Skip to main content
Top
Published in: Environmental Health and Preventive Medicine 5/2009

01-09-2009 | Regular Article

The relationship between clustering health-promoting components of lifestyle and bone status among middle-aged women in a general population

Authors: Satoshi Tsuboi, Takehito Hayakawa, Hideyuki Kanda, Tetsuhito Fukushima

Published in: Environmental Health and Preventive Medicine | Issue 5/2009

Login to get access

Abstract

Objective

The association between clustering health-promoting components of lifestyle and bone status was examined among middle-aged women.

Methods

A cross-sectional study was conducted in Tadami Town, Fukushima Prefecture, Japan, in 2007. A total of 305 middle-aged women (mean age 55.2 years) participated. The Health-Promoting Lifestyle Profile II was used to assess health-promoting components of lifestyle. Participants’ bone status was examined using quantitative ultrasonic calcaneal measurement.

Results

A total of 139 participants (45.6%) were defined as having low bone stiffness. In the low bone stiffness group, the mean age was significantly higher, and prevalence of interpersonal relationships score over 3.0 was lower than that in the normal bone stiffness group. There were significant trends in the prevalence of low bone stiffness, each health-promoting component of lifestyle, and presence of hypertension and diabetes mellitus, based on the number of frequently selected health-promoting components of lifestyle. The number of frequently selected health-promoting components of lifestyle correlated negatively with the prevalence of low bone stiffness in both crude and adjusted results.

