Adult Premenopausal Bone Health Related to Reproductive Characteristics-Population-Based Data from the Canadian Multicentre Osteoporosis Study (CaM os )
Amenorrhea is important for women's bone health. However, few have reported reproductive, anthropometric (body mass index [BMI], height) and bone health (areal bone mineral density [BMD], prevalent fractures) in a population-based study. The purposes of this cross-sectional study of women in th...
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description | Amenorrhea is important for women's bone health. However, few have reported reproductive, anthropometric (body mass index [BMI], height) and bone health (areal bone mineral density [BMD], prevalent fractures) in a population-based study. The purposes of this cross-sectional study of women in the randomly-selected Canadian Multicentre Osteoporosis Study (CaM
) population were: (1) to describe reproductive, demographic, anthropometric and lifestyle variables; and (2) in menstruating women, to relate reproductive and other variables to BMD at the lumbar spine (L1-4, LS), femoral neck (FN) and total hip (TH) sites and to prevalent fragility fractures. This study describes the reproductive characteristics of 1532 women aged 30⁻60 years. BMD relationships with reproductive and other variables were described in the 499 menstruating women. Mean menarche age was 12.8 years, 96% of women were parous and 95% had used combined hormonal contraceptives (CHC). Infertility was reported by 9%, androgen excess by 13%, amenorrhea by 8% and nulliparity by 4%. LS BMD was negatively associated with amenorrhea and androgen excess and positively related to current BMI and height. A later age at menarche negatively related to FN BMD. BMI and height were strongly related to BMD at all sites. Prevalent fragility fractures were significantly associated with quartiles of both LS and TH BMD. |
doi_str_mv | 10.3390/ijerph15051023 |
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) population were: (1) to describe reproductive, demographic, anthropometric and lifestyle variables; and (2) in menstruating women, to relate reproductive and other variables to BMD at the lumbar spine (L1-4, LS), femoral neck (FN) and total hip (TH) sites and to prevalent fragility fractures. This study describes the reproductive characteristics of 1532 women aged 30⁻60 years. BMD relationships with reproductive and other variables were described in the 499 menstruating women. Mean menarche age was 12.8 years, 96% of women were parous and 95% had used combined hormonal contraceptives (CHC). Infertility was reported by 9%, androgen excess by 13%, amenorrhea by 8% and nulliparity by 4%. LS BMD was negatively associated with amenorrhea and androgen excess and positively related to current BMI and height. A later age at menarche negatively related to FN BMD. BMI and height were strongly related to BMD at all sites. Prevalent fragility fractures were significantly associated with quartiles of both LS and TH BMD.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph15051023</identifier><identifier>PMID: 29783670</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Acne ; Adult ; Amenorrhea ; Androgens ; Anthropometry ; Biocompatibility ; Body Height ; Body mass ; Body Mass Index ; Body size ; Bone Density ; Bone mass ; Bone mineral density ; Breastfeeding & lactation ; Canada - epidemiology ; Contraceptives ; Cross-Sectional Studies ; Demographic variables ; Demographics ; Endocrinology ; Female ; Femur ; Femur Neck ; Fractures ; Fractures, Bone - epidemiology ; Fragility ; Health care ; Hip ; Humans ; Infertility ; Lumbar Vertebrae ; Menarche ; Menstruation ; Metabolism ; Middle age ; Middle Aged ; Osteoporosis ; Osteoporosis - epidemiology ; Population ; Population studies ; Population-based studies ; Premenopause ; Public health ; Questionnaires ; Risk Factors ; Spine ; Surgical implants ; Variables ; Womens health</subject><ispartof>International journal of environmental research and public health, 2018-05, Vol.15 (5), p.1023</ispartof><rights>Copyright MDPI AG 2018</rights><rights>2018 by the authors. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3333-2eba4c626e630a3095281f2fa4565824e1b7a268719b76a5657112a8fe52d3ef3</citedby><cites>FETCH-LOGICAL-c3333-2eba4c626e630a3095281f2fa4565824e1b7a268719b76a5657112a8fe52d3ef3</cites><orcidid>0000-0002-5499-2661 ; 0000-0003-3232-0597 ; 0000-0002-5219-9993 ; 0000-0001-8701-7152</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5982062/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5982062/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29783670$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goshtasebi, Azita</creatorcontrib><creatorcontrib>Berger, Claudie</creatorcontrib><creatorcontrib>Barr, Susan I</creatorcontrib><creatorcontrib>Kovacs, Christopher S</creatorcontrib><creatorcontrib>Towheed, Tanveer</creatorcontrib><creatorcontrib>Davison, K Shawn</creatorcontrib><creatorcontrib>Prior, Jerilynn C</creatorcontrib><title>Adult Premenopausal Bone Health Related to Reproductive Characteristics-Population-Based Data from the Canadian Multicentre Osteoporosis Study (CaM os )</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>Amenorrhea is important for women's bone health. However, few have reported reproductive, anthropometric (body mass index [BMI], height) and bone health (areal bone mineral density [BMD], prevalent fractures) in a population-based study. The purposes of this cross-sectional study of women in the randomly-selected Canadian Multicentre Osteoporosis Study (CaM
