Factors Associated with Bone Health in Malaysian Middle-Aged and Elderly Women Assessed via Quantitative Ultrasound
| Autor: | Kok-Yong Chin, Soelaiman Ima-Nirwanaa, Nie Yen Low, Wan Burhanuddin Wan Ilma Dewiputri |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Health Status Health Toxicology and Mutagenesis Osteoporosis menopause lcsh:Medicine 030209 endocrinology & metabolism calcaneus parity osteopenia osteoporosis risk factor Body fat percentage Article Body Mass Index 03 medical and health sciences 0302 clinical medicine Thinness Bone Density Pregnancy Risk Factors Surveys and Questionnaires medicine Humans 030212 general & internal medicine Life Style Aged Ultrasonography Gynecology business.industry lcsh:R Malaysia Public Health Environmental and Occupational Health Middle Aged medicine.disease Menopause Osteopenia Cross-Sectional Studies Body Composition Linear Models Female Calcaneus Underweight medicine.symptom business Bioelectrical impedance analysis Body mass index Demography |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 14, Iss 7, p 736 (2017) International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health; Volume 14; Issue 7; Pages: 736 |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph14070736 |
| Popis: | Risk factors for osteoporosis may vary according to different populations. We aimed to investigate the relationship between risk factors of osteoporosis and bone health indices determined via calcaneal quantitative ultrasound (QUS) in a group of Malaysian women aged 50 years or above. A cross-sectional study was performed on 344 Malaysian women recruited from a tertiary medical centre in Kuala Lumpur, Malaysia. They answered a self-administered questionnaire on their social-demographic details, medical history, lifestyle, and physical activity status. Their height was measured using a stadiometer, and their body composition estimated using a bioelectrical impedance device. Their bone health status was determined using a water-based calcaneal QUS device that generated three indices, namely speed of sound (SOS), broadband ultrasound attenuation (BUA), and stiffness index (SI). A T-score was computed from SI values using a reference database from a mainland Chinese population. Women with three or more lifetime pregnancies, who were underweight and not drinking coffee had a significantly lower BUA. Stepwise multiple linear regression showed that SOS was predicted by age alone, BUA and SI by years since menopause, body mass index (BMI), and number of lifetime pregnancies, and T-score by years since menopause and percentage of body fat. As a conclusion, suboptimal bone health in middle-aged and elderly Malaysian women as indicated by QUS is associated with old age, being underweight, having a high body fat percentage, and a high number of lifetime pregnancies. Women having several risk factors should be monitored more closely to protect their bones against accelerated bone loss. |
| Databáze: | OpenAIRE |
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