Use of hormone replacement therapy among Danish nurses at increased risk of osteoporosis

Observational studies and recent randomized trials have shown that postmenopausal hormone replacement therapy (HRT) may reduce the risk of osteoporotic fractures by about 30 to 40%. In this study we used a log linear graphical model to determine whether women with a known increased risk of osteoporo...

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Veröffentlicht in:International journal of behavioral medicine 2003-01, Vol.10 (3), p.269-283
Hauptverfasser: Hundrup, Yrsa Andersen, Thoning, Henrik, Rasmussen, Niels Kristian, Obel, Erik Bernhard, Philip, John
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container_end_page 283
container_issue 3
container_start_page 269
container_title International journal of behavioral medicine
container_volume 10
creator Hundrup, Yrsa Andersen
Thoning, Henrik
Rasmussen, Niels Kristian
Obel, Erik Bernhard
Philip, John
description Observational studies and recent randomized trials have shown that postmenopausal hormone replacement therapy (HRT) may reduce the risk of osteoporotic fractures by about 30 to 40%. In this study we used a log linear graphical model to determine whether women with a known increased risk of osteoporosis were more likely to use HRT than other women and to examine whether women at increased risk modified this risk through their lifestyle. Cox regression analysis was used to analyze if women at risk of osteoporosis used HRT longer than women not at risk. Participants were Danish female nurses who, in 1993, were between 50 and 69 years of age (N=14,865). Data were collected from postal questionnaires. We concluded that nurses with a known family history of osteoporosis more often used HRT than nurses without this risk. No other direct associations were found between biological risk factors and ever use of HRT. The presence of biological risk factors of osteoporosis was not consistently modified by a healthier lifestyle. Nurses with a low body mass index (BMI) with a known family history of osteoporosis continued to use HRT longer than nurses without these risk factors.
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subjects Aged
Body Mass Index
Denmark - epidemiology
Estrogen Replacement Therapy - methods
Estrogen Replacement Therapy - statistics & numerical data
Female
Fractures
Health risk assessment
Hormone replacement therapy
Humans
Middle Aged
Nurses
Nurses - statistics & numerical data
Osteoporosis
Osteoporosis - prevention & control
Post-menopause
Regression Analysis
Risk factors
Surveys and Questionnaires
title Use of hormone replacement therapy among Danish nurses at increased risk of osteoporosis
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