Bone mineral density testing and osteoporosis education improve lifestyle behaviors in premenopausal women: A prospective study

被引:68
作者
Jamal, SA
Ridout, R
Chase, C
Fielding, L
Rubin, LA
Hawker, GA
机构
[1] Univ Toronto, Sunnybrook & Womens Coll Hlth Sci Ctr, Div Endocrinol, Toronto, ON, Canada
[2] Univ Toronto, Sunnybrook & Womens Coll Hlth Sci Ctr, Multidisciplinary Osteoporosis Program, Toronto, ON, Canada
[3] Univ Toronto, Sunnybrook & Womens Coll Hlth Sci Ctr, Div Rheumatol, Toronto, ON, Canada
关键词
D O I
10.1359/jbmr.1999.14.12.2143
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
One way to decrease the risk of osteoporosis is to maximize peak bone mass. Peak bone mass may be moderately influenced by lifestyle behaviors: increasing calcium and exercise, decreasing alcohol intake and smoking may increase peak bone mass. We examined the effects of osteoporosis education and bone mineral density (BMD) testing on self-reported lifestyle behaviors in 669 premenopausal women enrolled in a prospective study to assess determinants of peak bone mass. Study participants completed a questionnaire that assessed lifestyle behaviors, received pamphlets about osteoporosis, and had BMD testing. One year later, the women completed a similar questionnaire. After education about osteoporosis and BMD testing, women reported that they were less likely to smoke (odds ratio [OR] = 0.55; 95% confidence interval [95% CI]: 0.28-1.0), consume alcohol (OR = 0.13; 95% CI: 0.04-0.34), and caffeinated beverages (OR = 0.43; 95% CI: 0.27-0.68), Women were more likely to use calcium supplements (OR = 4.3; 95% CI: 3.04-6.2), vitamin D supplements (OR = 12.6; 95% CI: 7.4-22.9), and drink at least one glass of milk a day (OR = 13.3; 95% CI: 7.8-23.9). Further, women with low bone mass were more likely to use calcium supplements (OR = 1.7; 95% CI: 1.2-2.3) and vitamin D supplements (OR = 1.6; 95% CI: 1.1-2.2) compared with women who had normal bone mass. Thus, our intervention improved self-reported lifestyle behaviors in premenopausal women, Such behaviors may ultimately increase peak bone mass and decrease the risk of developing osteoporosis.
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页码:2143 / 2149
页数:7
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