Skip to main content
Log in

Bone density and lifestyle characteristics in premenopausal and postmenopausal Chinese women

  • Original Article
  • Published:
Osteoporosis International Aims and scope Submit manuscript

Abstract

The relationships between bone health and various lifestyle factors were examined in a cross-sectional study in 775 Chinese women aged 35–75 years. Bone mass was significantly positively associated with body weight, height, body mass index (BMI) and duration of breastfeeding, but was not significantly associated with other lifestyle variables, including alcohol consumption, parity, age at menarche and age at menopause after adjusting for age and body weight. A positive association was observed in premenopausal women (but not in postmenopausal women) for bone density with current cigarette smoking and plasma and urinary cotinine (the major metabolite of smoking). However, the confounding effects of other unknown factors present in this cross-sectional study may not be excluded. Daily physical activity, as indicated by time spent working in the fields, was found consistently to be positively associated with bone mass (p<0.0001). When these women were grouped into three physical activity levels on the basis of occupation and daily work intensity, those undertaking heavy labor also had significantly higher radial bone mass than women undertaking light or medium labor. These results suggest a protective effect of daily physical activity on bone health in both pre- and postmenopausal women.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Richelson LS, Wahner HW, Melton LJ, Riggs BL. Relative contributions of aging and estrogen deficiency to postmenopausal bone loss. N Engl J Med 1984;311:1273–5.

    Google Scholar 

  2. Gardsell P, Johnell O, Nilsson BE. The impact of menopausal age on future fragility fracture risk. J Bone Miner Res 1991;6:429–33.

    Google Scholar 

  3. Aloia JF, Vaswani AN, Yeh JK, Ross P, Ellis K, Cohn SH. Determinants of bone mass in postmenopausal women. Arch Intern Med 1983;143:1700–4.

    Google Scholar 

  4. Drinkwater BL, Chesnut CH. Bone density changes during pregnancy and lactation in active women: a longitudinal study. Bone Miner 1991;14:153–60.

    Google Scholar 

  5. Wardlaw GM, Pike AM. The effect of lactation on peak adult shaft and ultra-distal forearm bone mass in women. Am J Clin Nutr 1986;44:283–6.

    Google Scholar 

  6. Cummings SR, Kelsey JL, Nevitt MC, O'Dowd KJ. Epidemiology of osteoporosis and osteoporotic fractures. Epidemiol Rev 1985;7:178–208.

    Google Scholar 

  7. Hernandez-Avila M, Colditz GA, Stampfer MJ, Rosner B, Speizer FE, Willett WC. Caffeine, moderate alcohol intake, and risk of fractures of the hip and forearm in middle-aged women. Am J Clin Nutr 1991;54:157–63.

    Google Scholar 

  8. Jensen J, Christiansen C, Rodbro P. Cigarette smoking, serum estrogens and bone loss during hormone-replacement therapy early after menopause. N Engl J Med 1985;313:973–5.

    Google Scholar 

  9. MacMahon B, Trichopoulos D, Cole P, Brown J. Cigarette smoking and urinary estrogens. N Engl J Med 1982;307:1062–5.

    Google Scholar 

  10. Hu JF, Zhao XH, Jia JB, Parpia B, Campbell TC. Dietary calcium and bone density among middle aged and elderly women in China. Am J Clin Nutr 1993;58:219–27.

    Google Scholar 

  11. Wald NJ, Boreham J, Bailey A, Ritchie C, Haddow JE, Knight G. Urinary cotinine as marker of breathing other people's tobacco smoke. Lancet 1984;1:230–1.

    Google Scholar 

  12. Chen JS, Campbell TC, Li JY, Peto R. Diet, life-style, and mortality in China: a study of the characteristics of 65 Chinese counties. Beijing, P. R. China: Oxford University Press/Cornell University Press/China People's Medical Publishing House, 1991.

    Google Scholar 

  13. Awbrey BJ, Jacobson PC, Grubb SA, McCartney WH, Vincent LM, Talmage RV. Bone density in women: a modified procedure for measurement of distal radial density. J Orthop Res 1984;2:314–21.

    Google Scholar 

  14. Institute of Nutrition and Food Hygiene. Chinese food composition table. Beijing, P.R. China: People's Medical Publishing House, 1991.

