Journal of Education and Health Promotion

Health‑promoting lifestyle and quality of life in affected and unaffected menopausal women by primary osteoporosis

Document Type : Original Article

Authors

. Somayeh Abdolalipour
. Mojgan Mirghafourvand 1
. Nafiseh Ghassab‑Abdollahi 2
. Azizeh Farshbaf‑Khalili 3

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

Abstract
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.

Keywords

Lifestyle
menopause
primary osteoporosis
quality of life
senile osteoporosis
  1. Foundation Io. Bone Health Organization around the Globe
    Mark World Osteoporosis Day. Available from: https://www.
    iofbonehealth.org. [Last accessed on 2018 Apr 12].
    2. Bartl R. Epidmiology of Oeteoporosis. 1st ed. Switzerland:
    Springer; 2017. p. 105‑8.
    3. Jakobsen A, Laurberg P, Vestergaard P, Andersen S. Clinical risk
    factors for osteoporosis are common among elderly people in
    Nuuk, Greenland. Int J Circumpolar Health 2013;72:19596.
    4. Oka R, Ohira M, Suzuki S, Yoshida T, Koide H, Tanaka T, et al.
    Fracture risk assessment tool (FRAX) and for the diagnosis of
    osteoporosis in Japanese middle‑aged and elderly women: Chiba
    bone survey. J Endocr Soc 2017;65:193‑202.
    5. Huitrón‑Bravo G, Denova‑Gutiérrez E, Talavera JO,
    Moran‑Villota C, Tamayo J, Omaña‑Covarrubias A, et al. Levels
    of serum estradiol and lifestyle factors related with bone mineral
    density in premenopausal Mexican women: A cross‑sectional
    analysis. BMC Musculoskelet Disord 2016;17:437.
    6. Oh EG, Yoo JY, Lee JE, Hyun SS, Ko IS, Chu SH. Effects of a
    three‑month therapeutic lifestyle modification program to
    improve bone health in postmenopausal Korean women in a
    rural community: A randomized controlled trial. Res Nurs Health
    2014;37:292‑301.
    7. Sotorník I. Osteoporosis – Epidemiology and pathogenesis. Vnitr
    Lek 2016;62 Suppl 6:84‑7.
    8. Urushihara H, Yoh K, Hamaya E, Taketsuna M, Tanaka K.
    Responsiveness of the Japanese osteoporosis quality of life
    questionnaire in women with postmenopausal osteoporosis.
    Health Qual Life Outcomes 2014;12:178.
    9. Orimo H, Nakamura T, Hosoi T, Iki M, Uenishi K, Endo N,
    et al. Japanese 2011 guidelines for prevention and treatment of
    osteoporosis–executive summary. Arch Osteoporos 2012;7:3‑20.
    10. Tsuboi S, Hayakawa T, Kanda H, Fukushima T. The relationship
    between clustering health‑promoting components of lifestyle and
    bone status among middle‑aged women in a general population.
    Environ Health Prev Med 2009;14:292‑8.
    11. Madureira MM, Ciconelli RM, Pereira RM. Quality of life
    measurements in patients with osteoporosis and fractures.
    Clinics (Sao Paulo) 2012;67:1315‑20.
    12. Mehrabadi FE, Pakgohar M, Asadi S, Haghani H. Lifestyle of
    elderly people with osteoporosis and its related factors. Iran J
    Ageing 2017;12:132‑45.
    13. Shahmirzadi SE, Shojaeizadeh D, Azam K, Tol A. A survey on
    quality of life in the elderly with osteoporosis. J Health Syst Res
    2013;8:1180‑9.
    14. Hilditch JR, Lewis J, Peter A, van Maris B, Ross A, Franssen E, et al.
    A menopause‑specific quality of life questionnaire: Development
    and psychometric properties. Maturitas 1996;24:161‑75.
    15. Yazdkhasti M, Keshavarz M, Merghati KE, Hosseini F. The
    effect of structured educational program by supportgroup on
    menopause women’s quality of life. Iran J Med Educ 2012;8:986‑94.
    16. Hilditch JR, Lewis JE, Ross AH, Peter A, van Maris B, Franssen E,
    et al. A comparison of the effects of oral conjugated equine
    estrogen and trans‑ dermal estradiol‑17/I combined with an
    oral progestin on the quality of life in postmenopausal women.
    Maturitas 1996;24:177‑84.
    17. Kulasingam S, Moineddin R, Lewis JE, Tierney MC. The validity
    of the menopause specific quality of life questionnaire in older
    women. Maturitas 2008;60:239‑43.
