Abstract

Title: Improving Bone Health in Patients with Parkinson’s Disease: A Retrospective Study in a DGH

Background:

Parkinson’s disease (PD) is a neurodegenerative disorder primarily affecting movement, but its impact on bone health is often overlooked. Over 40% of individuals with PD experience recurrent falls, with more than a two-fold increased risk of hip fractures and nearly double the risk of non-vertebral fractures—largely influenced by mobility impairments, vitamin D deficiency, and long-term effects of medication. The aim of this study was to evaluate local compliance with bone health assessments in patients with PD.

Methods:

A retrospective analysis was conducted on 55 patients who attended PD clinics between January 2024 and September 2024, all with confirmed PD and ongoing treatment. The cohort ranged in age from 55 to 87 years (35 males, 20 females). Patients who had passed away were excluded in the study. The Clinical Frailty Scale (CFS) scores ranged from 2 to 7, with a median CFS of 4.

Among the study population:

• 29 patients (52.7%) experienced falls

• 12 patients (41.4% of those who fell) sustained fractures

• 38 patients (69.1%) had vitamin D levels checked

• 29 patients (52.7%) received bone protection treatment

• 6 patients who experienced falls did not receive any bone protection afterwards

Conclusion: Findings from this retrospective study indicate that the assessment and management of bone health in PD patients remain suboptimal. While vitamin D monitoring and bone protection treatments are implemented, there is room for improvement in compliance, early screening, and preventive care strategies.

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