• Mrs. Anitha Victoria Noronha,
• Prof. Sheela Williams
• Mrs. Mmatha G
• Dr. Vijay C

Abstract Introduction Bone loss occurs universally with aging which makes aging the primary risk factor. The other risk factors for osteoporosis are sedentary life style, low dietary intake of calcium and vitamin D, early menopause, immobility, excessive caffeine intake and their working & living environment. In India the prevalence of osteoporosis among women aged between 30-60 years is 30%. It is more frequently found in women than men at the ratio of 4:1. One of every woman will experience fractures at some point during her life. Methodology Aim of the study was to assess the Bone Mineral Density (BMD), and serum vitamin D among working and non-working women and to administer and to assess effectiveness of the versatile intervention programme (Nutrition education + Exercise for group A and Exercise + drug therapy for group B) based on BMD and Serum Vitamin D. Evaluative approach was used in the first phase of research. Pre – experimental design was used in the second phase. BMD was checked by using DEXA scan on ankle joint was checked for 78 women and serum Vitamin D was checked for 38 women who had Osteopenia and Osteoporosis. Osteopenia women were included in the intervention group A and Osteoporosis women were included in Group B. Results Study findings revealed that out of 78 working and non working women 19 (24.35%) have osteopenia , 17 ( 21.79%) of them have osteopororsis and remaining 42 ( 53.84%) have normal bone mineral density. In group A during pretest majority women 15( 78.94%)have serum vitamin D less than 10mg/dl in and in post test it is observed 8(47.05%) of samples have serum vitamin D between 10-20mg/dl and less than 10mg/dl respectively. Similarly in group B also it is found that majority 14(82.35%) have serum vitamin D less than 10mg/dl during pretest and in post teat 9(64.28%) of samples have serum vitamin D between 10-20mg/dl. No samples have normal serum vitamin D level in both groups. There was significant difference in mean pretest and posttest BMD and serum vitamin D values within the group. Findings also revealed that there is significant difference between mean pretest and posttest BMD status and the serum vitamin D values. Discussion It is evident in the study whether the women are osteopenia or osteoporosis stage none of them had normal serum vitamin D value. This was the important factor influenced the study subjects to continue the drug therapy and to practice the nutrition and exercise programme. Regular reminders and follow ups are essential to be adherence with the drug therapy. Hence the study emphasizes the need for sensitizing not only women but everyone especially the vulnerable group such as geriatrics, those who not exposed to sun and those suffer with chronic disease.

Key words : Osteoporosis, Bone Mineral Density, Serum Vitamin D, Versatile Intervention

"Impact of versatile intervention programme on osteoporosis among working and non-working women in urban areas of Mysuru", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.5, Issue 12, page no.618-624, December-2018, Available :http://www.jetir.org/papers/JETIR1812181.pdf

"Impact of versatile intervention programme on osteoporosis among working and non-working women in urban areas of Mysuru", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.5, Issue 12, page no. pp618-624, December-2018, Available at : http://www.jetir.org/papers/JETIR1812181.pdf