Korelasi antara Skor Osteoporosis Self Assessment Tool for Asians dengan Skor FRAX® pada Wanita Usia Lanjut

Muhammad Ma'ruf, Sugeng Yuwana


Background: Osteoporosis and osteoporotic fractures are an important public health concern in the elderly, especially in post-menopausal women. Screening for osteoporosis might help to detect those at risk for fractures to be promptly managed. WHO has developed a tool to screen risk for osteoporosis, i.e. the Osteoporosis Self-assessment Tool (OST) that has also been validated for Asians (OSTA). WHO has also developed FRAX® to predict 10-years risk of hip fracture or other osteoporotic a fracture. Method: This study was intended to assess the correlation between OSTA and FRAX®. This cross-sectional study was performed in October-December 2013 in all public health centers (Puskesmas) in Yogyakarta, Indonesia. We invited all women aged 56 years or above visiting the outpatient clinic of the Puskesmas during the study period. Overall, 540 elderly women completed the anthropometric measurements and questionnaires of FRAX®. Results: OSTA scores showed that more than 40% were at high risk for osteoporosis. This study observed high and significant correlations between OSTA and FRAX® for hip fracture, i.e. Spearman correlation of 0,914; p<0,001 and for other osteoporotic fractures, i.e. Spearman correlation of 0,769; p<0,001. Conclusion: We concluded that OSTA and FRAX® were highly correlated and both can be used to screen women for osteoporosis and risk for fractures, respectively.


elderly women; FRAX®; osteoporosis self-assessment tool for Asians; primary health service

Full Text:



International Osteoporosis Foundation. Osteoporosis: Incidence and Burden. 2017.

Fisik A, Frekuensi DAN, Teh K, Nurwahyuni D, Pada T, Postmenopause W, et al. Risiko Osteoporosis di Indonesia. Mal J Nutr. 2007;6(1):75–95.

Cosman F, de Beur S, LeBoff M, Lewiecki E, Tanner B, Randall S, et al. Clinician ’ s Guide to Prevention and Treatment of Osteoporosis. Osteoporos Int. 2014;25:2359–81.

Bonnick S, Harris S, Kendler D, McClung M, Silverman S. NAMS continuing medical education activity: Management of osteoporosis in postmenopausal women : 2010 Position Statement of The North American Menopause Society. Menopause. 2010;17(1):23–56.

Chen C, Rau C, Wu S, Kuo P. Association of Osteoporosis Self-Assessment Tool for Asians (OSTA) Score with Clinical Presentation and Expenditure in Hospitalized Trauma Patients with Femoral Fractures. Int J Env Res Public Health. 2016;13:1–15.

Su F, Liu D, Chen J, Yu S, Chiu W. Development and Validation of an Osteoporosis Self-Assessment Tool for Taiwan (OSTAi) Postmenopausal Women-A Sub-Study of the Taiwan OsteoPorosis Survey (TOPS). PLOS ONE. 2015;1–12.

Muslim DAJ, Mohd EF, Sallehudin AY, Muzaffar TMST, Ezane A. Performance of Osteoporosis Self-assessment Tool for Asian (OSTA) for Primary Osteoporosis in Post-menopausal Malay Women. Malays Orthop J. 2012;6(1):35–9.

Hass K, Abrahamsen B, Friis-holmberg T, Hjelmborg JVB, Bech M, Pernille A, et al. Comparison of different screening tools ( FRAX®, OST, ORAI, OSIRIS, SCORE and age alone) to identify women with increased risk of fracture. A population-based prospective study. Bone. 2013;56(1):16–22.

Kanis JA, Mccloskey E V, Johansson H, Wahl DA, Cooper C. A systematic review of hip fracture incidence and probability of fracture worldwide. Osteoporos Int. 2012;23:2239–56.

Undang-undang Republik Indonesia Nomor 13 Tahun 2003 Tentang Ketenagakerjaan. 2003;

Cherian KE, Kapoor N, Shetty S, Naik D, Thomas N, Paul T V. Evaluation of Different Screening Tools for Predicting Femoral Neck Osteoporosis in Rural South Indian Postmenopausal Women. J Clin Densitom. 2018;21(1):119–24.

Rubin KH, Friis-Holmberg T, Hermann AP, Abrahamsen B, Brixen K. Risk assessment tools to identify women with increased risk of osteoporotic fracture: Complexity or simplicity? A systematic review. J Bone Miner Res. 2013;28(8):1701–17.

DOI: http://dx.doi.org/10.12928/kesmas.v13i1.10425


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Kes Mas: Jurnal Fakultas Kesehatan Masyarakat 
ISSN 2620-2999 (online) | 1978-0575 (print)
Universitas Ahmad Dahlan
Kampus III UAD
Jln. Prof. Soepomo, Janturan
Yogyakarta 55164, Indonesia
Email: ph@uad.ac.id or kesmas@journal.uad.ac.id

This work is licensed under a Creative Commons Attribution 4.0 International License

View KesMas Stats