Department of Hygiene and Preventive Medicine, School of Medicine, Fukushima Medical University, 1 Hikarigaoka, Fukushima, 960-1295, Japan,
Environ Health Prev Med. 2009 Sep;14(5):292-8. doi: 10.1007/s12199-009-0099-4. Epub 2009 Jul 28.
The association between clustering health-promoting components of lifestyle and bone status was examined among middle-aged women.
A cross-sectional study was conducted in Tadami Town, Fukushima Prefecture, Japan, in 2007. A total of 305 middle-aged women (mean age 55.2 years) participated. The Health-Promoting Lifestyle Profile II was used to assess health-promoting components of lifestyle. Participants' bone status was examined using quantitative ultrasonic calcaneal measurement.
A total of 139 participants (45.6%) were defined as having low bone stiffness. In the low bone stiffness group, the mean age was significantly higher, and prevalence of interpersonal relationships score over 3.0 was lower than that in the normal bone stiffness group. There were significant trends in the prevalence of low bone stiffness, each health-promoting component of lifestyle, and presence of hypertension and diabetes mellitus, based on the number of frequently selected health-promoting components of lifestyle. The number of frequently selected health-promoting components of lifestyle correlated negatively with the prevalence of low bone stiffness in both crude and adjusted results.
This research is particularly important as we suggest health-promotion strategies for the prevention of osteoporosis. A synthetic approach, which includes health responsibility, spiritual growth, interpersonal relations, and stress management, and physical activity and nutrition, may be effective and complement traditional strategies.
研究中年女性生活方式促进健康成分的聚类与骨状况之间的关系。
2007 年在日本福岛县忠海町进行了一项横断面研究。共有 305 名中年女性（平均年龄 55.2 岁）参与。使用健康促进生活方式量表 II 评估生活方式的健康促进成分。通过定量超声跟骨测量来检查参与者的骨状况。
共有 139 名参与者（45.6%）被定义为骨硬度低。在骨硬度低的组中，平均年龄显著较高，人际关系评分超过 3.0 的比例低于正常骨硬度组。根据经常选择的健康促进生活方式成分的数量，低骨硬度的患病率、每种健康促进生活方式成分的存在以及高血压和糖尿病的患病率均存在显著趋势。在未经调整和调整后的结果中，经常选择的健康促进生活方式成分的数量与低骨硬度的患病率呈负相关。
由于我们提出了预防骨质疏松症的健康促进策略，因此这项研究尤为重要。综合的方法，包括健康责任、精神成长、人际关系和压力管理以及体育活动和营养，可能是有效的，并补充传统策略。
