Comparison of the Health -Promoting Lifestyle and Quality of Life in affected and Unaffected Menopausal Women by Osteoporosis: A Case -Control Study

Abstract

Abstract: Introduction: Primary osteoporosis is a common complication of aging and menopause. The negative effects of osteoporosis in the coming years will increase by increasing life expectancy and population aging. The purpose of this research was to compare health-promoting lifestyle and quality of life in postmenopausal women with and without osteoporosis. Method: This cross-sectional analytical research was conducted on 445 postmenopausal women aged 50-65 selected by simple random sampling in Tabriz health centers from September 2018 to July 2019. One group consisted of postmenopausal women with osteoporosis and the other group consisted of postmenopausal women with normal bone mass. Data collection instruments included demographic, midwifery, anthropometric, HPLP-II and MENQOL questionnaires, serum tests checklist (25-hydroxy vitamin D, FSH, CBC/diff, TSH, FBS, Ca). DEXA method was used to measure bone density. Data were analyzed by SPSS/24 through descriptive and inferential statistics such as chi-square, independent t-test, Mann-Whitney, and multiple regression. Results: The mean score of lifestyle was 141.2±21.9 in normal and 127.2±25.4 in osteoporosis group and differences were statistically significant in total score (P<0.001) and all sub-domains. The mean score of quality of life was 3.9± 1.2 in the normal and 4.5±1.4 in the osteoporotic group. The differences were significant in total score (P<0.001) and all sub-domains except for sexual function sub-domain (P=0.064). Multiple logistic regression indicated by one unit increase in total lifestyle score, the odds of osteoporosis reduced 2.2% [adjusted OR (0.95% CI): 0.978 (0.963 to 0.994), P=0.006]. Conclusion: In order to prevent of osteoporosis and improve the quality of life of postmenopausal women, it seems that education and implementation of health-promoting lifestyle in the form of community-based care is essential.