APHA
Back to Annual Meeting
APHA 2006 APHA
Back to Annual Meeting
APHA Scientific Session and Event Listing

[ Recorded presentation ] Recorded presentation

Health related quality of life: Effects of behaviors, co-morbid health conditions and knowledge among men and women, with and without osteoporosis or osteopenia

Colleen M. Renier, BS1, Irina V. Haller, PhD, MS1, Ana M. Fernandez, MD2, and Jeanette A. Palcher, BA1. (1) Division of Education and Research, SMDC Health System, 400 E 3rd Street, Duluth, MN 55805-1983, 218-786-3834, crenier@smdc.org, (2) Rheumatology Section, SMDC Health System, 400 E 3rd Street, Duluth, MN 55805-1983

Background: Health-related quality of life (HRQoL) is effected by many factors, including health conditions and behaviors. This project evaluated effects of osteoporosis (OP), behaviors, co-morbidities and OP-related knowledge (FOOQ; Ailinger RL, et al) on HRQoL (SF-8, PCS and MCS). Methods: Participants were randomly selected from patients of an upper-Midwest health system. Demographics, HRQoL, behaviors, health history and FOOQ, were collected by telephone interview, from 10/01/2004-11/15/2005. Medical record abstraction augmented health history. Analysis included subjects 55-70 years old and was stratified by gender. Bivariate analysis included Pearson and Spearman correlations and variables with p<0.20 were included in multivariate linear regressions, with age, urban/rural status, and OP status for females or OP/osteopenia (OPA) status for males included as covariates. Results: Of the 186 males, 36.6% had OP/OPA, while 49.7% of females (N=525) had OP. No OP, OP/OPA to PCS, MCS associations existed. Significant FOOQ to PCS relationships existed for both genders (p<.01). The male PCS multivariate model included employment, recent chronic low back pain (CLBP), and co-morbid angina, emphysema, depression, osteoarthritis and impaired limb(s). The MCS model contained marital status, and co-morbid depression and asthma. The female PCS multivariate model included alcohol use (ALC), employment, CLBP, and co-morbid osteoarthritis, chronic lung disease, impaired limb(s), congestive heart failure, rheumatoid arthritis and hypertension. The MCS model included ALC, smoking, and co-morbid depression, chronic diarrhea and asthma. Discussion: HRQoL is primarily impacted by behaviors and debilitating co-morbid conditions. Diagnosed OP/OPA remains in the background suggesting that treatment may successfully prevent similar negative effects on HRQoL.

Learning Objectives:

Keywords: Quality of Life, Aging

Presenting author's disclosure statement:

Any relevant financial relationships? No

[ Recorded presentation ] Recorded presentation

Archstone and Gerontological Health Awards

The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA