Impact of educational intervention on osteoporosis knowledge
among university students in Beni-Suef, Egypt
Shaimaa A. Senosy
Heba R. Elareed
Received: 21 February 2017 /Accepted: 20 September 2017 /Published online: 3 October 2017
Springer-Verlag GmbH Germany 2017, corrected publication January/2018
Background Osteoporosis is a geriatric disease that has an
adolescent onset. It is mandatory to improve osteoporosis
awareness, in older populations, as well as in the younger
Aim The aim of the current study was to evaluate the impact
of an interventional education program on osteoporosis
knowledge among university students, to evaluate the level
of osteoporosis knowledge, to identify their sources of knowl-
edge and to evaluate the impact of some variables on their
level of knowledge.
Subjects and methods A cross-sectional interventional study
design including 393 students from five randomly selected
colleges of Beni-Suef University was conducted between
September 2016 and January 2017 using a self-administered
questionnaire and the Osteoporosis Knowledge Assessment
Tool (OKAT). Students were targeted in an educational inter-
vention program. Immediate and 3 months’ post-intervention
assessments were done to ascertain any changes in
Results Of the 393 students, the mean total score of the OKAT
was 11 ± 3.21 before intervention. The internet was the main
source of information regarding osteoporosis among students.
After interventional health education, the level of osteoporosis
knowledge of students was significantly improved.
Conclusion Implementation of an educational health program
improves the knowledge of university students concerning
osteoporosis. Thus, the findings of the present study may be
used to convince the educational authorities to provide health
education programs about osteoporosis and its related factors
in universities or even include them in the university curricu-
lum to improve knowledge of this disease among students and
ensure the accuracy of information they receive.
knowledge assessment tool
Osteoporosis is a widely recognized, silent metabolic disease
that manifests clinical signs only after sufficient damage has
already been done. In 2014, the National Osteoporosis
Foundation found that a total of 54 million adults aged more
than 50 years in the USA are affected by osteoporosis (OP)
and low bone mass (Wright et al. 2014).
In Egypt, an evaluation of various existing studies esti-
mates that 53.9% of postmenopausal women have osteopenia
and 28.4% have OP. On the other hand, 26% of men have
osteopenia and 21.9% have OP (Taha 2011).
In fact, OP is a disease of the geriatric group that has an
adolescent onset. Throughout childhood and adolescence,
considerable bone deposition greatly exceeds bone with-
drawal, so the skeleton grows in both density and size to
reach up to 90% of peak bone mass by the age of 18–20,
which is why youth is the best time for bone health invest-
ment (Wahba et al. 2010).
During the adolescent years, calcium consumption de-
creases while consumption of phosphorous, such as found in
soda, increases; also regular physical activity is replaced with
increased time spent using the computer and watching videos
and television. This behavior puts adolescents at risk of devel-
oping OP (Al Seraty and Ali 2014).
* Shaimaa A. Senosy
Department of Public Health and Community Medicine, Faculty of
Medicine, Beni-Suef University, Mukbel, Beni-Suef 62511, Egypt
Journal of Public Health: From Theory to Practice (2018) 26:219–224