Influencing factors of mental and bone health status of older women

Objective: To investigate the influencing factors that influence the mental and bone health status of older women. Methods: A total of 576 older women aged more than 75 years old were recruited from 30 communities. Participants completed the Kessler Psychological Distress Scale (K10). Participants' bone mineral density was measured by ultrasound bone densitometer or dual energy X-ray absorptiometry. Results: The average K10 score was (14.78 +/- 4.23). There were 352 subjects (61.11%) in "good" mental health status, 158(27.43%) in general status and 66(11.46%) in poor status. There were 315 older women(54.69%) who developed OP, and they had significantly higher K 10 score than the non-OP subjects. A Multivariate Logistic Regression analysis showed that poor mental status, aging, age at menarche <16 years, long time of menopause, more delivery times were the risk factors for OP in older women, while regular exercise and high BMI were the protective factors against OP in older women. Pearson Correlation Coefficient analysis showed that bone mineral density was negatively correlated with K10 score. Conclusion: Mental and bone health of older women are affected by a variety of factors. Clinical care can focus on providing comprehensive prevention and control of these factors.