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Environ Health Prev Med (2009) 14:292298 DOI 10.1007/s12199-009-0099-4
REGULAR ARTICLE
The relationship between clustering health-promoting components of lifestyle and bone status among middle-aged women in a general population
Satoshi Tsuboi Takehito Hayakawa Hideyuki Kanda Tetsuhito Fukushima
Received: 23 February 2009 / Accepted: 7 July 2009 / Published online: 28 July 2009 The Japanese Society for Hygiene 2009
AbstractObjective The association between clustering health-promoting components of lifestyle and bone status was examined among middle-aged women.
Methods A cross-sectional study was conducted in Tadami Town, Fukushima Prefecture, Japan, in 2007. A total of 305 middle-aged women (mean age 55.2 years) participated. The Health-Promoting Lifestyle Prole II was used to assess health-promoting components of lifestyle. Participants bone status was examined using quantitative ultrasonic calcaneal measurement.
Results A total of 139 participants (45.6%) were dened as having low bone stiffness. In the low bone stiffness group, the mean age was signicantly higher, and prevalence of interpersonal relationships score over 3.0 was lower than that in the normal bone stiffness group. There were signicant trends in the prevalence of low bone stiffness, each health-promoting component of lifestyle, and presence of hypertension and diabetes mellitus, based on the number of frequently selected health-promoting components of lifestyle. The number of frequently selected health-promoting components of lifestyle correlated negatively with the prevalence of low bone stiffness in both crude and adjusted results.
Conclusion This research is particularly important as we suggest health-promotion strategies for the prevention of osteoporosis. A synthetic approach, which includes health responsibility, spiritual growth, interpersonal relations, and
stress management, and physical activity and nutrition, may be effective and complement traditional strategies.
Keywords Osteoporosis Middle-aged Health
promotion Health behavior Lifestyle modication
Introduction
Osteoporosis is dened as a skeletal disorder characterized by compromised bone strength predisposing to an increased risk of fracture [1]. According to the World Health Organization, osteoporosis affects more than 75 million individuals in Europe, Japan, and the USA, causing more than 2.3 million fractures annually in Europe and the USA alone [2]. Osteoporotic fractures cause loss of independence and reduce quality of life (QOL) with aging [3]. In 2005, it was estimated that 19.9% of Japanese individuals were over 65 years of age; this proportion is projected to increase to 26.0% in 2015 and 35.7% in 2050 [4]....