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 |
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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. |
doi_str_mv | 10.1207/S15327558IJBM1003_06 |
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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.</description><identifier>ISSN: 1070-5503</identifier><identifier>EISSN: 1532-7558</identifier><identifier>DOI: 10.1207/S15327558IJBM1003_06</identifier><identifier>PMID: 14525721</identifier><language>eng</language><publisher>England: Springer Nature B.V</publisher><subject>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</subject><ispartof>International journal of behavioral medicine, 2003-01, Vol.10 (3), p.269-283</ispartof><rights>International Society of Behavioral Medicine 2003.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c280t-577a5ae0d727fb54dcc87bc9cbfad2be3157a9f2896e2b3c0f6cbc9a906f89df3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14525721$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hundrup, Yrsa Andersen</creatorcontrib><creatorcontrib>Thoning, Henrik</creatorcontrib><creatorcontrib>Rasmussen, Niels Kristian</creatorcontrib><creatorcontrib>Obel, Erik Bernhard</creatorcontrib><creatorcontrib>Philip, John</creatorcontrib><title>Use of hormone replacement therapy among Danish nurses at increased risk of osteoporosis</title><title>International journal of behavioral medicine</title><addtitle>Int J Behav Med</addtitle><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.</description><subject>Aged</subject><subject>Body Mass Index</subject><subject>Denmark - epidemiology</subject><subject>Estrogen Replacement Therapy - methods</subject><subject>Estrogen Replacement Therapy - statistics & numerical data</subject><subject>Female</subject><subject>Fractures</subject><subject>Health risk assessment</subject><subject>Hormone replacement therapy</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Nurses</subject><subject>Nurses - statistics & numerical data</subject><subject>Osteoporosis</subject><subject>Osteoporosis - prevention & control</subject><subject>Post-menopause</subject><subject>Regression Analysis</subject><subject>Risk factors</subject><subject>Surveys and Questionnaires</subject><issn>1070-5503</issn><issn>1532-7558</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptUE1LxDAQDaK46-o_EAkI3qrTtGnao65fKysedMFbSdOJ27VtatIe9t-b4oIgnmaY98GbR8hpCJchA3H1GvKICc7TxdPNcwgQ5ZDskel4Dcbzvt9BQMA5RBNy5NwGALgQcEgmYcwZFyyckveVQ2o0XRvbmBapxa6WChtse9qv0cpuS6VHPuitbCu3pu1gHToqe1q1yqJ0WFJbuc_RxLgeTWescZU7Jgda1g5PdnNGVvd3b_PHYPnysJhfLwPFUugDH0hyiVAKJnTB41KpVBQqU4WWJSswCrmQmWZpliArIgU6UR6WGSQ6zUodzcjFj29nzdeArs-byimsa9miGVwuuIhYyhJPPP9D3JjBtj5bzhhABnHGM8-Kf1jKf-Es6ryzVSPtNg8hH3vP_-vdy8525kPRYPkr2hUdfQPxBX_A</recordid><startdate>20030101</startdate><enddate>20030101</enddate><creator>Hundrup, Yrsa Andersen</creator><creator>Thoning, Henrik</creator><creator>Rasmussen, Niels Kristian</creator><creator>Obel, Erik Bernhard</creator><creator>Philip, John</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20030101</creationdate><title>Use of hormone replacement therapy among Danish nurses at increased risk of osteoporosis</title><author>Hundrup, Yrsa Andersen ; 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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.</abstract><cop>England</cop><pub>Springer Nature B.V</pub><pmid>14525721</pmid><doi>10.1207/S15327558IJBM1003_06</doi><tpages>15</tpages></addata></record> |
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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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