affiliation: Hubei Integrated Traditional Chinese and Western Medicine Hospital, Hubei University of Chinese Medicine Affiliated Hospital, No 5, New Tian-Men Dun Road,430015, Wuhan, China.
authors.forename: Zhong-Zhi
authors.initials: ZZ
authors.lastname: Zhang
authors.affiliation: Hubei Integrated Traditional Chinese and Western Medicine Hospital, Hubei University of Chinese Medicine Affiliated Hospital, No 5, New Tianmen Dun Road, 430015, Wuhan, China . Facsimile numbers: 862765600947, Telephone number: 8618971697988.
authors.forename: Han-Ming
authors.initials: HM
authors.lastname: Wang
keywords: Dual-energy X-ray absorptionmetry; One-Minute Osteoporosis Risk Test; Osteoporosis; Osteoporosis Self-Assessment Tool for Asians