    18. GhazanfarpourM, KavianiM, RezaieeM, GhaderiE, Zandvakili F.
    Cross cultural adaptation of the menopause specific questionnaire
    into the persian language. Ann Med Health Sci Res 2014;4:325‑9.
    19. Walker SN, Sechrist KR, Pender NJ. The health‑promoting lifestyle
    profile: Development and psychometric characteristics. Nurs Res
    1987;36:76‑81.
    20. Alzahrani SH, Malik AA, Bashawri J, Shaheen SA, Shaheen MM,
    Alsaib AA, et al. Health‑promoting lifestyle profile and associated
    factors among medical students in a Saudi university. SAGE Open
    Med 2019;7:2050312119838426.
    21. Tanjani PT, Azadbakht M, Garmaroudi G, Sahaf R, Fekrizadeh Z.
    Validity and reliability of health promoting lifestyle profile II in
    the Iranian elderly. Int J Prev Med 2016;7:74.
    22. Weaver CM. Nutrition and bone health. Oral Dis 2017;23:412‑5.
  2. 23. Ishimi Y. Osteoporosis and lifestyle. J Nutr Sci Vitaminol (Tokyo)
    2015;61 Suppl: S139‑41.
    24. Segev D, Hellerstein D, Dunsky A. Physical activity‑does it really
    increase bone density in postmenopausal women? A review of articles
    published between 2001‑2016. Curr Aging Sci 2018;11:4‑9.
    25. Kelly RR, McDonald LT, Jensen NR, Sidles SJ, LaRue AC. Impacts
    of psychological stress on osteoporosis: Clinical implications and
    treatment interactions. Front Psychiatry 2019;10:200.
    26. Follis SL, Bea J, Klimentidis Y, Hu C, Crandall CJ, Garcia DO,
    et al. Psychosocial stress and bone loss among postmenopausal
    women: Results from the Women’s Health Initiative. J Epidemiol
    Community Health 2019;73:888‑92.
    27. TolA, TavassoliE, ShariferadGR, ShojaeezadehD. Health‑promoting
    lifestyle and quality of life among undergraduate students at school
    of health, Isfahan University of medical sciences. JEduc Health Promot
    2013;2:11.
    28. AungKT, WinCM, MawHA. Health promoting behaviours of the elderly
    in Myanmar. Sch J Applied Med Sci 2017;5:131‑8.
    29. RahimiA, AnooshehM, AhmadiF, ForoughanM. Exploring spirituality
    in Iranian healthy elderly people: Aqualitative content analysis. Iran J
    Nurs Midwifery Res 2013;18:163‑70.
    30. Eimar H, Tamimi I, Murshed M, Tamimi F. Cholinergic
    regulation of bone. J Musculoskelet Neuronal Interact
    2013;13:124‑32.
    31. Kerr C, Bottomley C, Shingler S, Giangregorio L, de Freitas HM,
    Patel C, et al. The importance of physical function to people with
    osteoporosis. Osteoporosis Int 2017;28:1597‑607.
    32. Mollard E, Bilek L, Waltman N. Emerging evidence on the link
    between depressive symptoms and bone loss in postmenopausal
    women. Int J Womens Health 2018;10:1‑9.
    33. Ciubean AD, Ungur RA, Irsay L, Ciortea VM, Borda IM, Onac I,
    et al. Health‑related quality of life in Romanian postmenopausal
    women with osteoporosis and fragility fractures. Clin Interv
    Aging 2018;13:2465‑72.
    34. Mohammadbeigi A, Hassanzadeh J, Mohammadsalehi N,
    Nasimi B, Ranjbar‑Omrani G. Impacts of osteoporosis on quality
    of life in elderly women. Chronic Dis J 2013;1:13‑7.
    35. Miyakoshi N, Kudo D, Hongo M, Kasukawa Y, Ishikawa Y,
    ShimadaY. Comparison of spinal alignment, muscular strength, and
    quality of life between women with postmenopausal osteoporosis
    and healthy volunteers. Osteoporos Int 2017;28:3153‑60.
    36. Dogu B, Sirzai H, Usen A, Yilmaz F, Kuran B. Comparison of body
    composition, nutritional status, functional status, and quality
    of life between osteoporotic and osteopenic postmenopausal
    women. Medicina (Kaunas) 2015;51:173‑9.
    37. Dallanezi G, Nahas EA, Freire BF, Nahas‑Neto J, Corrente JE,
    Mazeto GM. Quality of life of women with low bone mass in
    postmenopause. Rev Bras Ginecol Obstet 2011;33:133‑8.
Journal of Education and Health Promotion
Volume 11, Issue 2
February 2021
Pages 1-9

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