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Kazuhiko Watanabe,1,2 Hisamitsu Omori,3 Ayumi Onoue,3 Kenichi Kubota,4 Minoru Yoshida,4 Takahiko Katoh1 1Department of Public Health, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan; 2Center for Research of the Aging Workforce, University of Occupational and Environmental Health, Fukuoka, Japan; 3Department of Laboratory Sciences in Environmental Hygiene and Public Health, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan; 4Japanese Red Cross Kumamoto Health Care Center, Kumamoto, JapanCorrespondence: Hisamitsu Omori, Department of Laboratory Sciences in Environmental Hygiene and Public Health, Faculty of Life Sciences, Kumamoto University, 4-24-1 Kuhonji, Chuo-ku, Kumamoto, 862-0976, Japan, Tel/Fax +81-96-373-5462, Email omorih@gpo.kumamoto-u.ac.jpPurpose: This study aimed to reveal the association between the osteoporosis self-assessment tool for Asians (OSTA) and airflow limitation (AL) in post-menopausal Japanese women.Participants and Methods: This cross-sectional study included 1580 participants undergoing a comprehensive health examination using spirometry and dual-energy X-ray absorptiometry. The OSTA was calculated by subtracting the age in years from the body weight (BW) in kilograms, and the result was multiplied by 0.2. The OSTA risk level was defined as low (>-1), moderate (− 4 to − 1), or high ( |