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The influence of parity on quantitative ultrasound evaluation of the calcaneus and hand phalanges in Polish postmenopausal women

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Abstract

The aim of the retrospective study was to assess the influence of parity on the skeletal status in 760 postmenopausal women. Women with factors affecting their bone status, or those treated for osteoporosis, were not included. Quantitative ultrasound measurements were performed at the heel (Achilles, n = 465) or at hand phalanges (DBM Sonic 1200, n = 295). Regarding hand phalanges, Z score values were significantly lower in women with three, four, and five or six deliveries in comparison to nonparous women and in women with four deliveries versus women with one or two deliveries. Calcaneus ultrasound variables did not differ in regard to the number of deliveries. Stepwise multiple regression analysis has shown that the main factors, affecting the bone status, were postmenopause duration and body weight. We concluded the increasing number of deliveries negatively influences ultrasound measurements at hand phalanges, which suggests their role as a qualitative feature factor of cortical non-weight-bearing bone.

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References

  1. Murphy S, Kahn KT, May H, Compston JE (1994) Parity and bone mineral density in middle-aged women. Osteoporos Int 4:162–166

    Article  PubMed  CAS  Google Scholar 

  2. Grainge MJ, Coupland CA, Cliffe SJ, Chilvers CE, Hosking DJ (2001) Reproductive, menstrual and menopausal factors: which are associated with bone mineral density in early postmenopausal women? Osteoporos Int 12:777–789

    Article  PubMed  CAS  Google Scholar 

  3. Carranza-Lira S, Mera JP (2002) Influence of number of pregnancies and total breast-feeding time on bone mineral density. Int J Fertil Womens Med 47:169–171

    PubMed  Google Scholar 

  4. Cure-Cure C, Cure-Ramirez P, Teran E, Lopez-Jaramillo P (2002) Bone-mass peak in multiparity and reduced risk of bone-fractures in menopause. Int J Gynecol Obstet 76:285–291

    Article  CAS  Google Scholar 

  5. Gur A, Nas K, Cevik R, Sarac AJ, Ataoglu S, Karakoc M (2003) Influence of number of pregnancies on bone mineral density in postmenopausal women of different age groups. J Bone Miner Metab 21:234–241

    Article  PubMed  Google Scholar 

  6. Shilbayeh S (2003) Prevalence of osteoporosis and its reproductive risk factors among Jordanian women: a cross-sectional study. Osteoporos Int 14:929–940

    Article  PubMed  Google Scholar 

  7. Sadat-Ali M, Al.-Habdan I, Al.-Mulhim AA, El-Hassan AY (2005) Effect of parity on bone mineral density among postmenopausal Saudi Arabian women. Saudi Med J 26:1588–1590

    PubMed  Google Scholar 

  8. Yilmaz N, Kepkop N, Cicek HK, Celik A, Meram I (2006) Relation of parity and homocysteine to bone mineral density of postmenopausal women. Clin Lab 52:49–56

    PubMed  CAS  Google Scholar 

  9. Allali F, Maaroufi H, Aichaoui SE, Khazani H, Saoud B, Benyahya B, Abouqal R, Hajjaj-Hassouni N (2007) Influence of parity on bone mineral density and peripheral fracture risk in Moroccan postmenopausal women. Maturitas 57:392–398

    Google Scholar 

  10. Demir B, Haberal A, Geyik P, Baskan B, Ozturkoglu E, Karacay O, Deveci S (2008) Identification of the risk factors for osteoporosis among postmenopausal women. Maturitas 58:253–256

    Article  Google Scholar 

  11. Hans D, Dargent-Molina P, Schott AM, Sebert JL, Cormier C, Kotzki PO, Delmas PD, Pouilles JM, Breart G, Meunier PJ (1996) Ultrasonographic heel measurements to predict hip fracture in elderly women: the EPIDOS prospective study. Lancet 348:511–514

    Article  PubMed  CAS  Google Scholar 

  12. Wuster C, Albanese C, de Aloysio D, Duboef F, Gambacciani M, Gonelli S, Gluer CC, Hans D, Joly J, Reginster JY, de Terlizzi F, Cadossi R (2000) Phalangeal osteosonogrammetry study: age-related changes, diagnostic sensitivity, and discrimination power. J Bone Miner Res 15:1603–1614

    Article  PubMed  CAS  Google Scholar 

  13. Drozdzowska B, Pluskiewicz W (2002) The ability of quantitative ultrasound at the calcaneus to identify postmenopausal women with different types of non-traumatic fractures. Ultrasound Med Biol 28:1491–1497

    Article  PubMed  Google Scholar 

  14. Sowers MF, Crutchfield M, Jannausch M, Updike S, Corton G (1991) A prospective evaluation of bone mineral change in pregnancy. Obstet Gynecol 77:841–845

    PubMed  CAS  Google Scholar 

  15. Aguado F, Revilla M, Hernandez ER, Menendez M, Cortes-Prieto J, Villa LJ, Rico H (1998) Ultrasonographic bone velocity in pregnancy: a longitudinal study. Am J Obstet Gynecol 178:1016–1021

    Article  PubMed  CAS  Google Scholar 

  16. Pluskiewicz W, Drozdzowska B, Stolecki M (2004) Quantitative ultrasound at the hand phalanges in pregnancy: a longitudinal study. Ultrasound Med Biol 30:1373–1378

    Article  PubMed  Google Scholar 

  17. Hadji P, Ziller V, Kalder M, Gottschalk M, Hellmeyer L, Hars O, Schmidt S, Schluz KD (2004) Influence of pregnancy and breast-feeding on quantitative ultrasonometry of bone in postmenopausal women. Climacteric 5:277–285

    Google Scholar 

  18. Saadi HF, Reed RL, Carter AO, Dunn EV, Qazaq HS, Al-Suhaili AR (2003) Quantitative ultrasound of the calcaneus in Arabian women: relation to anthropometric and lifestyle factors. Maturitas 28:215–223

    Article  Google Scholar 

  19. Njeh CF, Boivin CM, Lanton CM (1997) The role of ultrasound in the assessment of osteoporosis: a review. Osteoporos Int 7:7–22

    Article  PubMed  CAS  Google Scholar 

  20. Gerdham O, Magnusson H, Karlsson MK, Akesson K (2002) Ultrasound of the phalanges not related to a previous fracture. J Clin Densitom 5:159–166

    Article  Google Scholar 

  21. Krieg MA, Cornuz J, Ruffieux C, Sandini L, Buche D, Dambacher MA, Hartl F, Hauselmann HJ, Kraenzlin M, Lippuner K, Neff M, Pancaldi P, Rizzoli R, Tanzi F, Theiler R, Tyndall A, Wimpheimer K, Burckhardt P (2003) Comparison of three bone ultrasounds for the discrimination of subjects with and without osteoporotic fractures among 7562 elderly subjects. J Bone Miner Res 18:1261–1266

    Article  PubMed  CAS  Google Scholar 

  22. More C, Bettembuck P, Bhattoa HP, Balogh A (2001) The effect of pregnancy and lactation on bone mineral density. Osteoporos Int 12:732–737

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Wojciech Pluskiewicz.

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Pluskiewicz, W., Skwira-Kapała, M. & Drozdzowska, B. The influence of parity on quantitative ultrasound evaluation of the calcaneus and hand phalanges in Polish postmenopausal women. J Bone Miner Metab 29, 437–441 (2011). https://doi.org/10.1007/s00774-010-0237-5

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  • DOI: https://doi.org/10.1007/s00774-010-0237-5

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