Comparison of Rural/Urban Breast Cancer Survivors on Non-Skeletal Risk Factors for Osteoporosis

2.50
Hdl Handle:
http://hdl.handle.net/10755/158536
Type:
Presentation
Title:
Comparison of Rural/Urban Breast Cancer Survivors on Non-Skeletal Risk Factors for Osteoporosis
Abstract:
Comparison of Rural/Urban Breast Cancer Survivors on Non-Skeletal Risk Factors for Osteoporosis
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:McGuire, Rita
P.I. Institution Name:University of Nebraska Medical Center
Contact Address:College of Nursing,, Lincoln, NE, 68502, USA
Co-Authors:N. Waltman, C. Ott, J. Twiss, G. Gross, and A. Lindsey, College of Nursing, University of Nebraska Medical Center, Lincoln, NE
Significance and Background: Many postmenopausal breast cancer survivors (BCS) from midwestern states reside in rural areas. Rural women pride themselves on being self-sufficient; they are also considered a 'vulnerable' population because of fewer economic and health care resources in rural areas. Yet, few studies have examined the unique health care needs of postmenopausal BCS residing in rural areas. A major health care problem for women is osteoporosis; postmenopausal BCS are at even greater risk for osteoporosis because of depleted estrogen levels. Causes of osteoporosis and resultant fractures are both skeletal (low bone mass) and nonskeletal (muscle weakness, and impaired balance). Purpose: The purpose of this study was to determine differences in nonskeletal risk factors for osteoporosis (balance and muscle strength) between rural and urban postmenopausal BCS. Data for this secondary analysis study were baseline data obtained for a federally-funded (1 R01 NR07743-01A1) intervention study on osteoporosis prevention entitled: Prevention of Osteoporosis in Postmenopausal Breast Cancer Survivors. Methods and Analysis: In this study, muscle strength was measured by Biodex, balance was measured by backward tandem walk, and physical activity was measured by the 7-Day Physical Activity Questionnaire-Adapted. Differences between rural and urban women on each of the variables were analyzed using ANCOVA. Findings and Implications: Average age of rural postmenopausal BCS (n= 112) was 58.7 years (+/- 7.5), body mass index (BMI) was 26.7, (+/- 3.7), and women averaged 38.1 (+/- 8.5) Metabolic Equivalent Units (METs) per day. Average age of urban postmenopausal BCS (n= 137) was 58.4 years (+/- 7.6), BMI was 26.8 (+/- 4.2), and women averaged 37.5 (+/- 7.1) METS per day. Controlling for age, BMI, kilocalories, and physical activity, rural women had significantly lower measures than urban women for Hip flexion (t= -3.4, p= .001) and extension (t= ;-2.4, p = .015); Knee flexion (t=-2.1, p=.038) and extension (t=-2.73, p=.002); Wrist extension (t= -5.5, p= .000); and dynamic balance (t= 3.2, p = .002). Implications are that rural postmenopausal BCS have more nonskeletal risk factors for osteoporotic fractures, and preventative treatments should be aimed at this vulnerable population of women.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleComparison of Rural/Urban Breast Cancer Survivors on Non-Skeletal Risk Factors for Osteoporosisen_GB
dc.identifier.urihttp://hdl.handle.net/10755/158536-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Comparison of Rural/Urban Breast Cancer Survivors on Non-Skeletal Risk Factors for Osteoporosis</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McGuire, Rita</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Nebraska Medical Center</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing,, Lincoln, NE, 68502, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rmcguire@unmc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">N. Waltman, C. Ott, J. Twiss, G. Gross, and A. Lindsey, College of Nursing, University of Nebraska Medical Center, Lincoln, NE</td></tr><tr><td colspan="2" class="item-abstract">Significance and Background: Many postmenopausal breast cancer survivors (BCS) from midwestern states reside in rural areas. Rural women pride themselves on being self-sufficient; they are also considered a 'vulnerable' population because of fewer economic and health care resources in rural areas. Yet, few studies have examined the unique health care needs of postmenopausal BCS residing in rural areas. A major health care problem for women is osteoporosis; postmenopausal BCS are at even greater risk for osteoporosis because of depleted estrogen levels. Causes of osteoporosis and resultant fractures are both skeletal (low bone mass) and nonskeletal (muscle weakness, and impaired balance). Purpose: The purpose of this study was to determine differences in nonskeletal risk factors for osteoporosis (balance and muscle strength) between rural and urban postmenopausal BCS. Data for this secondary analysis study were baseline data obtained for a federally-funded (1 R01 NR07743-01A1) intervention study on osteoporosis prevention entitled: Prevention of Osteoporosis in Postmenopausal Breast Cancer Survivors. Methods and Analysis: In this study, muscle strength was measured by Biodex, balance was measured by backward tandem walk, and physical activity was measured by the 7-Day Physical Activity Questionnaire-Adapted. Differences between rural and urban women on each of the variables were analyzed using ANCOVA. Findings and Implications: Average age of rural postmenopausal BCS (n= 112) was 58.7 years (+/- 7.5), body mass index (BMI) was 26.7, (+/- 3.7), and women averaged 38.1 (+/- 8.5) Metabolic Equivalent Units (METs) per day. Average age of urban postmenopausal BCS (n= 137) was 58.4 years (+/- 7.6), BMI was 26.8 (+/- 4.2), and women averaged 37.5 (+/- 7.1) METS per day. Controlling for age, BMI, kilocalories, and physical activity, rural women had significantly lower measures than urban women for Hip flexion (t= -3.4, p= .001) and extension (t= ;-2.4, p = .015); Knee flexion (t=-2.1, p=.038) and extension (t=-2.73, p=.002); Wrist extension (t= -5.5, p= .000); and dynamic balance (t= 3.2, p = .002). Implications are that rural postmenopausal BCS have more nonskeletal risk factors for osteoporotic fractures, and preventative treatments should be aimed at this vulnerable population of women.</td></tr></table>en_GB
dc.date.available2011-10-26T21:09:14Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T21:09:14Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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