Risk factors for low bone mineral density and the 6-year rate of bone loss among premenopausal and perimenopausal women
dc.contributor.author | Bainbridge, Kathleen E. | en_US |
dc.contributor.author | Sowers, MaryFran R. | en_US |
dc.contributor.author | Lin, Xihong | en_US |
dc.contributor.author | Harlow, Sioban D. | en_US |
dc.date.accessioned | 2006-09-11T17:08:27Z | |
dc.date.available | 2006-09-11T17:08:27Z | |
dc.date.issued | 2004-06 | en_US |
dc.identifier.citation | Bainbridge, Kathleen E.; Sowers, MaryFran; Lin, Xihong; Harlow, Sioban D.; (2004). "Risk factors for low bone mineral density and the 6-year rate of bone loss among premenopausal and perimenopausal women." Osteoporosis International 15(6): 439-446. <http://hdl.handle.net/2027.42/45909> | en_US |
dc.identifier.issn | 0937-941X | en_US |
dc.identifier.issn | 1433-2965 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/45909 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=15205714&dopt=citation | en_US |
dc.description.abstract | Risk factors that are associated with lower bone mineral density (BMD) may not necessarily be associated with increased bone loss among premenopausal and perimenopausal women. We determined risk factors for lower premenopausal and perimenopausal BMD while simultaneously determining risk factors for increased 6-year rate of bone loss among women aged 24–50 years within a population-based prospective cohort study. BMD of the lumbar spine and femoral neck, reported as t scores, were measured five times within the 6-year study among 614 women who were between the ages of 24 and 44 in 1992/1993. Rates of bone loss were calculated from the repeated BMD measurements. Risk factors for lower BMD over time at the lumbar spine included history of any fracture ( P =0.005). The major risk factor for lower BMD over time at the femoral neck was family history of osteoporosis ( P <0.002). The major protective factor for greater BMD over time at both skeletal sites was additional body weight ( P <0.0001). Other protective factors for greater BMD over time at the femoral neck were modest alcohol consumption ( P =0.0002) and high-school sports participation ( P =0.002). Risk factors for greater bone loss at either skeletal site included postmenopausal status ( P <0.0001 at the lumbar spine; P =0.01 at the femoral neck), and the reporting of a reproductive cancer ( P <0.0001 at the lumbar spine; P =0.0008 at the femoral neck). Body weight was protective against bone loss at both skeletal sites ( P <0.0001). Baseline age, calcium intake, smoking, and current physical activity were not associated with BMD or bone loss. The understanding of the relative importance of risk factors for both low BMD and bone loss may assist in the identification of women at greater risk for subsequent low postmenopausal BMD. | en_US |
dc.format.extent | 249177 bytes | |
dc.format.extent | 3115 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.language.iso | en_US | |
dc.publisher | Springer-Verlag; International Osteoporosis Foundation and National Osteoporosis Foundation | en_US |
dc.subject.other | Bone Loss | en_US |
dc.subject.other | Medicine | en_US |
dc.subject.other | Bone Density | en_US |
dc.subject.other | Longitudinal Studies | en_US |
dc.subject.other | Premenopause | en_US |
dc.subject.other | Risk Factors | en_US |
dc.title | Risk factors for low bone mineral density and the 6-year rate of bone loss among premenopausal and perimenopausal women | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Obstetrics and Gynecology | en_US |
dc.subject.hlbsecondlevel | Internal Medicine and Specialties | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationum | Department of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationum | Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA; Suite 310, 339 East Liberty, Ann Arbor, Michigan, 48104, USA | en_US |
dc.contributor.affiliationum | Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA | en_US |
dc.contributor.affiliationumcampus | Ann Arbor | en_US |
dc.identifier.pmid | 15205714 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/45909/1/198_2003_Article_1562.pdf | en_US |
dc.identifier.doi | http://dx.doi.org/10.1007/s00198-003-1562-5 | en_US |
dc.identifier.source | Osteoporosis International | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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