Conclusion

This research is particularly important as we suggest health-promotion strategies for the prevention of osteoporosis. A synthetic approach, which includes health responsibility, spiritual growth, interpersonal relations, and stress management, and physical activity and nutrition, may be effective and complement traditional strategies.
Literature
1.
go back to reference National Institute of Health. Osteoporosis prevention, diagnosis, and therapy. NIH Consens Statement. 2000;17:1–45. National Institute of Health. Osteoporosis prevention, diagnosis, and therapy. NIH Consens Statement. 2000;17:1–45.
2.
go back to reference World Health Organization. Prevention and management of osteoporosis. World Health Organ Tech Rep Ser. 2003;921:1–164 (back cover). World Health Organization. Prevention and management of osteoporosis. World Health Organ Tech Rep Ser. 2003;921:1–164 (back cover).
3.
go back to reference Chrischilles EA, Butler CD, Davis CS, Wallace RB. A model of lifetime osteoporosis impact. Arch Intern Med. 1991;151:2026–32.PubMedCrossRef Chrischilles EA, Butler CD, Davis CS, Wallace RB. A model of lifetime osteoporosis impact. Arch Intern Med. 1991;151:2026–32.PubMedCrossRef
4.
go back to reference Shigesato T, Akira I, Hisakazu K, Miho I, Ryuichi K, Ryuichi K, Masako I, Fusami M, Akiko T, Rie M. Population projections for Japan 2001–2050, with long-range population projections: 2051–2100. J Popul Social Security (Popul). 2003;1:1–43. Shigesato T, Akira I, Hisakazu K, Miho I, Ryuichi K, Ryuichi K, Masako I, Fusami M, Akiko T, Rie M. Population projections for Japan 2001–2050, with long-range population projections: 2051–2100. J Popul Social Security (Popul). 2003;1:1–43.
5.
go back to reference Kröger H, Huopio J, Honkanen R, Tuppurainen M, Puntila E, Alhava E, et al. Prediction of fracture risk using axial bone mineral density in a perimenopausal population; a prospective study. J Bone Miner Res. 1995;10:302–6.PubMedCrossRef Kröger H, Huopio J, Honkanen R, Tuppurainen M, Puntila E, Alhava E, et al. Prediction of fracture risk using axial bone mineral density in a perimenopausal population; a prospective study. J Bone Miner Res. 1995;10:302–6.PubMedCrossRef
6.
go back to reference Chapurlat RD, Garnero P, Sornay-Rendu E, Arlot ME, Claustrat B, Delmas PD. Longitudinal study of bone loss in pre- and perimenopausal women: evidence for bone loss in perimenopausal women. Osteoporos Int. 2000;11:493–8.PubMedCrossRef Chapurlat RD, Garnero P, Sornay-Rendu E, Arlot ME, Claustrat B, Delmas PD. Longitudinal study of bone loss in pre- and perimenopausal women: evidence for bone loss in perimenopausal women. Osteoporos Int. 2000;11:493–8.PubMedCrossRef
7.
go back to reference Wolff I, van Croonenborg JJ, Kemper HC, Kostense PJ, Twisk JW. The effect of exercise training programs on bone mass: a meta-analysis of published controlled trials in pre- and postmenopausal women. Osteoporos Int. 1999;9:1–12.PubMedCrossRef Wolff I, van Croonenborg JJ, Kemper HC, Kostense PJ, Twisk JW. The effect of exercise training programs on bone mass: a meta-analysis of published controlled trials in pre- and postmenopausal women. Osteoporos Int. 1999;9:1–12.PubMedCrossRef
8.
go back to reference Looker AC, Harris TB, Madans JH, Sempos CT. Dietary calcium and hip fracture risk: the NHANES I Epidemiologic Follow-Up Study. Osteoporos Int. 1993;3:177–84.PubMedCrossRef Looker AC, Harris TB, Madans JH, Sempos CT. Dietary calcium and hip fracture risk: the NHANES I Epidemiologic Follow-Up Study. Osteoporos Int. 1993;3:177–84.PubMedCrossRef
9.
go back to reference Pocock N, Eisman J, Bwinn T, Sambrook P, Kelly P, Freund J, et al. Muscle strength, physical fitness, and weight but not age predict femoral neck bone mass. J Bone Miner Res. 1989;4:441–8.PubMedCrossRef Pocock N, Eisman J, Bwinn T, Sambrook P, Kelly P, Freund J, et al. Muscle strength, physical fitness, and weight but not age predict femoral neck bone mass. J Bone Miner Res. 1989;4:441–8.PubMedCrossRef
10.
go back to reference Kanis JA, Johnell O, Oden A, Johansson H, De Laet C, Eisman JA, et al. Smoking and fracture risk: a meta-analysis. Osteoporos Int. 2005;16:155–62.PubMedCrossRef Kanis JA, Johnell O, Oden A, Johansson H, De Laet C, Eisman JA, et al. Smoking and fracture risk: a meta-analysis. Osteoporos Int. 2005;16:155–62.PubMedCrossRef
