Bone mineral density testing and osteoporosis education improve lifestyle behaviors in premenopausal women: a prospective study.
One way to decrease the risk of osteoporosis is to maximize peak bone mass. Peak bone mass may be moderately influenced by lifestyle behaviors: increasing calcium and exercise, decreasing alcohol intake and smoking may increase peak bone mass. We examined the effects of osteoporosis education and bone mineral density (BMD) testing on self-reported lifestyle behaviors in 669 premenopausal women enrolled in a prospective study to assess determinants of peak bone mass. Study participants completed a questionnaire that assessed lifestyle behaviors, received pamphlets about osteoporosis, and had BMD testing. One year later, the women completed a similar questionnaire. After education about osteoporosis and BMD testing, women reported that they were less likely to smoke (odds ratio [OR] = 0.55; 95% confidence interval [95% CI]: 0.28-1.0), consume alcohol (OR = 0.13; 95% CI: 0.04-0.34), and caffeinated beverages (OR = 0. 43; 95% CI: 0.27-0.68). Women were more likely to use calcium supplements (OR = 4.3; 95% CI: 3.04-6.2), vitamin D supplements (OR = 12.6; 95% CI: 7.4-22.9), and drink at least one glass of milk a day (OR = 13.3; 95% CI: 7.8-23.9). Further, women with low bone mass were more likely to use calcium supplements (OR = 1.7; 95% CI: 1.2-2.3) and vitamin D supplements (OR = 1.6; 95% CI:1.1-2.2) compared with women who had normal bone mass. Thus, our intervention improved self-reported lifestyle behaviors in premenopausal women. Such behaviors may ultimately increase peak bone mass and decrease the risk of developing osteoporosis.
Jamal
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SA
Division of Endocrinology, Women's College Site, Sunnybrook and Women's College Health Sciences Center, The University of Toronto, Toronto, Ontario, Canada. .
Ridout
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Chase
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Fielding
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Rubin
L A
LA
Hawker
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GA
D000328:Adult; D000437:Alcoholism; D001835:Body Weight; D015519:Bone Density; D002118:Calcium / Q000627:therapeutic use; D003710:Demography; D005260:Female; D006801:Humans; D008019:Life Style; D010024:Osteoporosis / Q000517:prevention & control*; D010353:Patient Education as Topic; D017697:Premenopause; D011446:Prospective Studies; D012307:Risk Factors; D012907:Smoking; D014807:Vitamin D / Q000627:therapeutic use
D014807:Vitamin D; D002118:Calcium