Language:

Osteoporosis Risk in Hemodialysis Patients: The Roles of Gender, Comorbidities, Biochemical Parameters, Health and Diet Literacy

Nutrients, 2022-12, Vol.14 (23), p.5122 [Peer Reviewed Journal]

COPYRIGHT 2022 MDPI AG ;2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2022 by the authors. 2022 ;ISSN: 2072-6643 ;EISSN: 2072-6643 ;DOI: 10.3390/nu14235122 ;PMID: 36501153

Full text available

Citations Cited by

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Osteoporosis Risk in Hemodialysis Patients: The Roles of Gender, Comorbidities, Biochemical Parameters, Health and Diet Literacy
Author: Le, Lan T H ; Dang, Loan T ; Wang, Tsae-Jyy ; Do, Tuyen G ; Nguyen, Dung H ; Hoang, Trung A ; Pham, Minh D ; Do, Binh N ; Nguyen, Hoang C ; Tran, Tu T ; Pham, Linh V ; Nguyen, Lien T H ; Nguyen, Hoi T ; Trieu, Nga T ; Do, Thinh V ; Trinh, Manh V ; Ha, Tung H ; Phan, Dung T ; Yang, Shwu-Huey ; Le, Ngoc N M ; Nguyen, Kien T ; Duong, Tuyen Van
Subjects: Albumin ; Albumins ; Arthritis ; Blood ; comorbidities ; Comorbidity ; Confidence intervals ; Coronaviruses ; COVID-19 ; Cross-Sectional Studies ; Diet ; Diet, Healthy ; digital healthy diet literacy ; Education ; Exercise ; Female ; fracture ; Fractures ; Gender ; Health aspects ; Health education ; Health Literacy ; Hematocrit ; Hemodialysis ; Hemoglobin ; Hospitals ; Humans ; Literacy ; Low level ; Male ; Medical research ; Medicine, Experimental ; Morbidity ; Mortality ; Osteoporosis ; Osteoporosis - epidemiology ; Osteoporosis - etiology ; Parameters ; Patients ; Physical activity ; Questionnaires ; Regression analysis ; Regression models ; Rheumatoid arthritis ; Rheumatoid factor ; Risk ; Risk factors ; Self assessment ; Self evaluation ; Sociodemographics ; Statistical analysis ; Surveys and Questionnaires ; Taiwan ; Ulcers ; Variables ; Vietnam ; Womens health
Is Part Of: Nutrients, 2022-12, Vol.14 (23), p.5122
Description: Osteoporosis is a common bone health disorder in hemodialysis patients that is linked with a higher morbidity and mortality rate. While previous studies have explored the associated factors of osteoporosis, there is a lack of studies investigating the impacts of health literacy (HL) and digital healthy diet literacy (DDL) on osteoporosis. Therefore, we aimed to investigate the associations of HL, DDL, and other factors with osteoporosis among hemodialysis patients. From July 2020 to March 2021, a cross-sectional study was conducted on 675 hemodialysis patients in eight hospitals in Vietnam. The data were collected by using the osteoporosis self-assessment tool for Asians (OSTA) and the 12-item short form of the health literacy questionnaire (HLS-SF12) on digital healthy diet literacy (DDL) and hemodialysis dietary knowledge (HDK). In addition, we also collected information about the socio-demographics, the clinical parameters, the biochemical parameters, and physical activity. Unadjusted and adjusted multinomial logistic regression models were utilized in order to investigate the associations. The proportion of patients at low, medium, and high levels of osteoporosis risk was 39.6%, 40.6%, and 19.8%, respectively. In the adjusted models, women had a higher likelihood of osteoporosis risk than men (odds ratio, OR, 3.46; 95% confidence interval, 95% CI, 1.86, 6.44; p < 0.001; and OR, 6.86; 95% CI, 2.96, 15.88; p < 0.001). The patients with rheumatoid arthritis (OR, 4.37; 95% CI, 1.67, 11.52; p = 0.003) and stomach ulcers (OR, 1.95; 95% CI, 1.01, 3.77; p = 0.048) were more likely to have a higher likelihood of osteoporosis risk than those without. The patients who had a higher waist circumference (WC), HL, and DDL were less likely to have a medium level of osteoporosis risk (OR, 0.95; 95% CI, 0.92, 0.98; p = 0.004; OR, 0.92; 95% CI, 0.88, 0.96; p < 0.001; OR, 0.96; 95% CI, 0.93, 0.99; p = 0.017, respectively) and a high level of osteoporosis risk (OR, 0.93; 95% CI, 0.89, 0.97; p = 0.001; OR, 0.89; 95% CI, 0.84, 0.94; p < 0.001; OR, 0.95; 95% CI, 0.91, 0.99; p = 0.008, respectively) compared with a low level of osteoporosis risk and to those with a lower WC, HL, and DDL. In addition, higher levels of hemoglobin (Hb) (OR, 0.79; 95% CI, 0.66, 0.95; p = 0.014), hematocrit (Hct) (OR, 0.95; 95% CI, 0.92, 0.99; p = 0.041), albumin (OR, 0.91; 95% CI, 0.83, 0.99; p = 0.030), and education (OR, 0.37; 95% CI, 0.16, 0.88; p = 0.025) were associated with a lower likelihood of a high level of osteoporosis risk. In conclusion, osteoporosis risk is highly prevalent in hemodialysis patients. Improved HL, DDL, education, WC, albumin, Hb, and Hct levels should be considered in preventing hemodialysis patients from developing osteoporosis.
Publisher: Switzerland: MDPI AG
Language: English
Identifier: ISSN: 2072-6643
EISSN: 2072-6643
DOI: 10.3390/nu14235122
PMID: 36501153
Source: Geneva Foundation Free Medical Journals at publisher websites
MEDLINE
ProQuest Databases
PubMed Central
DOAJ: Directory of Open Access Journals
Coronavirus Research Database
ROAD: Directory of Open Access Scholarly Resources

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Osteoporosis Risk in Hemodialysis Patients: The Roles of Gender, Comorbidities, Biochemical Parameters, Health and Diet Literacy

Searching Remote Databases, Please Wait