) population were: (1) to describe reproductive, demographic, anthropometric and lifestyle variables; and (2) in menstruating women, to relate reproductive and other variables to BMD at the lumbar spine (L1-4, LS), femoral neck (FN) and total hip (TH) sites and to prevalent fragility fractures. This study describes the reproductive characteristics of 1532 women aged 30⁻60 years. BMD relationships with reproductive and other variables were described in the 499 menstruating women. Mean menarche age was 12.8 years, 96% of women were parous and 95% had used combined hormonal contraceptives (CHC). Infertility was reported by 9%, androgen excess by 13%, amenorrhea by 8% and nulliparity by 4%. LS BMD was negatively associated with amenorrhea and androgen excess and positively related to current BMI and height. A later age at menarche negatively related to FN BMD. BMI and height were strongly related to BMD at all sites. Prevalent fragility fractures were significantly associated with quartiles of both LS and TH BMD.</description><subject>Acne</subject><subject>Adult</subject><subject>Amenorrhea</subject><subject>Androgens</subject><subject>Anthropometry</subject><subject>Biocompatibility</subject><subject>Body Height</subject><subject>Body mass</subject><subject>Body Mass Index</subject><subject>Body size</subject><subject>Bone Density</subject><subject>Bone mass</subject><subject>Bone mineral density</subject><subject>Breastfeeding & lactation</subject><subject>Canada - epidemiology</subject><subject>Contraceptives</subject><subject>Cross-Sectional Studies</subject><subject>Demographic variables</subject><subject>Demographics</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Femur</subject><subject>Femur Neck</subject><subject>Fractures</subject><subject>Fractures, Bone - epidemiology</subject><subject>Fragility</subject><subject>Health care</subject><subject>Hip</subject><subject>Humans</subject><subject>Infertility</subject><subject>Lumbar Vertebrae</subject><subject>Menarche</subject><subject>Menstruation</subject><subject>Metabolism</subject><subject>Middle age</subject><subject>Middle Aged</subject><subject>Osteoporosis</subject><subject>Osteoporosis - epidemiology</subject><subject>Population</subject><subject>Population studies</subject><subject>Population-based studies</subject><subject>Premenopause</subject><subject>Public health</subject><subject>Questionnaires</subject><subject>Risk Factors</subject><subject>Spine</subject><subject>Surgical implants</subject><subject>Variables</subject><subject>Womens health</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkctu1TAQhiMEoqWwZYkssSmLFN-TbJDaw6VIrVpxWVtzkgnxUWIHXyr1TXhcDC1Vizcz8nzze8Z_Vb1k9EiIjr61OwzrxBRVjHLxqNpnWtNaasoe38v3qmcx7igVrdTd02qPd00rdEP3q1_HQ54TuQy4oPMr5AgzOfEOySnCnCbyBWdIOJDkS7oGP-Q-2SskmwkC9AmDjcn2sb70ay6k9a4-gVga3kMCMga_kDQVHBwMFhw5L8_ZHl0KSC5iQr_64KON5GvKwzU53MA58ZG8eV49GWGO-OI2HlTfP374tjmtzy4-fd4cn9W9KKfmuAXZa65RCwqCdoq3bOQjSKVVyyWybQNctw3rto2GctkwxqEdUfFB4CgOqnc3umveLjj8nQxmswa7QLg2Hqx5WHF2Mj_8lVFdy6nmReDwViD4nxljMouNPc4zOPQ5Gk4lb5SkVBb09X_ozufgynqFUlqqtlW6UEc3VF8-JgYc74Zh1Pwx3Tw0vTS8ur_CHf7PZfEbVIaqvg</recordid><startdate>20180518</startdate><enddate>20180518</enddate><creator>Goshtasebi, Azita</creator><creator>Berger, Claudie</creator><creator>Barr, Susan I</creator><creator>Kovacs, Christopher S</creator><creator>Towheed, Tanveer</creator><creator>Davison, K Shawn</creator><creator>Prior, Jerilynn C</creator><general>MDPI AG</general><general>MDPI</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>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</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>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-5499-2661</orcidid><orcidid>https://orcid.org/0000-0003-3232-0597</orcidid><orcidid>https://orcid.org/0000-0002-5219-9993</orcidid><orcidid>https://orcid.org/0000-0001-8701-7152</orcidid></search><sort><creationdate>20180518</creationdate><title>Adult Premenopausal Bone Health Related to Reproductive Characteristics-Population-Based Data from the Canadian Multicentre Osteoporosis Study (CaM os )</title><author>Goshtasebi, Azita ; Berger, Claudie ; Barr, Susan I ; Kovacs, Christopher S ; Towheed, Tanveer ; Davison, K Shawn ; Prior, Jerilynn C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3333-2eba4c626e630a3095281f2fa4565824e1b7a268719b76a5657112a8fe52d3ef3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acne</topic><topic>Adult</topic><topic>Amenorrhea</topic><topic>Androgens</topic><topic>Anthropometry</topic><topic>Biocompatibility</topic><topic>Body