{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:26:56Z","timestamp":1787570816822,"version":"build-2736575974"},"reference-count":22,"publisher":"FapUNIFESP (SciELO)","issue":"8","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Assoc. Med. Bras."],"abstract":"<jats:p>SUMMARY  OBJECTIVE: Osteoporosis is a prevalent but often overlooked condition in hemiplegic patients that increases the risk of fracture. The aim of this study was to evaluate osteoporosis knowledge and awareness levels and determine associated factors in adult hemiplegic individuals.  METHODS: A cross-sectional study was conducted with 88 hemiplegic participants (45 males, 43 females) in a tertiary rehabilitation clinic. Demographic and clinical data were documented. Cognitive function was assessed using the Mini-Mental State Examination, while osteoporosis knowledge was evaluated through the 31-item Osteoporosis Awareness Scale in addition to a structured question (\"Have you ever heard of osteoporosis?\"). Statistical analyses included independent t-tests, one-way analysis of variance with Tukey post-hoc testing, Pearson correlations, and multiple linear regression (significance: p&lt;0.05).  RESULTS: The mean Osteoporosis Awareness Scale score was 72.55\u00b132.29 (range: 32\u2013124). Seventy-two (81.8%) participants reported having heard of osteoporosis. In univariate analysis, Osteoporosis Awareness Scale scores were higher in females (76.58\u00b133.81 vs. 68.73\u00b130.52, p=0.036), postmenopausal women (78.92\u00b133.45 vs. 58.40\u00b126.31, p=0.042), those with higher education levels (p&lt;0.001), and individuals with better cognitive function (p&lt;0.001). Multiple linear regression confirmed that education level (p&lt;0.001) and Mini-Mental State Examination score (p=0.002) were significant independent predictors of Osteoporosis Awareness Scale scores. Gender (p=0.052) and menopausal status (p=0.087) were not significant in the multivariate model.  CONCLUSION: Education level and cognitive function were significant independent predictors of osteoporosis knowledge in hemiplegic patients. Gender and menopausal status were not significant after adjustment for education and cognitive function. These findings highlight the need for targeted educational strategies in rehabilitation settings, particularly for patients with lower educational backgrounds and cognitive impairment.<\/jats:p>","DOI":"10.1590\/1806-9282.20252274","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T11:09:34Z","timestamp":1787569774000},"source":"Crossref","is-referenced-by-count":0,"title":["Osteoporosis knowledge and awareness in hemiplegic patients: a cross-sectional study"],"prefix":"10.1590","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0997-7013","authenticated-orcid":false,"given":"Elif","family":"Ozyigit","sequence":"first","affiliation":[{"name":"University of Health Sciences,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1498-834X","authenticated-orcid":false,"given":"Mert","family":"Zure","sequence":"additional","affiliation":[{"name":"University of Health Sciences,  Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"issue":"2","key":"ref1","doi-asserted-by":"crossref","first-page":"182","DOI":"10.7326\/M22-0684","article-title":"Effectiveness and safety of treatments to prevent fractures in people with low bone mass or primary osteoporosis: a living systematic review and network meta-analysis for the American College of Physicians","volume":"176","author":"Ayers C","year":"2023","journal-title":"Ann Intern Med"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"100189","DOI":"10.1016\/j.jnha.2024.100189","article-title":"The effect of stroke on the bone mineral density: a systematic review and meta-analysis","volume":"28","author":"Wang J","year":"2024","journal-title":"J Nutr Health Aging"},{"issue":"4","key":"ref3","first-page":"474","article-title":"Structural and pathophysiological muscle changes up to one year after post-stroke hemiplegia: a systematic review","volume":"59","author":"Aze OD","year":"2023","journal-title":"Eur J Phys Rehabil Med"},{"issue":"3","key":"ref4","doi-asserted-by":"crossref","first-page":"961","DOI":"10.3892\/etm.2017.4078","article-title":"Effects of weight training time on bone mineral density of patients with secondary osteoporosis after hemiplegia","volume":"13","author":"Han L","year":"2017","journal-title":"Exp Ther Med"},{"issue":"3","key":"ref5","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1007\/s11096-020-01169-z","article-title":"Awareness of osteoporosis risk assessment tools and screening recommendations among community pharmacists in Malaysia","volume":"43","author":"Francis J","year":"2021","journal-title":"Int J Clin Pharm"},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1186\/s12891-020-03217-1","article-title":"Awareness of osteoporosis among 368 residents in China: a cross-sectional study","volume":"21","author":"Oumer 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Osteoporos"},{"issue":"18","key":"ref10","doi-asserted-by":"crossref","first-page":"2386","DOI":"10.1001\/jama.1993.03500180078038","article-title":"Population-based norms for the Mini-Mental State Examination by age and educational level","volume":"269","author":"Crum RM","year":"1993","journal-title":"JAMA"},{"issue":"3","key":"ref11","doi-asserted-by":"crossref","first-page":"151","DOI":"10.4274\/tod.galenos.2021.22590","article-title":"The psychometric property evaluation of the Turkish version of the osteoporosis awareness scale","volume":"27","author":"Akt\u00fcrk SO","year":"2021","journal-title":"Turk J Osteoporos"},{"issue":"3","key":"ref12","doi-asserted-by":"crossref","first-page":"411","DOI":"10.46497\/ArchRheumatol.2024.10171","article-title":"Osteoporosis knowledge and awareness among rheumatoid arthritis patients: a cross-sectional controlled study","volume":"39","author":"Tomay Aksoy \u00d6","year":"2024","journal-title":"Arch Rheumatol"},{"issue":"3","key":"ref13","article-title":"Awareness about osteoporosis among the general population based on the Osteoporosis Knowledge Assessment Tool (OKAT): a cross-sectional study in the northern border region of Saudi Arabia","volume":"16","author":"Elmorsy E","year":"2024","journal-title":"Cureus"},{"issue":"2","key":"ref14","doi-asserted-by":"crossref","first-page":"NP95","DOI":"10.1177\/1010539511423569","article-title":"Awareness and knowledge of osteoporosis in Vietnamese women","volume":"27","author":"Nguyen NV","year":"2015","journal-title":"Asia Pac J Public Health"},{"issue":"1","key":"ref15","first-page":"47","article-title":"Osteoporosis knowledge and health beliefs among female community leaders in Peru","volume":"1","author":"Sava M","year":"2020","journal-title":"Womens Health Rep (New Rochelle)"},{"issue":"1","key":"ref16","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s12916-023-03206-w","article-title":"Human lifespan and sex-specific patterns of resilience to disease: a retrospective population-wide cohort study","volume":"22","author":"Sol J","year":"2024","journal-title":"BMC Med"},{"issue":"5","key":"ref17","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1002\/pmrj.13290","article-title":"The relationship between falls and hip bone mineral density of paretic and nonparetic limbs after stroke","volume":"17","author":"Atan T","year":"2025","journal-title":"PM R"},{"issue":"6","key":"ref18","doi-asserted-by":"crossref","DOI":"10.1590\/1413-785220233105e266844","article-title":"Do older patients \"warn\" that they will suffer a new fracture?","volume":"31","author":"Melin SB","year":"2023","journal-title":"Acta Ortop Bras"},{"issue":"1","key":"ref19","doi-asserted-by":"crossref","first-page":"37","DOI":"10.11005\/jbm.2023.30.1.37","article-title":"Health-related quality of life in osteoporosis patients with and without fractures in Tehran, Iran","volume":"30","author":"Rajabi 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Res"}],"container-title":["Revista da Associa\u00e7\u00e3o M\u00e9dica 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