The impact of screening for osteoporosis on bone protecting exercise and dietary calcium intake

Wallace, L. M.; Wright, S.; Parsons, A.; Wright, C. and Barlow, J. (2002). The impact of screening for osteoporosis on bone protecting exercise and dietary calcium intake. Psychology, Health & Medicine, 7(4) pp. 477–488.

DOI: https://doi.org/10.1080/1354850021000015294

Abstract

Postmenopausal women are at high risk of depleted bone mineral density (BMD) and fracture risk. The treatment of choice is Hormone Replacement Therapy, but bone protecting exercise and dietary calcium are required to prevent mineral loss and sustain bone health. Previous studies have shown that BMD screening and educative interventions can have modest effects on knowledge and behaviour. The current study of 129 women referred to a UK hospital BMD clinic for diagnosis of primary osteoporosis examines change over time at two points after scanning over a six to seven-month period, in knowledge, health beliefs, anxiety and depression, and bone protecting exercise and dietary calcium intake behaviours. Due to attrition, results are presented on 82 at one month and 64 women at four months post scan. The results are also examined by service delivery arm (randomization to feedback of results from hospital consultant versus GP), and by diagnostic result. There were virtually no changes over time and between groups on any variables. It was found that women receiving feedback from the consultant of a negative result perceived themselves to be less susceptible to osteoporosis than at baseline and compared to those with a positive result receiving feedback from the consultant, or compared to those with either result with feedback from the GP. The implications for effective behaviour change interventions for those 12% of women screened for primary osteoporosis who will have a diagnosis of osteoporosis are discussed.

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