Magda M. Mohsen¹, Naglaa M. El-Mokadem^2,, Eman S. Mostafa¹

Introduction: Osteoporosis is a serious public health problem that currently causes global concern. Osteoporosis is a silent and potentially debilitating chronic illness that can cause fractures mostly in elderly. The National Osteoporosis Foundation (NOF; 2012) estimates that by 2025, osteoporosis will be the cause of 3 million fractures with an approximated healthcare expenditure of 25.3 billion dollars each year. In Egypt, the prevalence of osteoporosis in 2010 was 14.9% of the total population and it is projected to increase to 17.4% in 2020 and will further increase up to 30.3% by year 2050. Aim: to examine the effectiveness of risk reduction intervention for osteoporosis and osteoporotic fracture among high risk people. Methods: A quasi experimental design (study/control) was utilized. A convenience sample of Ninety subjects, who attended to the outpatient clinics, at Shebin El-Kom Menoufia University Hospital, Menuofia Governorate were selected. Data collection lasted six months from the beginning of September 2013 to May 2014. Tools: Fracture Risk Assessment Tool; Bone Mineral Density Test; General Practice Physical Activity Questionnaire, Calcium Food Calculator Questionnaire. Results: there was a statistical significant reduction of osteoporotic fracture risk score post intervention with mean score 5.16 ± 5.51. In the study group, 48 % of the participants were classified as moderately inactive which reduced to 28% post intervention. Also, approximately a quarter (23 %) of participants in the study group was inactive pre intervention compared with 8% post intervention. There was statistically significant improvement in total calcium intake post intervention compared with pre intervention. Conclusion: The risk reduction intervention was effective in improving bone health as indicated by the significant improvement in BMD score and the improvement of the mean score of fracture risk post intervention. Recommendations: Nurses in the primary health care centers should provide education to their patients about the need for good bone health as well as how to conduct good bone health with adequate calcium and vitamin D intake and moderate exercise with weight-bearing activities. They should also take time to provide health promotion in respect to osteoporosis.

osteoporosis, osteoporotic fracture, risk reduction intervention, high-risk people