title: Lifestyle and osteoporosis in middle-aged and elderly women: Chiba bone survey.
abstract: Osteoporosis causes an enormous health and economic impact in Japan. We investigated the relation between lifestyle and bone fracture in middle-aged and elderly women. This was a population-based, multicenter, cross-sectional survey for postmenopausal osteoporosis in Chiba City, Japan (Chiba bone survey). This survey included 64,809 Japanese women aged > 40 years. All participants underwent anthropometric measurements including bone mineral density (BMD) and completed a structured, nurse-assisted, self-administered questionnaire also including patient lifestyle. Bone fracture during the recent 5 years was observed in 5.3%, and the fracture group had significantly higher age, BMI, and prevalence of delivery, family histories of kyphosis and hip fracture, diabetes mellitus (DM), dyslipidemia, kidney disease, exercise, fall, and osteoporosis, and had significantly lower BMD and proportion of menstruating participants. Logistic regression analysis revealed that bone fracture was closely associated with not only low bone mass but also age, fall, family histories of kyphosis and hip fracture, DM, kidney disease, menopause, and lifestyle factors of dieting, exercise, and alcohol. Women's health care focusing on lifestyle-related fracture risks such as dieting, exercise, and alcohol appears necessary to prevent bone fracture in postmenopausal osteoporosis.
authors: Center for Diabetes, Metabolism and Endocrinology, Toho University Sakura Medical Center, Sakura, Chiba 285-8741, Japan. ichiro.tatsuno@med.toho-u.ac.jp
authors: Ichiro
authors: I
authors: Tatsuno
authors: Takashi
authors: T
authors: Terano
authors: Mitsugu
authors: M
authors: Nakamura
authors: Kiminori
authors: K
authors: Suzuki
authors: Kazuko
authors: K
authors: Kubota
authors: Jyunichi
authors: J
authors: Yamaguchi
authors: Tomohiko
authors: T
authors: Yoshida
authors: Sawako
authors: S
authors: Suzuki
authors: Tomaki
authors: T
authors: Tanaka
authors: Makio
authors: M
authors: Shozu
mesh_terms: D000058:Accidental Falls; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001862:Bone Resorption / Q000208:ethnology / Q000503:physiopathology; D003430:Cross-Sectional Studies; D005192:Family Health; D005260:Female; D006306:Health Surveys; D006620:Hip Fractures / Q000208:ethnology; D006801:Humans; D015994:Incidence; D007564:Japan / Q000453:epidemiology; D007738:Kyphosis / Q000208:ethnology; D008019:Life Style / Q000208:ethnology; D008875:Middle Aged; D015663:Osteoporosis, Postmenopausal / Q000208:ethnology / Q000503:physiopathology*; D058866:Osteoporotic Fractures / Q000453:epidemiology / Q000208:ethnology / Q000209:etiology*; D012307:Risk Factors