11.
go back to reference Kanis JA, Johansson H, Johnell CO, Oden A, De Laet C, Eisman JA. Alcohol intake as a risk factor for fracture. Osteoporos Int. 2005;16:737–42.PubMedCrossRef Kanis JA, Johansson H, Johnell CO, Oden A, De Laet C, Eisman JA. Alcohol intake as a risk factor for fracture. Osteoporos Int. 2005;16:737–42.PubMedCrossRef
12.
go back to reference Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987;36:76–81.PubMedCrossRef Walker SN, Sechrist KR, Pender NJ. The Health-Promoting Lifestyle Profile: development and psychometric characteristics. Nurs Res. 1987;36:76–81.PubMedCrossRef
13.
go back to reference Wei C-N, Yonemitsu H, Harada K, Miyakita T, Omori S, Miyabayashi T. A Japanese-language version of the Health-Promoting Lifestyle Profile. Jpn J Hyg. 2000;54:597–606. Wei C-N, Yonemitsu H, Harada K, Miyakita T, Omori S, Miyabayashi T. A Japanese-language version of the Health-Promoting Lifestyle Profile. Jpn J Hyg. 2000;54:597–606.
14.
go back to reference Reedy J, Haines PS, Campbell MK. The influence of health behavior clusters on dietary change. Prev Med. 2005;41:268–75.PubMedCrossRef Reedy J, Haines PS, Campbell MK. The influence of health behavior clusters on dietary change. Prev Med. 2005;41:268–75.PubMedCrossRef
15.
go back to reference O’Halloran P, Lazovich D, Patterson RE, Harnack L, French S, Curry SJ, et al. Effect of health lifestyle pattern on dietary change. Am J Health Promot. 2001;16:27–33.PubMed O’Halloran P, Lazovich D, Patterson RE, Harnack L, French S, Curry SJ, et al. Effect of health lifestyle pattern on dietary change. Am J Health Promot. 2001;16:27–33.PubMed
16.
go back to reference Berrigan D, Dodd K, Troiano RP, Krebs-Smith SM, Barbash RB. Patterns of health behavior in US adults. Prev Med. 2003;36:615–23.PubMedCrossRef Berrigan D, Dodd K, Troiano RP, Krebs-Smith SM, Barbash RB. Patterns of health behavior in US adults. Prev Med. 2003;36:615–23.PubMedCrossRef
17.
go back to reference Pronk NP, Anderson LH, Crain AL, Martinson BC, O’Connor PJ, Sherwood NE, et al. Meeting recommendations for multiple healthy lifestyle factors. prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. Am J Prev Med. 2004;27:25–33.PubMedCrossRef Pronk NP, Anderson LH, Crain AL, Martinson BC, O’Connor PJ, Sherwood NE, et al. Meeting recommendations for multiple healthy lifestyle factors. prevalence, clustering, and predictors among adolescent, adult, and senior health plan members. Am J Prev Med. 2004;27:25–33.PubMedCrossRef
18.
go back to reference Myint PK, Luben RN, Wareham NJ, Bingham SA, Khaw KT. Combined effect of health behaviors and risk of first ever stroke in 20, 040 men and women over 11 years’ follow-up in Norfolk cohort of European prospective investigation of cancer (EPIC Norfolk): prospective population study. BMJ. 2009;338:b349.PubMedCrossRef Myint PK, Luben RN, Wareham NJ, Bingham SA, Khaw KT. Combined effect of health behaviors and risk of first ever stroke in 20, 040 men and women over 11 years’ follow-up in Norfolk cohort of European prospective investigation of cancer (EPIC Norfolk): prospective population study. BMJ. 2009;338:b349.PubMedCrossRef
19.
go back to reference Wiley JA, Camacho TC. Lifestyle and future health: evidence from the Alameda county study. Prev Med. 1980;9:1–21.PubMedCrossRef Wiley JA, Camacho TC. Lifestyle and future health: evidence from the Alameda county study. Prev Med. 1980;9:1–21.PubMedCrossRef
20.
go back to reference Tsuda-Futami E, Hans D, Njeh CF, Fuerst T, Fan B, Li J, et al. An evaluation of a new gel-coupled ultrasound device for the quantitative assessment of bone. Br J Radiol. 1999;72:691–700.PubMed Tsuda-Futami E, Hans D, Njeh CF, Fuerst T, Fan B, Li J, et al. An evaluation of a new gel-coupled ultrasound device for the quantitative assessment of bone. Br J Radiol. 1999;72:691–700.PubMed
21.
go back to reference Greenspan SL, Bouxsein ML, Melton ME, Kolodny AH, Clair JH, Delucca PT, et al. Precision and discriminatory ability of calcaneal bone assessment technologies. J Bone Miner Res. 1997;12:1303–13.PubMedCrossRef Greenspan SL, Bouxsein ML, Melton ME, Kolodny AH, Clair JH, Delucca PT, et al. Precision and discriminatory ability of calcaneal bone assessment technologies. J Bone Miner Res. 1997;12:1303–13.PubMedCrossRef
