Education and exercise program improves osteoporosis knowledge and changes calcium and vitamin D dietary intake in community dwelling elderly

Abstract Background Several educational intervention programs have been designed and developed to improve osteoporosis diagnosis and treatment. However, most of the prior studies focused on how educational intervention programs affected diagnosis and treatment of condition of osteoporosis. The purpo...

Full description

Bibliographic Details
Main Authors: Ki-Soo Park, Jun-Il Yoo, Ha-Young Kim, Sunmee Jang, Yongsoon Park, Yong-Chan Ha
Format: Article
Language:English
Published: BMC 2017-12-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-017-4966-4
_version_ 1818670968854282240
author Ki-Soo Park
Jun-Il Yoo
Ha-Young Kim
Sunmee Jang
Yongsoon Park
Yong-Chan Ha
author_facet Ki-Soo Park
Jun-Il Yoo
Ha-Young Kim
Sunmee Jang
Yongsoon Park
Yong-Chan Ha
author_sort Ki-Soo Park
collection DOAJ
description Abstract Background Several educational intervention programs have been designed and developed to improve osteoporosis diagnosis and treatment. However, most of the prior studies focused on how educational intervention programs affected diagnosis and treatment of condition of osteoporosis. The purpose of this prospective and educational intervention study was to evaluate the changes in osteoporosis knowledge, osteoporosis self-efficacy, fall self-efficacy, physical exercise and changes in dietary pattern of calcium and vitamin D intake after osteoporosis education. Methods From November 1, 2015 to August 31, 2016, 271 eligible candidates (who were over 50 years old and from 23 different community centers) were recruited through an announcement made by the public office, by two health care providers. The intervention involved an individualized education program to allow for differences in antecedent educational levels regarding several aspects of osteoporosis, including osteoporosis knowledge, osteoporosis self-efficacy, awareness of self-efficacy risk factors relating to an accidental fall and nutritional education (including the importance of sufficient calcium and vitamin D intake). The researchers revisited the community centers three months after the initial visit. Results Of the 271 potential participants, 199 (73.4%; 43 men and 156 women) completed the education program and the second questionnaire. After education intervention, parameters including osteoporosis knowledge, osteoporosis self-efficacy and fall self-efficacy were improved (P < 0.0001). After education regarding percentage of calcium and vitamin D intake below recommended cut-offs, inadequate dietary calcium and vitamin D intake were decreased (P < 0.0001) from 89.4% (178/199) and 84.4% (168/199) to 79.9% (159/199) and 65.8% (131/199), respectively, at the three-month follow-up. (p = 0.038, p = 0.017). Conclusions This prospective intervention study demonstrated that education on osteoporosis knowledge and regular exercise programs could improve osteoporosis self- efficacy, fall self-efficacy and increase dietary calcium and vitamin D intake.
first_indexed 2024-12-17T07:16:32Z
format Article
id doaj.art-da80941186d2497b960e98d06b187155
institution Directory Open Access Journal
issn 1471-2458
language English
last_indexed 2024-12-17T07:16:32Z
publishDate 2017-12-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj.art-da80941186d2497b960e98d06b1871552022-12-21T21:58:53ZengBMCBMC Public Health1471-24582017-12-011711810.1186/s12889-017-4966-4Education and exercise program improves osteoporosis knowledge and changes calcium and vitamin D dietary intake in community dwelling elderlyKi-Soo Park0Jun-Il Yoo1Ha-Young Kim2Sunmee Jang3Yongsoon Park4Yong-Chan Ha5Department of Preventive Medicine and Institute of Health Sciences, Gyeongsang National University HospitalDepartment of Orthopaedic Surgery, School of Medicine, Gyeongsang National UniversityDepartment of Internal Medicine, School of Medicine, Wonkwang University Gunpo HospitalCollege of Pharmacy, Gachon UniversityDepartment of Food and Nutrition, College of Human Ecology, Hanyang UniversityDepartment of Orthopaedic Surgery, Chung-Ang University College of MedicineAbstract Background Several educational intervention programs have been designed and developed to improve osteoporosis diagnosis and