Osteoporosis risk factors, gynaecological history and fractures in perimenopausal women--the results of the baseline postal enquiry of the Kuopio Osteoporosis Risk Factor and Prevention Study.

作者: M. Tuppurainen , R. Honkanen , H. Kröger , S. Saarikoski , E. Alhava

DOI: 10.1016/0378-5122(93)90004-2

关键词: Bone densityOsteoporosisRisk factorBone diseaseIncidence (epidemiology)GynecologyHormone replacement therapy (menopause)PediatricsPhysical exerciseMedicineMenopause

摘要: Abstract The Kuopio Osteoporosis Risk Factor and Prevention (OSTPRE) Study examines the risk factors of osteoporosis, relationship to bone density fractures, as well possibility prevent loss by administering certain hormones. baseline postal enquiry in 1989 was sent all 14 220 women aged 47–56 years residing Province, Finland. questionnaire included questions about their gynaecological history, physical exercise smoking habits, calcium intake, body weight height, history health disorders, current previous use drugs, willingness participate densitometry a clinical hormone trial. response rate 92.8%. In all, 56% reported some female Strong contraindications for oestrogen replacement therapy were found 9.3% women. Almost half respondents lack regular exercise, 11.9% smokers, 17.0% intake from milk products less than 500 mg daily. incidence fractures increased steadily with age. premenopausal within last 10 7.65 per 1000 person/years that postmenopausal 17.40 (P = 0.000). effect menopause on fracture stronger 5-year age increase. Of respondents, 84.4% willing 68.3% long-term prevention osteoporosis oestrogen.

参考文章(28)
Elizabeth Barrett-Connor, Postmenopausal estrogens--current prescribing patterns of San Diego gynecologists. Western Journal of Medicine. ,vol. 144, pp. 620- 621 ,(1986)
Robert Lindsay, Estrogen therapy in the prevention and management of osteoporosis American Journal of Obstetrics and Gynecology. ,vol. 156, pp. 1347- 1351 ,(1987) , 10.1016/0002-9378(87)90177-3
C. Johansson, D. Mellström, I. Milsom, Å. Rundgren, P. Ekelund, Prevalence of fractures among 10 000 women from the 1900 to 1940 birth cohorts resident in Gothenburg Maturitas. ,vol. 14, pp. 65- 74 ,(1991) , 10.1016/0378-5122(91)90149-K
J. Dequeker, L. Tobing, V. Rutten, P. Geusens, , Relative risk factors for osteoporotic fracture: a pilot study of the MEDOS questionnaire. Clinical Rheumatology. ,vol. 10, pp. 49- 53 ,(1991) , 10.1007/BF02208033
C. Mary Beard, L. Joseph Melton, Sandra L. Cedel, L.S. Richelson, B. Lawrence Riggs, Ascertainment of risk factors for osteoporosis: Comparison of interview data with medical record review Journal of Bone and Mineral Research. ,vol. 5, pp. 691- 699 ,(2009) , 10.1002/JBMR.5650050705
S. Y. LAM, H. W. G. BAKER, E. SEEMAN, R. J. PEPPERELL, Gynaecological disorders and risk factors in premenopausal women predisposing to osteoporosis. A review. British Journal of Obstetrics and Gynaecology. ,vol. 95, pp. 963- 972 ,(1988) , 10.1111/J.1471-0528.1988.TB06498.X
R. Lindsay, D.M. Hart, Colin Forrest, Clive Baird, PREVENTION OF SPINAL OSTEOPOROSIS IN OOPHORECTOMISED WOMEN The Lancet. ,vol. 316, pp. 1151- 1154 ,(1980) , 10.1016/S0140-6736(80)92592-1
Gianfranco Domenighetti, Pierangelo Luraschi, Felix Gutzwiller, Ennio Pedrinis, Antoine Casabianca, Alberto Spinelli, Francesca Repetto, EFFECT OF INFORMATION CAMPAIGN BY THE MASS MEDIA ON HYSTERECTOMY RATES The Lancet. ,vol. 332, pp. 1470- 1473 ,(1988) , 10.1016/S0140-6736(88)90943-9
HAROLD M. FROST, The pathomechanics of osteoporoses. Clinical Orthopaedics and Related Research. ,vol. 200, pp. 198- 225 ,(1985) , 10.1097/00003086-198511000-00027