Kontakt 2022, 24(1):73-78 | DOI: 10.32725/kont.2021.045
Determinants of postmenopausal osteoporosisNursing - Review article
- 1 Slovak Medical University in Bratislava, Faculty of Health in Banská Bystrica, Banská Bystrica, Slovak Republic
- 2 Slovak Medical University in Bratislava, Faculty of Nursing and Professional Health Studies, Bratislava, Slovak Republic
Introduction: Osteoporosis is generally associated with menopause. Scientific research has shown the existence of several factors involved in decreasing bone density in post-menopausal women. Goal: The aim of the review study is to map in detail the prevalence of osteoporosis in postmenopausal women in the context of postmenopausal age, postmenopausal duration, women's BMI and selected behavioural factors.
Methods: Relevant sources were selected in 2020 using search services and sources in electronic databases (PubMed, BioMed Central, Web of Science). The analytical review was performed using PRISMA and PICO tools.
Results and discussion: In analysing the available studies, we found that the most frequently observed significant findings showed a relationship between the prevalence of osteoporosis and age at menopause and the prevalence of osteoporosis and advancing age in postmenopause. Opinions differ on the influence of BMI as a protective or risk factor. Some behavioural factors that are preventable can have a significant effect on bone mineral density in postmenopausal women. The results of several studies suggest an association between the prevalence of osteoporosis and smoking and alcohol consumption.
Conclusions: Menopause is a critical period for bone health. The incidence of osteoporosis increases with increasing age of postmenopausal women. As part of prevention, it is recommended to have a suitable type of diet, exposure to sunlight, regular exercise and to stop smoking and drinking alcohol.
Keywords: Age; BMI; Diet; Menopause; Osteoporosis
Conflicts of interest:
The author has no conflict of interests to declare.
Received: April 13, 2021; Revised: July 16, 2021; Accepted: October 12, 2021; Prepublished online: October 20, 2021; Published: March 15, 2022 Show citation
References
- Aghaei M, Afshan HRB, Qorbani M, Dashti HS, Safari R (2013). Bone mineral density in Iranian patients: Effects of age, sex, and body mass index. Open J Prev Med 3(1): 128-131. DOI: 10.4236/ojpm.2013.31016.
Go to original source...
- Agrawal T, Verma AK (2013). Cross sectional study of osteoporosis among women. Med J Armed Forces India 69(2): 168-171. DOI: 10.1016/j.mjafi.2012.07.024.
Go to original source...
Go to PubMed...
- Baccaro LF, Conde DM, Costa-Paiva L, Pinto-Neto AM (2015). The epidemiology and management of postmenopausal osteoporosis: a viewpoint from Brazil. Clin Interv Aging 10: 583-591. DOI: 10.2147/CIA.S54614.
Go to original source...
Go to PubMed...
- Bijelic R, Milicevic S, Balaban J (2017). Risk Factors for Osteoporosis in Postmenopausal Women. Med Arch 71(1): 25-28. DOI: 10.5455/medarh.2017.71.25-28.
Go to original source...
Go to PubMed...
- Binu AJ, Cherian KE, Kapoor N, Jebasingh FK, Asha HS, Paul TV (2019). Bone Health after Fifth Decade in Rural Ambulatory South Indian Postmenopausal Women. Indian J Community Med 44(3): 205-208. DOI: 10.4103/ijcm.IJCM_161_18.
Go to original source...
Go to PubMed...
- Brown JP, Albert C, Nassar BA, Adachi JD, Cole D, Davison KS, et al. (2009). Bone turnover markers in the management of postmenopausal osteoporosis. Clin Biochem 42(10-11): 929-942. DOI: 10.1016/j.clinbiochem.2009.04.001.
Go to original source...
Go to PubMed...
- Cunha-Henriques S, Costa-Paiva L, Pinto-Neto AM, Fonsechi-Carvesan G, Nanni L, Morais SS (2011). Postmenopausal women with osteoporosis and musculoskeletal status: a comparative cross-sectional study. J Clin Med Res 3(4): 168-176. DOI: 10.4021/jocmr537w.
Go to original source...
Go to PubMed...
- Demirbag D, Ozdemir F, Ture M (2006). Effects of coffee consumption and smoking habit on bone mineral density. Rheumatol Int 26(6): 530-535. DOI: 10.1007/s00296-005-0020-4.
Go to original source...
Go to PubMed...
- Guiming Y, Huang Y, Cao H, Wu J, Jiang N, Cao X (2019). Association of breastfeeding and postmenopausal osteoporosis in Chinese women: a community-based retrospective study. BMC Womens Health 19(1): 110. DOI: 10.1186/s12905-019-0808-0.
Go to original source...
Go to PubMed...
