1. Fall Risk Assessment Among Residents of Ulaanbaatar
Bolor-Erdene M ; Amarsaikhan D ; Amarsaikhan L ; Borte E ; Myadagmaa J
Mongolian Journal of Health Sciences 2025;88(4):71-74
Background:
Globally, approximately 684,000 deaths occur annually due to falls. In Mongolia, 47 individual aged
between 45 and 85 have died as a result of falls. Therefore, there is a pressing need to assess fall risks among the general
population in Mongolia and identify risk factors to prevent accidents and injuries.
Aim:
To assess the risk of falls among individuals aged 45 years and older who are receiving care at tertiary-level referral
hospitals in Ulaanbaatar, Mongolia.
Materials and Methods:
A cross-sectional study was conducted involving 408 participants aged 45 years and above who
were attending tertiary-level hospitals in Ulaanbaatar. Fall risk was assessed using the internationally recognized Falls
Risk Assessment Tool (FRAT) questionnaire. Data were analyzed using SPSS version 26.0.
Results:
The mean age of the participants was 59.24±6.54 years; 40% were male and 60% were female. Among the
participants, 45.3% (n=185) were categorized as low risk, 33.6% (n=137) as moderate risk, and 21.1% (n=86) as high risk
for falls. Logistic regression analysis was performed to identify significant risk factors associated with falls. Key factors
included: slippery shoe soles (OR=0.226, 95% CI: 0.119–0.428, p=0.001), performing unexpected hazardous movements
while changing positions (OR=0.262, 95% CI: 0.143–0.480, p=0.001), use of assistive walking devices (OR=0.209, 95%
CI: 0.110–0.397, p=0.001), anxiety or unstable mental status (OR=0.276, 95% CI: 0.148–0.514, p=0.001), tendency
to resist instructions or behave stubbornly (OR=0.330, 95% CI: 0.183–0.596, p=0.001), difficulty in recognizing the
surrounding environment (OR=0.354, 95% CI: 0.187–0.671, p=0.001), and a history of previous falls (OR=4.737, 95%
CI: 2.151–10.429).
Conclusion
1. Based on the FRAT assesment, 45.3% of participants had low fall risk, 33.6% moderate risk, and 21.1% high risk.
2. Risk factors such as sudden movements, the use of assistive devices, and emotional instability significantly influence fall risk assessment, and individuals with a history of previous falls are 4.7 times more likely to experience
another fall.
2.Assessment of calcium-related knowledge and daily calcium intake among the adult population of Uvs province
Urangoo P ; Shiirevnyamba A ; Enkhtunsag B ; Myadagmaa J
Mongolian Journal of Health Sciences 2025;88(4):149-153
Background:
In Mongolia, the prevalence of osteoporosis is showing an increasing trend, with Uvs province exhibiting
particularly high rates. International studies have primarily focused on calcium intake in adolescents, women during and
after menopause, while there is a pressing need for comprehensive baseline research that includes all age groups regard
less of gender.
Aim:
To assess the knowledge and dietary calcium intake among residents aged 18 and above in Uvs province, and to
investigate the correlation between calcium knowledge and intake.
Materials and Methods:
A cross-sectional study was conducted among 330 individuals aged 18 years and older who vis
ited the Uvs Province General Hospital. The daily calcium intake was assessed using the Food Frequency Questionnaire
developed by the International Osteoporosis Foundation. The data were analyzed using SPSS version 26.
Results:
A total of 330 participants were included, with a mean age of 44.39 ± 3.93 years. Among them, 33% (n=109)
were male and 67% (n=221) were female. Regarding knowledge of calcium, 43% of respondents had low knowledge,
22% had moderate knowledge, and 35% had high knowledge. Concerning daily dietary calcium intake, 43% had a very
low intake (<500 mg), 19% had inadequate intake (500–1000 mg), and 38% had adequate intake (>1000 mg). Statistically
significant associations were found between calcium knowledge level and gender, education level, calcium supplements,
and vitamin D usage (p=0.001). No statistically significant difference was observed between daily calcium intake and the
level of knowledge regarding calcium (p = 0.131).
Conclusion
1. Among the study participants, 43% had a low level of knowledge about calcium, 22% had a moderate level, and
35% had a high level.
