Factors associated with low bone mineral density among white women

Detalhes bibliográficos
Autor(a) principal: Frazão, Paulo
Data de Publicação: 2007
Outros Autores: Naveira, Miguel
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32308
Resumo: OBJECTIVE: To analyze whether the factors causing low bone mineral density among elderly women are the same as those observed in other age groups. METHODS: A cross-sectional study was carried out on the medical records of a random sample of 413 white women seen at an imaging diagnostics service in a city of Southern Brazil, in 2003. Femoral bone mineral densities with adjustment using T-scores were used. The following variables were investigated: age, body mass index, tobacco smoking, alcohol consumption, milk consumption, physical activity and hormone replacement therapy. Univariate and multivariate unconditional logistic regression were used. RESULTS: In the sample, 52.5% were up to 59 years old and 47.5% were 60 or over. The mean bone mineral density was 0.867 g/cm² (SD=0.151) for the femoral neck. Significant age-adjusted values were obtained for physical activity (adjusted OR=0.47; 95% CI: 0.23;0.97), body mass index greater than or equal to 30.0 kg/m² (adjusted OR=0.10; 95% CI: 0.05;0.21), alcohol consumption (adjusted OR=7.90; 95% CI: 2.17;28.75), low milk consumption (adjusted OR=3.29; 95% CI: 1.91;5.68) and hormone replacement (adjusted OR = 0.44; 95% CI: 0.21;0.90). Among the elderly women, body mass, milk consumption and physical activity were independent protection factors. CONCLUSIONS: Advanced age, body mass, physical activity, milk and alcohol consumption were important factors in bone mass regulation. The influence of behavioral factors was maintained among the women of advanced aged, thus reinforcing the role of preventive measures in medical practice and public health promotion policies aimed at healthy aging.
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spelling Factors associated with low bone mineral density among white women Fatores associados à baixa densidade mineral óssea em mulheres brancas Osteoporose^i1^sepidemioloOsteoporose^i1^sprevenção e contrDensidade ósseaMulheresFatores de riscoEstudos transversaisOsteoporosis^i2^sepidemiolOsteoporosis^i2^sprevention & contBone densityWomenRisk FactorsCross-sectional studies OBJECTIVE: To analyze whether the factors causing low bone mineral density among elderly women are the same as those observed in other age groups. METHODS: A cross-sectional study was carried out on the medical records of a random sample of 413 white women seen at an imaging diagnostics service in a city of Southern Brazil, in 2003. Femoral bone mineral densities with adjustment using T-scores were used. The following variables were investigated: age, body mass index, tobacco smoking, alcohol consumption, milk consumption, physical activity and hormone replacement therapy. Univariate and multivariate unconditional logistic regression were used. RESULTS: In the sample, 52.5% were up to 59 years old and 47.5% were 60 or over. The mean bone mineral density was 0.867 g/cm² (SD=0.151) for the femoral neck. Significant age-adjusted values were obtained for physical activity (adjusted OR=0.47; 95% CI: 0.23;0.97), body mass index greater than or equal to 30.0 kg/m² (adjusted OR=0.10; 95% CI: 0.05;0.21), alcohol consumption (adjusted OR=7.90; 95% CI: 2.17;28.75), low milk consumption (adjusted OR=3.29; 95% CI: 1.91;5.68) and hormone replacement (adjusted OR = 0.44; 95% CI: 0.21;0.90). Among the elderly women, body mass, milk consumption and physical activity were independent protection factors. CONCLUSIONS: Advanced age, body mass, physical activity, milk and alcohol consumption were important factors in bone mass regulation. The influence of behavioral factors was maintained among the women of advanced aged, thus reinforcing the role of preventive measures in medical practice and public health promotion policies aimed at healthy aging. OBJETIVO: Analisar se os fatores para baixa densidade mineral óssea em mulheres idosas são os mesmos observados em outras faixas etárias. MÉTODOS: Realizou-se estudo transversal em amostra aleatória de prontuários de 413 mulheres brancas assistidas em serviço de diagnóstico por imagem, na cidade de Santos, estado de São Paulo, em 2003. Foram considerados os valores de densidade mineral óssea femoral ajustada pelo T-score. Foram investigadas as variáveis: idade, índice de massa corporal, tabagismo, consumo de álcool e leite, atividade física e terapia de reposição hormonal. Empregou-se regressão logística não condicional uni e multivariada. RESULTADOS: Na amostra, 52,5% tinham até 59 anos e 47,5% tinham 60 anos ou mais. O valor médio da densidade mineral óssea foi 0,867 g/cm² (dp=0,151) para o colo do fêmur. Valores significativos, ajustados pela idade foram obtidos para atividade física (OR ajustada=0,47; IC 95%: 0,23;0,97), índice de massa corporal igual ou superior a 30,0 kg/m² (OR ajustada=0,10; IC 95%: 0,05;0,21), etilismo (OR ajustada=7,90; IC 95%: 2,17;28,75), pouco consumo de leite (OR ajustada=3,29; IC 95%: 1,91;5,68) e reposição hormonal (OR