    Google Scholar 

  15. Chinese Nutrition Society. Chinese recommended dietary allowance (1989). Acta Nutr Sin 1990;12:1–9.

    Google Scholar 

  16. Mazess RB. On aging bone loss. Clin Orthop 1982;165:239–52.

    Google Scholar 

  17. Wyshak G. Hip fracture in elderly women and reproductive history. J Gerontol 1981;36:424–7.

    Google Scholar 

  18. Kreiger N, Kelsey JL, Holford TR, O'Connor T. An epidemiologic study of hip fracture in postmenopausal women. Am J Epidemiol 1982;116:141–8.

    Google Scholar 

  19. Sowers M, Crutchfield M, Jannausch M, Updike S, Corton G. A prospective evaluation of bone mineral change in pregnancy. Obstet Gynecol 1991;77:841–5.

    Google Scholar 

  20. Koetting CA, Wardlaw GM. Wrist, spine, and hip bone density in women with variable histories of lactation. Am J Clin Nutr 1988;48:1479–81.

    Google Scholar 

  21. Lissner L, Bengtsson C, Hansson T. Bone mineral content in relation to lactation history in pre- and postmenopausal women. Calcif Tissue Int 1991;48:319–25.

    Google Scholar 

  22. Cauley JA, Gutai JP, Sandier RB, LaPorte RE, Kuller LH, Sashin D. The relationship of endogenous estrogen to bone density and bone area in normal postmenopausal women. Am J Epidemiol 1986;124:752–61.

    Google Scholar 

  23. Picard D, Ste-Marie LG, Coutu D, et al. Premenopausal bone mineral content relates to height, weight and calcium intake during early adulthood. Bone Miner 1988;4:229–309.

    Google Scholar 

  24. Sowers MR, Clark MK, Hollis B, Wallace RB, Jannausch M. Radial bone mineral density in pre- and perimenopausal women: a prospective study of rates and risk factors for loss. J Bone Miner Res 1992;7:647–57.

    Google Scholar 

  25. Leino A, Impivaara O, Jarvisalo J, Helenius H. Factors related to risk of osteoporosis in 50-year-old women. Calcif Tissue Int 1991;49:S76–7.

    Google Scholar 

  26. Krall EA, Dawson-Hughes B. Smoking and bone loss among postmenopausal women. J Bone Miner Res 1991;6:331–8.

    Google Scholar 

  27. Slemenda CW, Hui SL, Longcope C, Johnston CCJ. Cigarette smoking, obesity, and bone mass. J Bone Miner Res 1989;4:737–41.

    Google Scholar 

  28. Felson DT, Anderson JJ, Naimark A, Hannan MT, Kannel WB, Meenan RF. Does smoking protect against osteoarthritis? Arthritis Rheum 1989;32:166–72.

    Google Scholar 

  29. Jensen GF. Osteoporosis of the slender smoker revisited by epidemiologic approach. Eur J Clin Invest 1986;16:239–42.

    Google Scholar 

  30. Lindquist O, Bengtsson C. Menopausal age in relation to smoking. Acta Med Scand 1979;205:73–7.

    Google Scholar 

  31. Nelson M, Mayer AB, Rutherford O, Jones D. Calcium intake, physical activity and bone mass in pre-menopausal women. J Human Nutr Diet 1991;4:171–7.

    Google Scholar 

  32. Stillman RJ, Lohman TG, Slaughter MH, Massey BH. Physical activity and bone mineral content in women aged 30 to 85 years. Med Sci Sports Exerc 1986;18:576–80.

    Google Scholar 

  33. Kriska AM, Sandier RB, Cauley JA, LaPorte RE, Horn DL, Pambianco G. The assessment of historical physical activity and its relation to adult bone parameters. Am J Epidemiol 1988;127:1053–61.

    Google Scholar 

  34. Lau E, Donnan S, Barker DJP, Cooper C. Physical activity and calcium intake in fracture of the proximal femur in Hong Kong. BMJ 1988;297:1441–3.

    Google Scholar 

  35. Cooper C, Wickham C, Coggon D. Sedentary work in middle life and fracture of the proximal femur. Br J Ind Med 1990;47:69–70.

    Google Scholar 

  36. Lacey JM, Anderson JJB, Fujita T, et al. Correlates of cortical bone mass among premenopausal and postmenopausal Japanese women. J Bone Miner Res 1991;6:651–9.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hu, J.F., Zhaocem, X.H., Chen, J.S. et al. Bone density and lifestyle characteristics in premenopausal and postmenopausal Chinese women. Osteoporosis Int 4, 288–297 (1994). https://doi.org/10.1007/BF01622185

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01622185

Keywords

Navigation