22.
go back to reference Fujiwara S, Sone T, Yamazaki K, Yoshimura N, Nakatsuka K, Masunari N, et al. Heel bone ultrasound predicts non-spine fracture in Japanese men and women. Osteoporos Int. 2005;16:2107–12.PubMedCrossRef Fujiwara S, Sone T, Yamazaki K, Yoshimura N, Nakatsuka K, Masunari N, et al. Heel bone ultrasound predicts non-spine fracture in Japanese men and women. Osteoporos Int. 2005;16:2107–12.PubMedCrossRef
23.
go back to reference Hans D, Dargent-Molina P, Schott AM, Sebert JL, Cormier C, Kotzki PO, et al. Ultrasonographic heel measurements to predict hip fracture in elderly women: the EPIDOS prospective study. The Lancet. 1996;348:511–4.CrossRef Hans D, Dargent-Molina P, Schott AM, Sebert JL, Cormier C, Kotzki PO, et al. Ultrasonographic heel measurements to predict hip fracture in elderly women: the EPIDOS prospective study. The Lancet. 1996;348:511–4.CrossRef
24.
go back to reference Díez-Pérez A, Marín F, Vila J, Abizanda M, Cervera A, Carbonell C, et al. Evaluation of calcaneal quantitative ultrasound in a primary care setting as a screening tool for osteoporosis in postmenopausal women. J Clin Densitom. 2003;6:237–45.PubMedCrossRef Díez-Pérez A, Marín F, Vila J, Abizanda M, Cervera A, Carbonell C, et al. Evaluation of calcaneal quantitative ultrasound in a primary care setting as a screening tool for osteoporosis in postmenopausal women. J Clin Densitom. 2003;6:237–45.PubMedCrossRef
25.
go back to reference Hamidi Z, Sedaghat M, Hejri SM, Larijani B. Defining cut-off values for the diagnosis of osteoporosis in postmenopausal women by quantitative ultrasonography of the phalanx. Gynecol Endocrinol. 2008;24:546–8.PubMedCrossRef Hamidi Z, Sedaghat M, Hejri SM, Larijani B. Defining cut-off values for the diagnosis of osteoporosis in postmenopausal women by quantitative ultrasonography of the phalanx. Gynecol Endocrinol. 2008;24:546–8.PubMedCrossRef
26.
go back to reference Minnock E, Cook R, Collins D, Tucker J, Zioupos P. Using risk factors and quantitative ultrasound to identify postmenopausal caucasian women at risk of osteoporosis. J Clin Densitom. 2008;11:485–93.PubMedCrossRef Minnock E, Cook R, Collins D, Tucker J, Zioupos P. Using risk factors and quantitative ultrasound to identify postmenopausal caucasian women at risk of osteoporosis. J Clin Densitom. 2008;11:485–93.PubMedCrossRef
27.
go back to reference Della Martina M, Fabiani G, Biasioli A, Piccoli V, Vascotto L, Driul L, et al. Identification of patients with a high risk of osteoporosis. Analysis of risk factors, ultrasonography and DEXA, in a female population in the North East of Italy. Minerva Ginecol. 2008;60:97–104.PubMed Della Martina M, Fabiani G, Biasioli A, Piccoli V, Vascotto L, Driul L, et al. Identification of patients with a high risk of osteoporosis. Analysis of risk factors, ultrasonography and DEXA, in a female population in the North East of Italy. Minerva Ginecol. 2008;60:97–104.PubMed
28.
go back to reference The osteoporosis foundation. Manual of the prevention of osteoporosis by the law of health for the elderly. Tokyo: Japan medical journal; 2000. p. 61–85 (in Japanese). The osteoporosis foundation. Manual of the prevention of osteoporosis by the law of health for the elderly. Tokyo: Japan medical journal; 2000. p. 61–85 (in Japanese).
29.
go back to reference Sakata S. Establishment of cut-off point of calcaneal quantitative ultrasound by population based data. J Bone Miner Metab. 1998;15: 171–6 (in Japanese). Sakata S. Establishment of cut-off point of calcaneal quantitative ultrasound by population based data. J Bone Miner Metab. 1998;15: 171–6 (in Japanese).
30.
go back to reference Lock CA, Lecouturier J, Mason JM, Dickinson HO. Lifestyle interventions to prevent osteoporotic fractures: a systematic review. Osteoporos Int. 2006;17:20–8.PubMedCrossRef Lock CA, Lecouturier J, Mason JM, Dickinson HO. Lifestyle interventions to prevent osteoporotic fractures: a systematic review. Osteoporos Int. 2006;17:20–8.PubMedCrossRef
31.
