Prevalence, Family History, and Prevention of Reported Osteoporosis in U.S. Women

Background Osteoporosis is a major public health concern and has been associated with a family history positive for the condition. However, data on the behaviors of individuals with such a family history are scarce. The objectives of this study were to assess the relationship between the prevalence...

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Bibliographic Details
Published in:American journal of preventive medicine 2008-07, Vol.35 (1), p.47-54
Main Authors: Robitaille, Julie, PhD, Yoon, Paula W., ScD, Moore, Cynthia A., MD, Liu, Tiebin, MSPH, Irizarry-Delacruz, Margarita, MPH, Looker, Anne C., PhD, Khoury, Muin J., MD
Format: Article
Language:English
Subjects:
Adult
Family histories
Female
Health Promotion
Humans
Internal Medicine
Odds Ratio
Osteoporosis
Osteoporosis - epidemiology
Osteoporosis - genetics
Osteoporosis - prevention & control
Prevalence
Risk Factors
United States - epidemiology
USA
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Summary:Background Osteoporosis is a major public health concern and has been associated with a family history positive for the condition. However, data on the behaviors of individuals with such a family history are scarce. The objectives of this study were to assess the relationship between the prevalence of reported physician-diagnosed osteoporosis and family history in a representative sample of U.S. women, examine whether osteoporosis risk factors account for this relationship, and evaluate the likelihood that women at high risk of osteoporosis due to family history report preventive behaviors. Methods The prevalence of reported osteoporosis was estimated in 8073 women aged ≥20 years in the National Health and Nutrition Examination Survey, 1999–2004. Information on osteoporosis in first-degree relatives and grandparents was obtained during interviews. Results The prevalence of osteoporosis in participants was 7.94%. In 19.8% of them, a positive family history was reported and was significantly and independently associated with osteoporosis (AOR 2.35, 95% CI=1.87, 2.96). This association was stronger when two or more relatives were affected (AOR 8.48, 95% CI=4.50, 15.99). After stratification by age, the association was observed only in women aged ≥35 years. Women with a family history of osteoporosis were more likely than those with none to report preventive behavior, such as taking supplements of calcium, vitamin D, or both; physical activity; and estrogen use. Conclusions These findings indicate that family history is a significant, independent risk factor for osteoporosis in U.S. women aged ≥35 years. Further studies are warranted to evaluate family history as a convenient and inexpensive tool for identifying women at risk of osteoporosis and for promoting the adoption of preventive behaviors.
ISSN:0749-3797
1873-2607
DOI:10.1016/j.amepre.2008.03.027