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To determine the diagnostic value of risk factor analysis (age, duration of menopause, body mass index and physical activities) and radiological imaging (Singh index and cortical index of the femoral neck) in diagnosing osteoporosis in post-menopausal women, this study was cross sectional on 200 menopausal women without secondary risk factor for osteoporosis. They were classified proportionally using the Singh index. The Singh index and cortical index of the femoral neck were evaluated using femoral neck anterio-posterior X-ray. Physical activities were measured using a Historical leisure activity questionnaire. 14% women were found osteoporotic whereas osteopenia was observed in 62.5% women. The score system algorithm was the best method for determining osteoporosis in post-menopausal women. If there is osteopenia, evaluation using DEXA is then required. However score system algorithm cannot be used to follow up the therapy.
Keywords: Postmenopausal; Singh's index; Osteoporosis