Height</topic><topic>Body mass</topic><topic>Body Mass Index</topic><topic>Body size</topic><topic>Bone Density</topic><topic>Bone mass</topic><topic>Bone mineral density</topic><topic>Breastfeeding & lactation</topic><topic>Canada - epidemiology</topic><topic>Contraceptives</topic><topic>Cross-Sectional Studies</topic><topic>Demographic variables</topic><topic>Demographics</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Femur</topic><topic>Femur Neck</topic><topic>Fractures</topic><topic>Fractures, Bone - epidemiology</topic><topic>Fragility</topic><topic>Health care</topic><topic>Hip</topic><topic>Humans</topic><topic>Infertility</topic><topic>Lumbar Vertebrae</topic><topic>Menarche</topic><topic>Menstruation</topic><topic>Metabolism</topic><topic>Middle age</topic><topic>Middle Aged</topic><topic>Osteoporosis</topic><topic>Osteoporosis - epidemiology</topic><topic>Population</topic><topic>Population studies</topic><topic>Population-based studies</topic><topic>Premenopause</topic><topic>Public health</topic><topic>Questionnaires</topic><topic>Risk Factors</topic><topic>Spine</topic><topic>Surgical implants</topic><topic>Variables</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goshtasebi, Azita</creatorcontrib><creatorcontrib>Berger, Claudie</creatorcontrib><creatorcontrib>Barr, Susan I</creatorcontrib><creatorcontrib>Kovacs, Christopher S</creatorcontrib><creatorcontrib>Towheed, Tanveer</creatorcontrib><creatorcontrib>Davison, K Shawn</creatorcontrib><creatorcontrib>Prior, Jerilynn C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goshtasebi, Azita</au><au>Berger, Claudie</au><au>Barr, Susan I</au><au>Kovacs, Christopher S</au><au>Towheed, Tanveer</au><au>Davison, K Shawn</au><au>Prior, Jerilynn C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adult Premenopausal Bone Health Related to Reproductive Characteristics-Population-Based Data from the Canadian Multicentre Osteoporosis Study (CaM os )</atitle><jtitle>International journal of environmental research and public health</jtitle><addtitle>Int J Environ Res Public Health</addtitle><date>2018-05-18</date><risdate>2018</risdate><volume>15</volume><issue>5</issue><spage>1023</spage><pages>1023-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>Amenorrhea is important for women's bone health. However, few have reported reproductive, anthropometric (body mass index [BMI], height) and bone health (areal bone mineral density [BMD], prevalent fractures) in a population-based study. The purposes of this cross-sectional study of women in the randomly-selected Canadian Multicentre Osteoporosis Study (CaM
) population were: (1) to describe reproductive, demographic, anthropometric and lifestyle variables; and (2) in menstruating women, to relate reproductive and other variables to BMD at the lumbar spine (L1-4, LS), femoral neck (FN) and total hip (TH) sites and to prevalent fragility fractures. This study describes the reproductive characteristics of 1532 women aged 30⁻60 years. BMD relationships with reproductive and other variables were described in the 499 menstruating women. Mean menarche age was 12.8 years, 96% of women were parous and 95% had used combined hormonal contraceptives (CHC). Infertility was reported by 9%, androgen excess by 13%, amenorrhea by 8% and nulliparity by 4%. LS BMD was negatively associated with amenorrhea and androgen excess and positively related to current BMI and height. A later age at menarche negatively related to FN BMD. BMI and height were strongly related to BMD at all sites. Prevalent fragility fractures were significantly associated with quartiles of both LS and TH BMD.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>29783670</pmid><doi>10.3390/ijerph15051023</doi><orcidid>https://orcid.org/0000-0002-5499-2661</orcidid><orcidid>https://orcid.org/0000-0003-3232-0597</orcidid><orcidid>https://orcid.org/0000-0002-5219-9993</orcidid><orcidid>https://orcid.org/0000-0001-8701-7152</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Acne Adult Amenorrhea Androgens Anthropometry Biocompatibility Body Height Body mass Body Mass Index Body size Bone Density Bone mass Bone mineral density Breastfeeding & lactation Canada - epidemiology Contraceptives Cross-Sectional Studies Demographic variables Demographics Endocrinology Female Femur Femur Neck Fractures Fractures, Bone - epidemiology Fragility Health care Hip Humans Infertility Lumbar Vertebrae Menarche Menstruation Metabolism Middle age Middle Aged Osteoporosis Osteoporosis - epidemiology Population Population studies Population-based studies Premenopause Public health Questionnaires Risk Factors Spine Surgical implants Variables Womens health |
title | Adult Premenopausal Bone Health Related to Reproductive Characteristics-Population-Based Data from the Canadian Multicentre Osteoporosis Study (CaM os ) |
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