2. Regarding daily dietary calcium intake, 43% of participants had a very low intake, 19% had an insufficient intake,
and 38% had an adequate intake.
3. Factors such as gender, educational level, and the use of calcium supplements and vitamin D were found to influence the participants’ level of knowledge about calcium. Therefore, it is necessary to conduct a broader evaluation
of calcium intake among the general population, accurately determine calcium consumption, and develop health
education programs and recommendations.
3.Findings on the average age at menarche among girls in selected districts and rural areas
Zolboo B ; ; Shiirevnyamba A ; Mongonnavch E ; Dulamsuren Ya ; ; Nomin-Erdene Ts ; Ankhmaa D ; Myadagmaa J
Mongolian Journal of Health Sciences 2025;89(5):45-47
Background:
The average age at menarche (AAM) among girls is influenced by various factors, including the
socioeconomic status of the country, geographical location, and anthropometric characteristics. In Mongolia, limited
research has been conducted on this topic
Aim:
This study aimed to compare the mean age at menarche among girls living in Bayanzürkh District of Ulaanbaatar
and those in Uvs Province.
Materials and Methods:
A cross-sectional study was conducted between April and June 2025. The study participants
included schoolgirls aged 8 years and older from general education schools located in Bayanzürkh District and Uvs
Province. Statistical analyses were performed using R version 4.5.1 (RStudio 2025.05.1-513)
Results:
A total of 486 girls participated in the study. The mean age at menarche among the participants was 12.23±1.29
years. The mean age at menarche among girls aged 8–18 years in Bayanzürkh District was 11.84±1.19 years, while that
among girls aged 8–18 years in Uvs Province was 12.97±1.15 years. Thus, girls in Bayanzürkh District experienced
menarche 1.13 years earlier on average than those in Uvs Province. The difference in mean AAM between urban
(Ulaanbaatar) and rural (Uvs Province) girls was statistically significant (p<0.0001).
Conclusion
The mean age at menarche among girls residing in Bayanzürkh District was significantly lower than that of
girls living in Uvs Province, indicating a tendency toward earlier onset of menarche in urban areas.
4.The study on the factors affecting the patient’s Lysholm score following total knee
Enkhtaivan N ; ; Shiirevnyamba A ; Munkhsaikhan T ; Olivier Bruyere ; Myadagmaa J
Mongolian Journal of Health Sciences 2025;89(5):60-63
Background:
Total knee replacement arthroplasty (TKA) is an essential surgical treatment method performed when the
cartilage surfaces of the knee joint undergo irreversible changes due to aging, trauma, genetics, or lifestyle factors. In our
country, approximately 2.500 knee replacement surgeries are performed annually.
Aim:
To investigate the Lysholm scores of patients who underwent total knee replacement arthroplasty and the factors
influencing these scores.
Materials and Methods:
This study was conducted using a retrospective cohort study design. The research was carried
out at the First Central Hospital of the country, involving 186 patients who visited the Department of Joint Center from
January 2007 to May 2023. Participants provided demographic data, information on comorbidities, alcohol and tobacco
use, physical activity, and lifestyle factors through a 56-question survey, divided into two groups. The stability and function of the knee joint were assessed using the Lysholm assessment. A score of 95-100 indicated excellent, 84-94 good,
65-83 moderate, and less than 65 poor. Statistical analysis of the results was performed using SPSS version 26.0.
Results:
Out of 185 participants, the mean age was 71.83±7.83 years, with 18.9% (n=35) males and 81.1% (n=150)
females. The demographic factors such as gender, age group, BMI, and years after surgery were significantly associated
with the Lysholm score (p=0.001). Logistic regression analysis identified that age (OR, 2.014; 95% CI, 1.620-1.659;
p=0.001), excess weight (OR, 1.328; p=0.001; 95% CI, 0.469-3.765), and years after surgery (OR, 1.194; 95% CI, 0.533-
2.676; p=0.037) were factors influencing the scores
Conclusion
037) were factors influencing the scores.
Conclusion: The number of years after total knee replacement arthroplasty and patient age significantly affected Lysholm
evaluation scores
Result Analysis
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