Document Type : Original Article


1 Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

2 Department of Health Education and Promotion, Faculty of Health Sciences, Students’ Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran

3 Physical Medicine and Rehabilitation Research Center, Aging Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran


BACKGROUND: 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.
MATERIALS AND METHODS: 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.
RESULTS: 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).
CONCLUSION: 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.


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