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Using quantitative ultrasound for epidemiological research : associations with risk factors for low bone mineral density in South African premenopausal women

Includes bibliographical references (leaves 57-63).

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Bibliographic Details
Main Author: Constant, Deborah
Other Authors: Hoffman, Margaret
Format: Thesis
Language:English
Published: Women's Health Research Unit 2014
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access_status_str Open Access
author Constant, Deborah
author2 Hoffman, Margaret
author_browse Constant, Deborah
Hoffman, Margaret
author_facet Hoffman, Margaret
Constant, Deborah
author_sort Constant, Deborah
collection Thesis
description Includes bibliographical references (leaves 57-63).
format Thesis
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:33:43.673Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2014
publishDateRange 2014
publishDateSort 2014
publisher Women's Health Research Unit
publisherStr Women's Health Research Unit
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/9416 Using quantitative ultrasound for epidemiological research : associations with risk factors for low bone mineral density in South African premenopausal women Constant, Deborah Hoffman, Margaret Public Health Includes bibliographical references (leaves 57-63). Quantitative Ultrasound (QUS) measurement at the calcaneum is a convenient, cost effective and noninvasive method of determining bone strength well suited to community-based research in countries with limited resources. Although only moderately correlated with dual X-ray absorptiometry (DEXA) measurement of bone mineral density (BMD) at the hip and spine, quantitative ultrasound has shown to be a reliable predictor of osteoporotic fracture. This study aims to evaluate the use of QUS in epidemiological studies in South African settings. To this end, this report determines whether characteristics associated with QUS measures of bone strength in a large sample of premenopausal South African women are similar to those known to be associated with the BMD as measured by DEXA, and compares these associations with those in other populations. This cross-sectional study included 3493 black and mixed race women aged 18 - 44 living in Cape Town. Trained study nurses administered structured interviews on reproductive history and lifestyle factors. In addition they took height, weight and calcaneal QUS measurements using the Sahara device. Adjusted means of QUS measures according to categories of risk factors were obtained using multivariable regression analysis. In both groups associations between QUS measures and age, Body Mass Index (BMI), age at menarche, parity and primary school physical activity were similar to those known to be associated with BMD as measured by DEXA. There were no clear associations between QUS and educational level, alcohol use, cigarette smoking, and current calcium intake. The data give support to the use of QUS as an epidemiological tool in large studies of bone strength in premenopausal women. 2014-11-08T18:07:53Z 2014-11-08T18:07:53Z 2008 Master Thesis Masters MPH http://hdl.handle.net/11427/9416 eng application/pdf Women's Health Research Unit Faculty of Health Sciences University of Cape Town
spellingShingle Public Health
Constant, Deborah
Using quantitative ultrasound for epidemiological research : associations with risk factors for low bone mineral density in South African premenopausal women
thesis_degree_str Master's
title Using quantitative ultrasound for epidemiological research : associations with risk factors for low bone mineral density in South African premenopausal women
title_full Using quantitative ultrasound for epidemiological research : associations with risk factors for low bone mineral density in South African premenopausal women
title_fullStr Using quantitative ultrasound for epidemiological research : associations with risk factors for low bone mineral density in South African premenopausal women
title_full_unstemmed Using quantitative ultrasound for epidemiological research : associations with risk factors for low bone mineral density in South African premenopausal women
title_short Using quantitative ultrasound for epidemiological research : associations with risk factors for low bone mineral density in South African premenopausal women
title_sort using quantitative ultrasound for epidemiological research associations with risk factors for low bone mineral density in south african premenopausal women
topic Public Health
url http://hdl.handle.net/11427/9416
work_keys_str_mv AT constantdeborah usingquantitativeultrasoundforepidemiologicalresearchassociationswithriskfactorsforlowbonemineraldensityinsouthafricanpremenopausalwomen