Association between health promoting life style and primary osteoporosis in postmenopausal women of Tabriz, 2019

Abstract

The aim of this study was to investigate the relationship between health promotion lifestyle and primary osteoporosis in postmenopausal women in Tabriz. Materials and Methods: This cross-sectional is a part of Tabriz University of Medical Sciences mega project with the aim of determining the relationship between health-promoting lifestyle and primary osteoporosis in postmenopausal women in Tabriz, 2018 and related factors on 120 women. Menopause was performed by diagnosing primary osteoporosis among 500 postmenopausal women in Tabriz. Sampling was performed by cluster method in health complexes of Tabriz. Menopausal women were then referred to the bone density department of Sinai Hospital for DEXA (Dual-energy X-ray absorptiometry) after making the necessary arrangements. The final interpretation and diagnosis of osteoporosis was made by an endocrinologist. The Individual-Social Profile Questionnaire and Health-Improving Lifestyle (HPLP2) were then completed for women with primary osteoporosis. The total lifestyle scores ranged from 74-178, nutrition 16-36, physical activity 8-28, spiritual growth 10-36, health responsibility 9-33, stress management 8-31, and interpersonal relationships 12-35. Pearson correlation tests, one-way analysis of variance, independent t-test and linear regression model in SPSS software were used for data analysis. Results: In the present study, 120 postmenopausal women with primary osteoporosis who have referred to health centers in Tabriz were randomly selected. Mean (standard deviation) overall score of health-promoting lifestyle (HPLP2), nutritional subdomain, physical activity, spiritual growth, health responsibility, stress management and interpersonal relationships in the subjects were 128.12 (25.67), 26.03 (4.47), 14.55 (5.29), 23.21 (6.12), 20.25 (5.17), 19.25 (5.21) and 24.81 (5.33), respectively. There was no statistically significant relationship between health-promoting lifestyle score and its subdomains with the severity of osteoporosis (p> 0.05). No significant statistical relationship was observed between smoking, hookah and alcohol use, dietary supplements, exercise, as well as the type of exercise performed, exposure to sunlight, and use of sunscreen and injectable corticosteroids with severe osteoporosis (p>0.05). Direct and significant correlation was observed between the weight (p=0.001, r=0.365), height (p=0.034, r=0.196), BMI (p=0.003, r=0.273), waist (p=0.010, r=0.238), hip circumference (p=0.013, r=0.231) and marriage (p=0.034) of postmenopausal women with BMD.