Abdolalipour Somayeh, Mirghafourvand Mojgan, Ghassab-Abdollahi Nafiseh, Farshbaf-Khalili Azizeh
Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
J Educ Health Promot. 2021 Feb 27;10:45. doi: 10.4103/jehp.jehp_450_20. eCollection 2021.
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 -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 ( < 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 ( < 0.001) and all subdomains except for sexual function subdomain ( = 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], = 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.
原发性骨质疏松症是衰老和绝经的常见并发症。随着预期寿命的增加和人口老龄化，未来几年骨质疏松症的负面影响将会加剧。本研究的目的是比较有和没有原发性骨质疏松症的绝经后女性的健康促进生活方式和生活质量。
本横断面分析研究于2018年9月至2019年7月在大不里士健康中心通过简单随机抽样选取了445名年龄在50 - 65岁的绝经后女性。数据收集工具包括人口统计学、助产、人体测量学、健康促进生活方式概况II和绝经后生活质量问卷，以及血清检测清单（25 - 羟基维生素D、全血细胞计数/分类、促甲状腺激素、空腹血糖、钙和磷）。采用双能X线吸收法测量骨密度。使用SPSS/23通过描述性和推断性统计方法（如卡方检验、独立样本t检验、曼 - 惠特尼检验和多元回归）对数据进行分析。
正常组生活方式平均得分是141.2±21.9，骨质疏松组为127.2±25.4，总分（P<0.001）及所有子领域差异均有统计学意义。正常组生活质量平均得分是3.9±1.2，骨质疏松组为4.5±1.4。总分（P<0.001）及除性功能子领域外的所有子领域差异均有统计学意义（P = 0.064）。经混杂因素调整的逻辑回归表明，生活方式总分每增加一个单位，原发性骨质疏松症的患病几率降低2.2%（调整后的优势比[95%置信区间]：0.978[0.963 - 0.994]，P = 0.006）。
为预防原发性骨质疏松症并提高绝经后女性的生活质量，开展健康促进生活方式的教育和实施似乎至关重要。本研究结果可用于中老年保健规划。