go back to reference Pearson JA, Burkhart E, Pifalo WB, Palaggo-Toy T, Krohn K. A lifestyle modification intervention for the treatment of osteoporosis. Am J Health Promot. 2005;20:28–33.PubMed Pearson JA, Burkhart E, Pifalo WB, Palaggo-Toy T, Krohn K. A lifestyle modification intervention for the treatment of osteoporosis. Am J Health Promot. 2005;20:28–33.PubMed
32.
go back to reference McAlister AL. Population behavior change: a theory-based approach. J Public Health Policy. 1991;12:345–61.PubMedCrossRef McAlister AL. Population behavior change: a theory-based approach. J Public Health Policy. 1991;12:345–61.PubMedCrossRef
33.
go back to reference Huppert FA, Whittington JE. Evidence for the independence of positive and negative well-being: implications for quality of life assessment. Br J Health Psychol. 2003;8(Pt 1):107–22.PubMedCrossRef Huppert FA, Whittington JE. Evidence for the independence of positive and negative well-being: implications for quality of life assessment. Br J Health Psychol. 2003;8(Pt 1):107–22.PubMedCrossRef
34.
go back to reference Tai H, Miyaura C, Pilbeam CC, Tamura T, Ohsugi Y, Koishihara Y, et al. Transcriptional induction of cyclooxygenase-2 in osteoblasts is involved in interleukin-6-induced osteoclast formation. Endocrinology. 1997;138:2372–9.PubMedCrossRef Tai H, Miyaura C, Pilbeam CC, Tamura T, Ohsugi Y, Koishihara Y, et al. Transcriptional induction of cyclooxygenase-2 in osteoblasts is involved in interleukin-6-induced osteoclast formation. Endocrinology. 1997;138:2372–9.PubMedCrossRef
35.
go back to reference Friedman EM, Hayney M, Love GD, Singer BH, Ryff CD. Plasma interleukin-6 and soluble IL-6 receptors are associated with psychological well-being in aging women. Health Psychol. 2007;26:305–13.PubMedCrossRef Friedman EM, Hayney M, Love GD, Singer BH, Ryff CD. Plasma interleukin-6 and soluble IL-6 receptors are associated with psychological well-being in aging women. Health Psychol. 2007;26:305–13.PubMedCrossRef
36.
go back to reference Ohaeri JU, Olusina AK, Al-Abassi A-HM. Factor analytical study of the short version of the world health organization quality of life instrument. Psychopathology. 2004;37:242–8.PubMedCrossRef Ohaeri JU, Olusina AK, Al-Abassi A-HM. Factor analytical study of the short version of the world health organization quality of life instrument. Psychopathology. 2004;37:242–8.PubMedCrossRef
37.
go back to reference Emerson E, Hatton C. Self-reported well-being of women and men with intellectual disabilities in England. Am J Ment Retard. 2008;113:143–55.PubMedCrossRef Emerson E, Hatton C. Self-reported well-being of women and men with intellectual disabilities in England. Am J Ment Retard. 2008;113:143–55.PubMedCrossRef
38.
go back to reference Adams VHIII, Jackson JS. The contribution of hope to the quality of life among African Americans: 1980–1992. Int J Aging Hum Dev. 2000;50:279–95.PubMedCrossRef Adams VHIII, Jackson JS. The contribution of hope to the quality of life among African Americans: 1980–1992. Int J Aging Hum Dev. 2000;50:279–95.PubMedCrossRef
39.
go back to reference Galavotti C, Pappas-DeLuca KA, Lansky A. Modeling and reinforcement to combat HIV: The MARCH approach to behavior change. Am J Public Health. 2001;91:1602–7.PubMedCrossRef Galavotti C, Pappas-DeLuca KA, Lansky A. Modeling and reinforcement to combat HIV: The MARCH approach to behavior change. Am J Public Health. 2001;91:1602–7.PubMedCrossRef
40.
go back to reference Kelly MP, Charlton BG, Hanlon P. The four levels of health promotion: an integrated approach. Public Health. 1993;107:319–26.PubMedCrossRef Kelly MP, Charlton BG, Hanlon P. The four levels of health promotion: an integrated approach. Public Health. 1993;107:319–26.PubMedCrossRef
Metadata
Title
The relationship between clustering health-promoting components of lifestyle and bone status among middle-aged women in a general population
Authors
Satoshi Tsuboi
Takehito Hayakawa
Hideyuki Kanda
Tetsuhito Fukushima
Publication date
01-09-2009
Publisher
Springer Japan
Published in
Environmental Health and Preventive Medicine / Issue 5/2009
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1007/s12199-009-0099-4

Other articles of this Issue 5/2009

Environmental Health and Preventive Medicine 5/2009 Go to the issue