# Knowledge, attitude, and practice of osteoporosis prevention in elder patients following lumbar fusion surgery: a cross‐sectional study

**Authors:** Shaoying Sheng, Manman Wang, Chengfei Yu, Qing Li, Zhan Wang, Yaojing Ma

PMC · DOI: 10.3389/fragi.2025.1543839 · 2025-06-10

## TL;DR

This study examines how well older patients who had lumbar fusion surgery understand and practice osteoporosis prevention, finding significant gaps in knowledge and lifestyle habits.

## Contribution

The study identifies factors associated with osteoporosis prevention knowledge in post-surgery patients, offering insights for targeted interventions.

## Key findings

- Only 28.6% of participants had high knowledge about osteoporosis prevention.
- Female gender, higher education, urban residence, and diabetes were linked to better knowledge.
- Calcium and vitamin D supplementation were more common than outdoor exercise or dairy consumption.

## Abstract

To assess the knowledge, attitudes, and practices (KAP) regarding osteoporosis prevention among older adult patients following lumbar fusion surgery and identify associated factors.

A cross-sectional study was conducted with participants aged ≥50 years. Data on demographic characteristics, KAP related to osteoporosis prevention, and lifestyle behaviors were collected using structured questionnaires. Chi-square tests were performed to explore associations between demographic variables and knowledge levels.

A total of 217 participants were included in the study. Participants demonstrated varying levels of knowledge, with 28.6% scoring high on the OPAAT. Female gender, higher educational attainment, urban residence, and diabetes were significantly associated with higher knowledge levels. Positive lifestyle practices, such as calcium and vitamin D supplementation, were observed in 64.5% and 41.0% of participants, respectively, while regular outdoor exercise and dairy product consumption were less common.

The findings highlight gaps in osteoporosis prevention KAP among older adult patients following lumbar fusion surgery. Tailored educational programs and interventions are necessary to enhance awareness and promote healthier behaviors.

## Linked entities

- **Diseases:** osteoporosis (MONDO:0005298), diabetes (MONDO:0005015)

## Full-text entities

- **Diseases:** osteoporosis (MESH:D010024), fusion (MESH:D000069337), diabetes (MESH:D003920)
- **Chemicals:** calcium (MESH:D002118), dairy (-), vitamin D (MESH:D014807)
- **Species:** Homo sapiens (human, species) [taxon 9606]

---
Source: https://tomesphere.com/paper/PMC12185519