- Haluzíková J (2017). Kvalita života u nemocných s hypertenzí. Logos Polytechnikos 8(1): 34-45.
- Hamdi Kara I, Aydin S, Gemalmaz A, Aktürk Z, Yaman H, Bozdemir N, et al. (2008). Habitual tea drinking and bone mineral density in postmenopausal Turkish women: investigation of prevalence of postmenopausal osteoporosis in Turkey (IPPOT Study). Int J Vitam Nutr Res 77(6): 389-397. DOI: 10.1024/0300-9831.77.6.389 [published correction appears in Int J Vitam Nutr Res 78(3): 166].
Go to original source...
Go to PubMed...
- Kalem MN, Kalem Z, Akgun N, Bakirarar B (2017). The relationship between postmenopausal women's sclerostin levels and their bone density, age, body mass index, hormonal status, and smoking and consumption of coffee and dairy products. Arch Gynecol Obstet 295(3): 785-793. DOI: 10.1007/s00404-017-4288-x.
Go to original source...
Go to PubMed...
- Karlamangla AS, Burnett-Bowie SAM, Crandall CJ (2018). Bone Health During the Menopause Transition and Beyond. Obstet Gynecol Clin North Am 45(4): 695-708. DOI: 10.1016/j.ogc.2018.07.012.
Go to original source...
Go to PubMed...
- Kok HS, van Asselt KM, van der Schouw YT, Peeters PHM, Wijmenga C (2005). Genetic studies to identify genes underlying menopausal age. Hum Reprod Update 11(5): 483-493. DOI: 10.1093/humupd/dmi024.
Go to original source...
Go to PubMed...
- Koothirezhi R, Ranganathan S (2021). Postmenopausal Syndrome. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. [online] [cit. 2021-01-22]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560840/
- Moron FJ, Ruiz A, Galan JJ (2009). Genetic and genomic insights into age at natural menopause. Genome Med 1(8): 76. DOI: 10.1186/gm76.
Go to original source...
Go to PubMed...
- Rizzoli R, Bischoff-Ferrari H, Dawson-Hughes B, Weaver C (2014). Nutrition and bone health in women after the menopause. Womens Health (Lond) 10(6): 599-608. DOI: 10.2217/whe.14.40.
Go to original source...
Go to PubMed...
- Salamat MR, Salamat AH, Abedi I, Janghorbani M (2013). Relationship between weight, body mass index, and bone mineral density in men referred for dual-energy X-ray absorptiometry scan in Isfahan, Iran. J Osteoporos 2013: 205963. DOI: 10.1155/2013/205963.
Go to original source...
Go to PubMed...
- Schoenaker DAJM, Jackson CA, Rowlands JV, Mishra GD (2014). Socioeconomic position, lifestyle factors and age at natural menopause: a systematic review and meta-analyses of studies across six continents. Int J Epidemiol 43(5): 1542-1562. DOI: 10.1093/ije/dyu094.
Go to original source...
Go to PubMed...
- Tian LM, Yang RF, Wei LH, Liu J, Yang Y, Shao FF, et al. (2017). Prevalence of osteoporosis and related lifestyle and metabolic factors of postmenopausal women and elderly men: A cross-sectional study in Gansu province, Northwestern of China. Medicine (Baltimore) 43: e8294. DOI: 10.1097/MD.0000000000008294.
Go to original source...
Go to PubMed...
- Török-Oancea R, Bala M (2015). Body weight, BMI, and stature have a protective effecton bone mineral density in women with postmenopausal vertebral osteoporosis, whereas greater age at menarcheand years after menopause have a negative effect. Asian Biomed 9(1): 81-86. DOI: 10.5372/1905-7415.0901.372.
Go to original source...
- van Asselt KM, Kok HS, Putter H, Wijmenga C, Peeters PH, van der Schouw YT, et al. (2004). Linkage analysis of extremely discordant and concordant sibling pairs identifies quantitativetrait loci influencing variation in human menopausal age. Am J Hum Genet 74(3): 444-453. DOI: 10.1086/382136.
Go to original source...
Go to PubMed...
- Veiga Silva AC, da Rosa MI, Fernandes BS, Lumertz S, Diniz RM, dos Reis Damiani MEF (2015). Factors associated with osteopenia and osteoporosis in women undergoing bone mineral density test. Revista Brasileira de Reumatologia (English Edition) 55(3): 223-228. DOI: 10.1016/j.rbre.2014.08.011.
Go to original source...
- Voorhuis M, Onland-Moret NC, van der Schouw YT, Fauser BCJM, Broekmans FJ (2010). Human studies on genetics of the age at natural menopause: a systematic review. Hum Reprod Update 16(4): 364-377. DOI: 10.1093/humupd/dmp055.
Go to original source...
Go to PubMed...
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