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