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http://dx.doi.org/10.14370/jewnr.2010.16.2.172

Health-Related Characteristics that Affect the Prevalence of Osteoporosis in Elderly Women  

Yim, Eun-Sil (Health Insurance Policy Research Institute, National Health Insurance Corporation)
Lee, Kwang-Ok (College of Nursing, Seoul National University)
Kim, Kyung-Ha (Health Insurance Policy Research Institute, National Health Insurance Corporation)
Publication Information
Journal of East-West Nursing Research / v.16, no.2, 2010 , pp. 172-178 More about this Journal
Abstract
Purpose: We examined the relationship between the health-related issues of elderly women and bone density and identified specific factors that affect the prevalence of osteoporosis to provide basic data for developing a health care program on osteoporosis prevention. Methods: This study is a secondary data analysis of 118,903 66-yr-old women who received a health examination conducted by the National Health Insurance Corporation in 2008. Multiple logistic regression analysis was used to identify factors affecting the prevalence of osteoporosis. Results: The prevalence of osteoporosis was 46.8%, whereas the prevalence of osteopenia was 38.4% among elderly women in this study. Statistically significant differences were observed between the osteoporosis and non-osteoporosis group in terms of smoking (p<.001), exercise (p<.001), obesity (p<.001), waist circumference (p<.001), depression (p<.001), falling experience (p<.05), and the cognitive function risk (p<.05). Based on the multiple logistic regression results, the risk for osteoporosis was high in those who were under-weight, smoked, or were depressed. In contrast, moderate or high level obesity showed a negative relationship with osteoporosis. Conclusion: The prevalence of osteopenia and osteoporosis was 85.2%. Therefore, there is a need to develop health care programs pertaining to osteoporosis intervention and prevention for elderly women. Because smoking, non-exercise, and obesity are main osteoporosis risk factors, it is highly recommended that some sound practical life programs and psychological support programs be considered for this population.
Keywords
Elderly women; Osteoporosis;
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