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Prevalence and Associated Factors of Osteoporosis among Postmenopausal Women in Chuncheon : Hallym Aging Study(HAS)  

Jang, Soong-Nang (Institute of Health and Environment, Seoul National University)
Choi, Young-Ho (Department of Family Medicine, College of Medicine, Hallym University)
Choi, Moon-Gi (Department of Internal Medicine, College of Medicine, Hallym University)
Kang, Sung-Hyun (Department of Statistics, Seoul National University)
Jeong, Jin-Young (Institute for Aging Studies, Hallym University)
Choi, Yong-Jun (Department of Social and Preventive Medicine, College of Medicine, Hallym University)
Kim, Dong-Hyun (Department of Social and Preventive Medicine, College of Medicine, Hallym University)
Publication Information
Journal of Preventive Medicine and Public Health / v.39, no.5, 2006 , pp. 389-396 More about this Journal
Abstract
Objectives: A community-based, cross-sectional survey was conducted to determine theprevalence of osteoporosis and to evaluate the effects of body composition, health behaviors and reproductive history on bone density in postmenopausal women. Methods: The study subjects were 362 postmenopausal women, aged 45 years old or over, who were invited to the hospital. Information on their socio-demographic characteristics and the potential risk factors such as their past medical history, smoking, alcohol intake, exercise, diet and menstrual/reproductive histories were collected by trained interviewers. Weight, height, the body mass index ($kg/m^{2}$), and body composition variables were measured. Bone mineral density of the lumbar spine was measured by dual energy X-ray absorptiometry (DXA). Results: The prevalence of osteoporosis was 30.6% in the $45{\sim}64$ years old women, 52.5% in the elderly women aged $65{\sim}74$, and 68.7% in the women aged 75 years or over. After adjustment for the effect of potential covariates, those women in the highest 25% (4th quartile) of the lean body mass are less likely to have osteoporosis (aOR=0.31, 95% CI=0.12-0.76), compared with the lowest quartile group. More parity also had significantly detrimental effects on osteoporosis. Conclusions: These findings suggest that the prevalence of osteoporosis in postmenopausal women increased with age from 46.3% of those aged 45-64 to 68.7% for those aged 75 and over. Lean body mass and parity appeared significant contributor to bone mineral density in postmenopausal women in this population.
Keywords
Osteoporosis; Postmenopausal women; Bone mineral density;
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