Health-promoting lifestyle and quality of life in affected and unaffected menopausal women by primary osteoporosis.
Health-promoting lifestyle and quality of life in affected and unaffected menopausal women by primary osteoporosis.
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DOI：
10.4103/jehp.jehp_450_20
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发表时间：
2021
影响因子：
1.4
通讯作者：
Farshbaf-Khalili A
中科院分区：
文献类型：
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作者：
Abdolalipour S;Mirghafourvand M;Ghassab-Abdollahi N;Farshbaf-Khalili A
原发性骨质疏松症是一种常见的老年和绝经期并发症。随着预期寿命的延长和人口老龄化，骨质疏松症在未来几年的负面影响将增加。本研究的目的是比较绝经后骨质疏松症妇女和非骨质疏松症妇女的健康促进生活方式和生活质量。这项横断面分析研究对2018年9月至2019年7月在大不里士卫生中心通过简单随机抽样选出的445名50-65岁绝经后妇女进行了调查。数据收集工具包括人口统计学、助产学、人体测量学、健康促进生活方式概况II和绝经期生活质量问卷调查表，以及血清检测清单（25-羟基维生素D、全血细胞计数/差异、促甲状腺激素、空腹血糖、钙和磷）。采用双能X线骨密度仪测量骨密度。数据分析使用SPSS/23通过描述性和推断性统计，如卡方，独立t检验，曼-惠特尼和多元回归。生活方式总分正常组为141.2 ± 21.9分，骨质疏松组为127.2 ± 25.4分，两组总分及各分项得分差异均有统计学意义（P < 0.001）。生活质量平均评分正常组为3.9 ± 1.2分，高血压组为4.5 ± 1.4分。除性功能子领域外，其他子领域得分差异均有显著性（P = 0.064）。Logistic回归校正混杂因素后，生活方式总评分增加1个单位，原发性骨质疏松的几率降低2.2%（校正后的比值比[0.95%可信区间]：0.978 [0.963-0.994]，P = 0.006）。为了预防原发性骨质疏松症并提高绝经后妇女的生活质量，教育和实施促进健康的生活方式似乎至关重要。研究结果可作为中老年人保健规划的依据。
Primary osteoporosis is a common complication of aging and menopause. The negative effects of osteoporosis in the coming years will increase by increasing life expectancy and population aging. The purpose of this research was to compare health-promoting lifestyle and quality of life in postmenopausal women with and without primary osteoporosis. This cross-sectional analytical research was conducted on 445 postmenopausal women aged 50–65 selected by simple random sampling in Tabriz health centers from September 2018 to July 2019. Data collection instruments included demographic, midwifery, anthropometric, health-promoting lifestyle profile II and menopausal quality-of-life questionnaire questionnaires, and serum test checklist (25-hydroxy vitamin D, complete blood count/diff, thyroid-stimulating hormone, fasting blood sugar, Calcium, and Phosphor). Dual-energy X-ray absorptiometry method was used to measure bone density. Data were analyzed using SPSS/23 through descriptive and inferential statistics such as Chi-square, independent t-test, Mann–Whitney, and multiple regression. The mean score of lifestyle was 141.2 ± 21.9 in normal and 127.2 ± 25.4 in osteoporosis group, and differences were statistically significant in total score (P < 0.001) and all subdomains. The mean score of quality of life was 3.9 ± 1.2 in the normal and 4.5 ± 1.4 in the osteoporotic group. The differences were significant in total score (P < 0.001) and all subdomains except for sexual function subdomain (P = 0.064). Logistic regression adjusted for confounders indicated by one unit increase in total lifestyle score, the odds of primary osteoporosis reduced by 2.2% (adjusted odds ratio [0.95% confidence interval]: 0.978 [0.963–0.994], P = 0.006). To prevent of primary osteoporosis and improve the quality of life of postmenopausal women, it seems that education and implementation of health-promoting lifestyle are essential. The research findings can be used to plan for health care in middle and old ages.