ajustada=0,44; IC 95%: 0,21;0,90). Em mulheres idosas, massa corporal, consumo de leite e atividade física foram fatores de proteção independentes. CONCLUSÕES: Idade avançada, massa corporal, atividade física, consumo de leite e álcool foram importantes fatores na regulação da massa óssea. A influência de fatores comportamentais se manteve nas mulheres em idade avançada, reforçando o papel das medidas preventivas na prática médica e das políticas de promoção de saúde voltadas ao envelhecimento saudável. Universidade de São Paulo. Faculdade de Saúde Pública2007-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3230810.1590/S0034-89102007000500008Revista de Saúde Pública; Vol. 41 No. 5 (2007); 740-748 Revista de Saúde Pública; Vol. 41 Núm. 5 (2007); 740-748 Revista de Saúde Pública; v. 41 n. 5 (2007); 740-748 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32308/34472https://www.revistas.usp.br/rsp/article/view/32308/34473Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessFrazão, PauloNaveira, Miguel2012-07-09T00:43:03Zoai:revistas.usp.br:article/32308Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T00:43:03Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Factors associated with low bone mineral density among white women
Fatores associados à baixa densidade mineral óssea em mulheres brancas
title Factors associated with low bone mineral density among white women
spellingShingle Factors associated with low bone mineral density among white women
Frazão, Paulo
Osteoporose^i1^sepidemiolo
Osteoporose^i1^sprevenção e contr
Densidade óssea
Mulheres
Fatores de risco
Estudos transversais
Osteoporosis^i2^sepidemiol
Osteoporosis^i2^sprevention & cont
Bone density
Women
Risk Factors
Cross-sectional studies
title_short Factors associated with low bone mineral density among white women
title_full Factors associated with low bone mineral density among white women
title_fullStr Factors associated with low bone mineral density among white women
title_full_unstemmed Factors associated with low bone mineral density among white women
title_sort Factors associated with low bone mineral density among white women
author Frazão, Paulo
author_facet Frazão, Paulo
Naveira, Miguel
author_role author
author2 Naveira, Miguel
author2_role author
dc.contributor.author.fl_str_mv Frazão, Paulo
Naveira, Miguel
dc.subject.por.fl_str_mv Osteoporose^i1^sepidemiolo
Osteoporose^i1^sprevenção e contr
Densidade óssea
Mulheres
Fatores de risco
Estudos transversais
Osteoporosis^i2^sepidemiol
Osteoporosis^i2^sprevention & cont
Bone density
Women
Risk Factors
Cross-sectional studies
topic Osteoporose^i1^sepidemiolo
Osteoporose^i1^sprevenção e contr
Densidade óssea
Mulheres
Fatores de risco
Estudos transversais
Osteoporosis^i2^sepidemiol
Osteoporosis^i2^sprevention & cont
Bone density
Women
Risk Factors
Cross-sectional studies
description OBJECTIVE: To analyze whether the factors causing low bone mineral density among elderly women are the same as those observed in other age groups. METHODS: A cross-sectional study was carried out on the medical records of a random sample of 413 white women seen at an imaging diagnostics service in a city of Southern Brazil, in 2003. Femoral bone mineral densities with adjustment using T-scores were used. The following variables were investigated: age, body mass index, tobacco smoking, alcohol consumption, milk consumption, physical activity and hormone replacement therapy. Univariate and multivariate unconditional logistic regression were used. RESULTS: In the sample, 52.5% were up to 59 years old and 47.5% were 60 or over. The mean bone mineral density was 0.867 g/cm² (SD=0.151) for the femoral neck. Significant age-adjusted values were obtained for physical activity (adjusted OR=0.47; 95% CI: 0.23;0.97), body mass index greater than or equal to 30.0 kg/m² (adjusted OR=0.10; 95% CI: 0.05;0.21), alcohol consumption (adjusted OR=7.90; 95% CI: 2.17;28.75), low milk consumption (adjusted OR=3.29; 95% CI: 1.91;5.68) and hormone replacement (adjusted OR = 0.44; 95% CI: 0.21;0.90). Among the elderly women, body mass, milk consumption and physical activity were independent protection factors. CONCLUSIONS: Advanced age, body mass, physical activity, milk and alcohol consumption were important factors in bone mass regulation. The influence of behavioral factors was maintained among the women of advanced aged, thus reinforcing the role of preventive measures in medical practice and public health promotion policies aimed at healthy aging.
publishDate 2007
dc.date.none.fl_str_mv 2007-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32308
10.1590/S0034-89102007000500008
url https://www.revistas.usp.br/rsp/article/view/32308
identifier_str_mv 10.1590/S0034-89102007000500008
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32308/34472
https://www.revistas.usp.br/rsp/article/view/32308/34473
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 41 No. 5 (2007); 740-748
Revista de Saúde Pública; Vol. 41 Núm. 5 (2007); 740-748
Revista de Saúde Pública; v. 41 n. 5 (2007); 740-748
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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