Search resultsLifestyle and osteoporosis in middle-aged and elderly women: Chiba bone survey
Title
Lifestyle and osteoporosis in middle-aged and elderly women: Chiba bone survey
Publication type
Journal Article
Year of Publication
2013
Authors
Journal
Endocrine Journal
Volume
60
Issue
5
Pagination
643 - 650
Date published
2013
ISBN
09188959 (ISSN)
Keywords
Accidental Falls, Adult, age distribution, Age Factors, Aged, Aged, 80 and over, aging, alcohol consumption, anthropometry, article, body mass, bone density, Bone fracture, bone mass, Bone Resorption, controlled study, Cross-Sectional Studies, cross-sectional study, diabetes mellitus, diet, Dieting behavior, dyslipidemia, Exercise, falling, family health, family history, Female, fracture, Health Surveys, hip fracture, Hip Fractures, human, Humans, incidence, Japan, kidney disease, kyphosis, Life Style, lifestyle, menstruation, Middle Aged, osteopenia, osteoporosis, Osteoporosis, Postmenopausal, Osteoporotic Fractures, population research, postmenopause osteoporosis, risk assessment, risk factor, Risk Factors, structured questionnaire, women's health
Abstract
Osteoporosis causes an enormous health and economic impact in Japan. We investigated the relation between lifestyle and bone fracture in middle-aged and elderly women. This was a population-based, multicenter, cross-sectional survey for postmenopausal osteoporosis in Chiba City, Japan (Chiba bone survey). This survey included 64,809 Japanese women aged > 40 years. All participants underwent anthropometric measurements including bone mineral density (BMD) and completed a structured, nurse-assisted, self-administered questionnaire also including patient lifestyle. Bone fracture during the recent 5 years was observed in 5.3%, and the fracture group had significantly higher age, BMI, and prevalence of delivery, family histories of kyphosis and hip fracture, diabetes mellitus (DM), dyslipidemia, kidney disease, exercise, fall, and osteoporosis, and had significantly lower BMD and proportion of menstruating participants. Logistic regression analysis revealed that bone fracture was closely associated with not only low bone mass but also age, fall, family histories of kyphosis and hip fracture, DM, kidney disease, menopause, and lifestyle factors of dieting, exercise, and alcohol. Women's health care focusing on lifestyle-related fracture risks such as dieting, exercise, and alcohol appears necessary to prevent bone fracture in postmenopausal osteoporosis.