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Social Inequality May Contribute to Poor Metabolic Bone Health

Risk for coexisting metabolic syndrome, osteoporosis up for postmenopausal women with low social status

menopausal patient

TUESDAY, April 28, 2020 (HealthDay News) -- Social factors might be significant contributors to coexisting metabolic syndrome (MetS) and osteoporosis (OP) in postmenopausal women, according to a study published online April 20 in Menopause.

Hansongyi Lee, Ph.D., from Kyung Hee University in South Korea, and colleagues used data from the Korea National Health and Nutrition Examination Survey (2008 to 2011) to identify 1,991 postmenopausal women aged 45 to 65 years. Associations of socioeconomic status-related factors and unhealthy lifestyle with the coexistence of MetS and osteopenia or OP were assessed.

The researchers found that overall, the prevalence of MetS+OP was 32.5 percent. In the MetS+OP group, the average number of MetS risk factors was 3.5, higher than that of normal and OP groups (P < 0.001). Among women with MetS+OP, bone mineral density at all sites was significantly lower than in the normal and MetS groups (P < 0.001). Versus the other groups, calcium, phosphorus, vitamin A, riboflavin, and niacin levels were lowest in the MetS+OP group (P < 0.05). Women with low income and low levels of education were more likely to have MetS+OP (odds ratio [OR], 1.97), while those with high income and high education were less likely to have MetS+OP (OR, 0.30) compared with the middle-income and middle-education group when controlling for other variables.

"Social and political perspective approaches are required in this population for prevention and treatment of MetS and OP," the authors write.

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