Modelling the factors associated with quality of life in women with osteoporosis: A cross-sectional study

Background: Considering the important factors contributing to different health-related quality of life (HRQoL) subscales is essential for implementing preventive measures to increase the HRQoL among women with osteoporosis. We here evaluated the variables related to the mental and physical HRQoL in...

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Main Authors: Rahmatollah Moradzadeh, Maryam Zamanian, Maliheh Taheri
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Global Epidemiology
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Online Access:http://www.sciencedirect.com/science/article/pii/S259011332400035X
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author Rahmatollah Moradzadeh
Maryam Zamanian
Maliheh Taheri
author_facet Rahmatollah Moradzadeh
Maryam Zamanian
Maliheh Taheri
author_sort Rahmatollah Moradzadeh
collection DOAJ
description Background: Considering the important factors contributing to different health-related quality of life (HRQoL) subscales is essential for implementing preventive measures to increase the HRQoL among women with osteoporosis. We here evaluated the variables related to the mental and physical HRQoL in a sample of Iranian osteoporotic women. Methods: In this cross-sectional study, the participants included 111 women with osteoporosis in 2013. Physical and mental of HRQoL were measured by the ECOS-16 questionnaire. Other variables included BMD t-score (Osteoporosis was diagnosed based on bone mineral density (BMD) with BMD t-score < −2.5), age, body mass index, educational level, marital status, duration of the disease, history of bone fracture in the past year, the number of pregnancies, and weekly walking hours. Final regression coefficients were obtained based on the total effects of estimations (decompositions of effects into direct, indirect and total effects) by structural equation model (SEM) analysis. Results: The mean scores of physical and mental domains of HRQoL were 54(21) and 54(25), respectively. The mean of BMD t-score was −3.2 (0.9). Based on the regression coefficients obtained in the SEM model, weekly walking hours(2.2), number of pregnancies (−1.2), and history of bone fracture in past year(−2.9) were the more important determinants of physical aspect of HRQoL than other included variables of this study. Furthermore, age over than 60 (−9.1), history of bone fracture in past year(−4.8), weekly walking hours(2.3), marital status(−5), and education level (3.9)influenced the mental aspect of HRQoL. Conclusions: Social and life style factors tend to impact on physical and mental domains of HRQoL, a measure that is influenced by multiple factors among postmenopausal women. In this respect, these obtained factors should be considered for health planning to improve the physical and mental domains of HRQoL among postmenopausal women.
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spelling doaj-art-e1b7fe9b4da8419bb43143081771f3fa2025-08-20T02:34:20ZengElsevierGlobal Epidemiology2590-11332024-12-01810016910.1016/j.gloepi.2024.100169Modelling the factors associated with quality of life in women with osteoporosis: A cross-sectional studyRahmatollah Moradzadeh0Maryam Zamanian1Maliheh Taheri2Department of Epidemiology, School of Health. Arak University of Medical Sciences, Arak, IranDepartment of Epidemiology, School of Health. Arak University of Medical Sciences, Arak, Iran; Correspondence to: Maryam Zamanian, Department of Epidemiology, School of Health, Arak University of Medical Sciences, Golestan Street, Daneshgah Boulevard, Arak, Iran.Department of Nursing, School of Nursing and Midwifery, Islamic Azad University-Sanandaj Branch, Sanandaj, Iran; Correspondence to: Maliheh Taheri, Department of Nursing, School of Nursing and Midwifery, Islamic Azad University-Sanandaj Branch, Sanandaj, P. O. Box: 66169-35391, Sanandaj, Iran.Background: Considering the important factors contributing to different health-related quality of life (HRQoL) subscales is essential for implementing preventive measures to increase the HRQoL among women with osteoporosis. We here evaluated the variables related to the mental and physical HRQoL in a sample of Iranian osteoporotic women. Methods: In this cross-sectional study, the participants included 111 women with osteoporosis in 2013. Physical and mental of HRQoL were measured by the ECOS-16 questionnaire. Other variables included BMD t-score (Osteoporosis was diagnosed based on bone mineral density (BMD) with BMD t-score < −2.5), age, body mass index, educational level, marital status, duration of the disease, history of bone fracture in the past year, the number of pregnancies, and weekly walking hours. Final regression coefficients were obtained based on the total effects of estimations (decompositions of effects into direct, indirect and total effects) by structural equation model (SEM) analysis. Results: The mean scores of physical and mental domains of HRQoL were 54(21) and 54(25), respectively. The mean of BMD t-score was −3.2 (0.9). Based on the regression coefficients obtained in the SEM model, weekly walking hours(2.2), number of pregnancies (−1.2), and history of bone fracture in past year(−2.9) were the more important determinants of physical aspect of HRQoL than other included variables of this study. Furthermore, age over than 60 (−9.1), history of bone fracture in past year(−4.8), weekly walking hours(2.3), marital status(−5), and education level (3.9)influenced the mental aspect of HRQoL. Conclusions: Social and life style factors tend to impact on physical and mental domains of HRQoL, a measure that is influenced by multiple factors among postmenopausal women. In this respect, these obtained factors should be considered for health planning to improve the physical and mental domains of HRQoL among postmenopausal women.http://www.sciencedirect.com/science/article/pii/S259011332400035XQuality of lifeOsteoporosisStructural equation modelIran
spellingShingle Rahmatollah Moradzadeh
Maryam Zamanian
Maliheh Taheri
Modelling the factors associated with quality of life in women with osteoporosis: A cross-sectional study
Global Epidemiology
Quality of life
Osteoporosis
Structural equation model
Iran
title Modelling the factors associated with quality of life in women with osteoporosis: A cross-sectional study
title_full Modelling the factors associated with quality of life in women with osteoporosis: A cross-sectional study
title_fullStr Modelling the factors associated with quality of life in women with osteoporosis: A cross-sectional study
title_full_unstemmed Modelling the factors associated with quality of life in women with osteoporosis: A cross-sectional study
title_short Modelling the factors associated with quality of life in women with osteoporosis: A cross-sectional study
title_sort modelling the factors associated with quality of life in women with osteoporosis a cross sectional study
topic Quality of life
Osteoporosis
Structural equation model
Iran
url http://www.sciencedirect.com/science/article/pii/S259011332400035X
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AT malihehtaheri modellingthefactorsassociatedwithqualityoflifeinwomenwithosteoporosisacrosssectionalstudy