treatment. However, most of the prior studies focused on how educational intervention programs affected diagnosis and treatment of condition of osteoporosis. The purpose of this prospective and educational intervention study was to evaluate the changes in osteoporosis knowledge, osteoporosis self-efficacy, fall self-efficacy, physical exercise and changes in dietary pattern of calcium and vitamin D intake after osteoporosis education. Methods From November 1, 2015 to August 31, 2016, 271 eligible candidates (who were over 50 years old and from 23 different community centers) were recruited through an announcement made by the public office, by two health care providers. The intervention involved an individualized education program to allow for differences in antecedent educational levels regarding several aspects of osteoporosis, including osteoporosis knowledge, osteoporosis self-efficacy, awareness of self-efficacy risk factors relating to an accidental fall and nutritional education (including the importance of sufficient calcium and vitamin D intake). The researchers revisited the community centers three months after the initial visit. Results Of the 271 potential participants, 199 (73.4%; 43 men and 156 women) completed the education program and the second questionnaire. After education intervention, parameters including osteoporosis knowledge, osteoporosis self-efficacy and fall self-efficacy were improved (P < 0.0001). After education regarding percentage of calcium and vitamin D intake below recommended cut-offs, inadequate dietary calcium and vitamin D intake were decreased (P < 0.0001) from 89.4% (178/199) and 84.4% (168/199) to 79.9% (159/199) and 65.8% (131/199), respectively, at the three-month follow-up. (p = 0.038, p = 0.017). Conclusions This prospective intervention study demonstrated that education on osteoporosis knowledge and regular exercise programs could improve osteoporosis self- efficacy, fall self-efficacy and increase dietary calcium and vitamin D intake.http://link.springer.com/article/10.1186/s12889-017-4966-4CalciumEducationExerciseOsteoporosis knowledgeVitamin D
spellingShingle Ki-Soo Park
Jun-Il Yoo
Ha-Young Kim
Sunmee Jang
Yongsoon Park
Yong-Chan Ha
Education and exercise program improves osteoporosis knowledge and changes calcium and vitamin D dietary intake in community dwelling elderly
BMC Public Health
Calcium
Education
Exercise
Osteoporosis knowledge
Vitamin D
title Education and exercise program improves osteoporosis knowledge and changes calcium and vitamin D dietary intake in community dwelling elderly
title_full Education and exercise program improves osteoporosis knowledge and changes calcium and vitamin D dietary intake in community dwelling elderly
title_fullStr Education and exercise program improves osteoporosis knowledge and changes calcium and vitamin D dietary intake in community dwelling elderly
title_full_unstemmed Education and exercise program improves osteoporosis knowledge and changes calcium and vitamin D dietary intake in community dwelling elderly
title_short Education and exercise program improves osteoporosis knowledge and changes calcium and vitamin D dietary intake in community dwelling elderly
title_sort education and exercise program improves osteoporosis knowledge and changes calcium and vitamin d dietary intake in community dwelling elderly
topic Calcium
Education
Exercise
Osteoporosis knowledge
Vitamin D
url http://link.springer.com/article/10.1186/s12889-017-4966-4
work_keys_str_mv AT kisoopark educationandexerciseprogramimprovesosteoporosisknowledgeandchangescalciumandvitaminddietaryintakeincommunitydwellingelderly
AT junilyoo educationandexerciseprogramimprovesosteoporosisknowledgeandchangescalciumandvitaminddietaryintakeincommunitydwellingelderly
AT hayoungkim educationandexerciseprogramimprovesosteoporosisknowledgeandchangescalciumandvitaminddietaryintakeincommunitydwellingelderly
AT sunmeejang educationandexerciseprogramimprovesosteoporosisknowledgeandchangescalciumandvitaminddietaryintakeincommunitydwellingelderly
AT yongsoonpark educationandexerciseprogramimprovesosteoporosisknowledgeandchangescalciumandvitaminddietaryintakeincommunitydwellingelderly
AT yongchanha educationandexerciseprogramimprovesosteoporosisknowledgeandchangescalciumandvitaminddietaryintakeincommunitydwellingelderly