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Effect of nulliparity, Body Mass Index and residency on bone mineral density in women between 40 and 50 years in Al-Medina, KSA

Mohammed Fallatah, Abdullah Alsuhaymi, naif Alhejaily, afnan alharbi, rayan jamal.


Background and Aim: Osteoporosis causes adverse effects on the quality of life of individuals. We need to evaluate its risk factors in women between 40 and 50 years. Because they are either at early menopause or not reaching menopause, so the hormonal effect is minimal. Our aim was to investigate the effect of nulliparity, body mass index (BMI) and location of residency on bone mineral density (BMD) in woman aged between 40 and 50 years.

Methods: A cross-sectional study was conducted between February and April 2018. The study included 271 women aged between 40 and 50 years, with abnormal Dual Energy X-Ray Absorptiometry (DEXA) scan. The data was collected through a questionnaire, site of abnormality and its severity (osteoporosis or osteopenia) as well as nulliparity, BMI and location of residency. Data were collected from patientsÂ’ files and by contacting them through their mobile phones. consent taken verbally.

Results: 46.1% of the subjects were overweight and 53.1% were obese, there was an inverse relationship between BMD and BMI (p < 0.05). Eighty-nine percent of women were living in urban areas, but there was no relationship between DEXA diagnosis and residency (p > 0.05). Nulliparity women were78.3%, There was no relationship between BMD in spine or left femur and nulliparity (p > 0.05), but there was a relationship with the right femur (p < 0.05).

Conclusion: In women, BMI has an inverse relationship with BMD. Nulliparity has an inverse relationship with the right, but not with the left femur. There is no relation between the location of residency and BMD.

Key words: Body mass index, bone mineral density, DEXA, osteoporosis, risk factors

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