Factors Associated with Osteoporosis


Patria Sari Dewi

 

Masters Program in Public Health, Universitas Sebelas Maret

 

Abstract

Background: Osteoporosis is the most common and serious age-related skeletal dis­order. Osteoporosis is influenced by genetic, behavior, and environmental factors. The purpose of this study was to examine factors associated with osteoporosis, using Na­tional Health and Nutrition Examination Survey (NHANES) data.

Subjects and Method: This was a cross sectional study. A sample of 4,424 was selec­ted for this study. The dependent variable was osteoporosis. The independent vari­ables were age, gen­der, parathyroid hormone level, calcium level, BMI, alcohol con­sumption, and smoking. The data were obtained from NHANES 2013-2014. The data were ana­ly­zed by path analysis.

Results: The risk of osteoporosis directly increased with older age (b= 0.77; 95% CI= 0.62 to 0.92; p<0.001), BMI (b= 0.84; 95% CI= 0.43 to 1.24; p<0.001), high para­thy­roid hormone level (b= 0.16; 95% CI= -0.01 to 0.33; p= 0.055), and low calcium (b= 0.99; 95% CI= 0.35 to 1.66; p= 0.002). The risk of osteoporosis directly decreased with male (b= -1.51; 95% CI= -1.67 to -1.36; p<0.001) and alcohol consumption (b= -0.31; 95% CI= -0.47 to -0.16; p<0.001). It was indi­rectly affected by parathyroid hormone level and smoking.

Conclusion: The risk of osteoporosis directly increases with older age, BMI, high para­thyroid hormone level, and low calcium, but decreases with male and alcohol consumption. It is indirectly affected by parathyroid hormone level and smoking.

Keywords: osteoporosis, risk factor, NHANES 2013-2014

Correspondence: Patria Sari Dewi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia.Email: patriaklaten@gmail.­com. Mobile: 085643157125.

DOI: https://doi.org/10.26911/theicph.2019.01.55

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