Association between delivery at an advanced maternal age and osteoporosis in elderly Korean women

Verfasser / Beitragende:
[Eunju Ahn, Jungkwon Lee, Yong Park, Hye-Mi Noh, Bo Kim]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Bone and Mineral Metabolism, 33/6(2015-11-01), 666-673
Format:
Artikel (online)
ID: 605463069
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024 7 0 |a 10.1007/s00774-014-0630-6  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00774-014-0630-6 
245 0 0 |a Association between delivery at an advanced maternal age and osteoporosis in elderly Korean women  |h [Elektronische Daten]  |c [Eunju Ahn, Jungkwon Lee, Yong Park, Hye-Mi Noh, Bo Kim] 
520 3 |a Although several reproductive factors have been associated with low bone mineral density (BMD) in elderly women, few studies have evaluated the long-term effects of delivery at a high-risk maternal age on BMD. Using nationally representative survey data collected from 736 women aged 65years or older, we evaluated the relationship between delivery during adolescence or at an age of 35years or older and osteoporosis in elderly women. Data regarding demographic and socioeconomic characteristics, medical history, lifestyle risk factors, reproductive history, and history of osteoporosis and fracture were collected by administration of self-report questionnaires. Anthropometric data and BMD were measured in accordance with standardized guidelines. Independent determinants of BMD were identified by stepwise multiple linear regression analysis, and the resulting model was used to evaluate the risk of osteoporosis according to delivery during adolescence or at an advanced age. Of the 736 subjects, 426 (60.1%) were found to have osteoporosis (Tscore ≤−2.5), and 19.2 and 38.9% reported delivery during adolescence and at an advanced age, respectively. The incidence of delivery during adolescence or at an advanced age was significantly higher in subjects with osteoporosis than in those without osteoporosis. After adjustment for covariates, multiple logistic regression analysis revealed that elderly women with a history of delivery at an advanced maternal age are at an increased (2.164-fold greater) risk of osteoporosis (95% confidence interval 1.109-4.223) compared with elderly women without a history of delivery at an advanced age. However, a history of delivery during adolescence did not affect the risk. 
540 |a The Japanese Society for Bone and Mineral Research and Springer Japan, 2014 
690 7 |a Bone mineral density  |2 nationallicence 
690 7 |a Korea National Health and Nutrition Examination Survey  |2 nationallicence 
690 7 |a Maternal age  |2 nationallicence 
690 7 |a Osteoporosis  |2 nationallicence 
690 7 |a Parity  |2 nationallicence 
700 1 |a Ahn  |D Eunju  |u Health Screening Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Yongin, Republic of Korea  |4 aut 
700 1 |a Lee  |D Jungkwon  |u Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-Ro, Gangnam-gu, 135-710, Seoul, Republic of Korea  |4 aut 
700 1 |a Park  |D Yong  |u Department of Family Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, 77 Sakju-ro, 200-704, Chuncheon, Gangwon-do, Republic of Korea  |4 aut 
700 1 |a Noh  |D Hye-Mi  |u Department of Family Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Republic of Korea  |4 aut 
700 1 |a Kim  |D Bo  |u Health Screening Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea  |4 aut 
773 0 |t Journal of Bone and Mineral Metabolism  |d Springer Japan  |g 33/6(2015-11-01), 666-673  |x 0914-8779  |q 33:6<666  |1 2015  |2 33  |o 774 
856 4 0 |u https://doi.org/10.1007/s00774-014-0630-6  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00774-014-0630-6  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ahn  |D Eunju  |u Health Screening Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Yongin, Republic of Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Jungkwon  |u Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-Ro, Gangnam-gu, 135-710, Seoul, Republic of Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Park  |D Yong  |u Department of Family Medicine, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, 77 Sakju-ro, 200-704, Chuncheon, Gangwon-do, Republic of Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Noh  |D Hye-Mi  |u Department of Family Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Republic of Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Bo  |u Health Screening Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Bone and Mineral Metabolism  |d Springer Japan  |g 33/6(2015-11-01), 666-673  |x 0914-8779  |q 33:6<666  |1 2015  |2 33  |o 774