Psychosomatic Medicine

Skip Navigation LinksHome > November/December 2014 - Volume 76 - Issue 9 > Life Satisfaction and Bone Mineral Density Among Postmenopau...
Psychosomatic Medicine:
doi: 10.1097/PSY.0000000000000114
Original Articles

Life Satisfaction and Bone Mineral Density Among Postmenopausal Women: Cross-Sectional and Longitudinal Associations

Rauma, Päivi H. MPharm; Koivumaa-Honkanen, Heli PhD; Williams, Lana J. PhD; Tuppurainen, Marjo T. PhD; Kröger, Heikki P. PhD; Honkanen, Risto J. PhD

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Objective: The purpose of this study was to determine whether and how global life satisfaction is associated with bone mineral density (BMD) and bone loss.

Methods: A total of 2167 women from a cohort of Finnish women born in 1932 to 1941 were included in the cross-sectional and 1147 women in the 10-year longitudinal part of the present study. Participants responded to a postal enquiry and underwent femoral BMD densitometry in 1999 (baseline) and 2009 (follow-up). During the follow-up, their life satisfaction was repeatedly measured using a four-item scale. Self-reported data on health, life-style, and medication were used to adjust the multivariate linear regression models.

Results: Mean (standard deviation) femoral BMD decreased over the 10-year follow-up from 880 (125) to 846 (122) mg/cm2. In the multivariate model, life satisfaction (p = .028) and its improvement (p = .001) predicted reduced bone loss, whereas hospitalization due to depression predicted increased bone loss (B = −0.523 annual % change, standard error = 0.212, p = .014). These effects were independent of each other.

Conclusions: Easily assessed global life satisfaction should be taken into account when effects of aging and prevention of osteoporosis as well as health promotion in postmenopausal women are considered.

Copyright © 2014 by American Psychosomatic Society

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