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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Veröffentlicht in:International journal of environmental research and public health 2018-05, Vol.15 (5), p.1023
Hauptverfasser: Goshtasebi, Azita, Berger, Claudie, Barr, Susan I, Kovacs, Christopher S, Towheed, Tanveer, Davison, K Shawn, Prior, Jerilynn C
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container_issue 5
container_start_page 1023
container_title International journal of environmental research and public health
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creator Goshtasebi, Azita
Berger, Claudie
Barr, Susan I
Kovacs, Christopher S
Towheed, Tanveer
Davison, K Shawn
Prior, Jerilynn C
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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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). 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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 &amp; 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 ; 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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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