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Related Experiment Videos

How common is osteomalacia in the elderly?

G A Campbell, J R Kemm, D J Hosking

    Lancet (London, England)
    |August 18, 1984
    PubMed
    Summary

    Osteomalacia prevalence in the elderly is estimated at 3.7% using specific biopsy criteria. This bone disease is more common in women and individuals over 80 years old.

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    Area of Science:

    • Geriatric Medicine
    • Bone Metabolism
    • Pathology

    Background:

    • Osteomalacia diagnosis in the elderly is challenging due to varied definitions and unstated criteria.
    • Accurate prevalence data is crucial for understanding the impact of osteomalacia in aging populations.

    Purpose of the Study:

    • To determine the prevalence of osteomalacia in an elderly geriatric unit population.
    • To establish clear diagnostic criteria for osteomalacia in this study.

    Main Methods:

    • Defined osteomalacia by specific iliac crest biopsy criteria: >25% trabecular bone surface with osteoid and mean osteoid seam thickness >11 microns.
    • Screened all patients admitted to a geriatric unit over one year.
    • Obtained biopsy samples from a high proportion of screened patients.

    Main Results:

    • Estimated prevalence of osteomalacia in the studied geriatric population was 3.7%.
    • Prevalence was significantly higher in women compared to men.
    • Prevalence increased in individuals over 80 years compared to those under 80.

    Conclusions:

    • Osteomalacia affects a notable percentage of elderly patients in geriatric units.
    • Age and sex are significant factors influencing osteomalacia prevalence in the elderly.
    • Standardized diagnostic criteria are essential for accurate osteomalacia assessment in geriatric populations.

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