Association between secondhand smoke exposure and osteoporosis risk in postmenopausal women: a cross-sectional analysis of NHANES data

Background This study aimed to investigate the association between smoke exposure and the risk of osteoporosis in postmenopausal women in the United States, using data from the National Health and Nutrition Examination Survey (NHANES).Methods A cross-sectional analysis was conducted using NHANES dat...

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Main Authors: Li Chen, Jie Wang, Dan Wan
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Obstetrics and Gynaecology
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Online Access:https://www.tandfonline.com/doi/10.1080/01443615.2025.2482708
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author Li Chen
Jie Wang
Dan Wan
author_facet Li Chen
Jie Wang
Dan Wan
author_sort Li Chen
collection DOAJ
description Background This study aimed to investigate the association between smoke exposure and the risk of osteoporosis in postmenopausal women in the United States, using data from the National Health and Nutrition Examination Survey (NHANES).Methods A cross-sectional analysis was conducted using NHANES data from 2005 to 2010, 2013 to 2014, and 2017 to 2018. The study population consisted of postmenopausal women aged 18 years and older. Their bone health status was assessed using self-reported osteoporosis and dual-energy X-ray absorptiometry (DXA) measurements, smoke exposure was evaluated through serum cotinine levels, and multivariate logistic regression models were used to examine the association between smoke exposure and osteoporosis risk, adjusting for sociodemographic factors, health behaviours, and comorbidities.Results The analysis comprised 4,140 postmenopausal women, and data analysis showed that active smoking was significantly associated with an increased risk of osteoporosis, with an adjusted odds ratio (OR) of 2.020 (95% confidence interval [CI]: 1.35–3.03), after adjusting for potential confounders. Additionally, age, race/ethnicity, socioeconomic status, marital status, and body mass index were identified as significant predictors of osteoporosis risk.Conclusions Smoke exposure, particularly active smoking, was associated with an elevated risk of osteoporosis among postmenopausal women in the United States. The findings underscore the need to address modifiable risk factors, such as smoking cessation, and implement targeted interventions to mitigate disparities in bone health.
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spelling doaj-art-b82da3edceaf43da88e1d0530794f8312025-08-20T02:40:26ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932025-12-0145110.1080/01443615.2025.2482708Association between secondhand smoke exposure and osteoporosis risk in postmenopausal women: a cross-sectional analysis of NHANES dataLi Chen0Jie Wang1Dan Wan2Department of Gynecology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, ChinaDepartment of Gynecology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, ChinaDepartment of Gynecology, Chongqing Hospital of Traditional Chinese Medicine, Chongqing, ChinaBackground This study aimed to investigate the association between smoke exposure and the risk of osteoporosis in postmenopausal women in the United States, using data from the National Health and Nutrition Examination Survey (NHANES).Methods A cross-sectional analysis was conducted using NHANES data from 2005 to 2010, 2013 to 2014, and 2017 to 2018. The study population consisted of postmenopausal women aged 18 years and older. Their bone health status was assessed using self-reported osteoporosis and dual-energy X-ray absorptiometry (DXA) measurements, smoke exposure was evaluated through serum cotinine levels, and multivariate logistic regression models were used to examine the association between smoke exposure and osteoporosis risk, adjusting for sociodemographic factors, health behaviours, and comorbidities.Results The analysis comprised 4,140 postmenopausal women, and data analysis showed that active smoking was significantly associated with an increased risk of osteoporosis, with an adjusted odds ratio (OR) of 2.020 (95% confidence interval [CI]: 1.35–3.03), after adjusting for potential confounders. Additionally, age, race/ethnicity, socioeconomic status, marital status, and body mass index were identified as significant predictors of osteoporosis risk.Conclusions Smoke exposure, particularly active smoking, was associated with an elevated risk of osteoporosis among postmenopausal women in the United States. The findings underscore the need to address modifiable risk factors, such as smoking cessation, and implement targeted interventions to mitigate disparities in bone health.https://www.tandfonline.com/doi/10.1080/01443615.2025.2482708Osteoporosissmoke exposurepostmenopausal womenNHANESsociodemographic factorsbone health
spellingShingle Li Chen
Jie Wang
Dan Wan
Association between secondhand smoke exposure and osteoporosis risk in postmenopausal women: a cross-sectional analysis of NHANES data
Journal of Obstetrics and Gynaecology
Osteoporosis
smoke exposure
postmenopausal women
NHANES
sociodemographic factors
bone health
title Association between secondhand smoke exposure and osteoporosis risk in postmenopausal women: a cross-sectional analysis of NHANES data
title_full Association between secondhand smoke exposure and osteoporosis risk in postmenopausal women: a cross-sectional analysis of NHANES data
title_fullStr Association between secondhand smoke exposure and osteoporosis risk in postmenopausal women: a cross-sectional analysis of NHANES data
title_full_unstemmed Association between secondhand smoke exposure and osteoporosis risk in postmenopausal women: a cross-sectional analysis of NHANES data
title_short Association between secondhand smoke exposure and osteoporosis risk in postmenopausal women: a cross-sectional analysis of NHANES data
title_sort association between secondhand smoke exposure and osteoporosis risk in postmenopausal women a cross sectional analysis of nhanes data
topic Osteoporosis
smoke exposure
postmenopausal women
NHANES
sociodemographic factors
bone health
url https://www.tandfonline.com/doi/10.1080/01443615.2025.2482708
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AT danwan associationbetweensecondhandsmokeexposureandosteoporosisriskinpostmenopausalwomenacrosssectionalanalysisofnhanesdata