Relationship Between Sarcopenia and Fracture Risks in Obese Postmenopausal Women

ABSTRACT

It is known that obesity is inversely correlated with fracture risk. It remains unclear if a low muscle mass (sarcopenia) modulates the relationship between obesity and bone mass density. Twenty-seven obese women were matched for total fat mass (± 0.5 kg) and age (± 4 yrs) and divided in 3 equal groups: class II sarcopenic, class I sarcopenic, and nonsarcopenic. Body composition (DXA) and dietary intake were measured. Our results suggest that obesity may offer some protection against osteoporosis, even in sarcopenic postmenopausal women. However, further studies are needed to examine the actual implication of these results on a clinical standpoint.     

Socioeconomic Factors in Menopausal Women's Use of Hormone Replacement Therapy

This study examines if education, income, and medical insurance coverage are primary factors in determining whether menopausal women use hormone replacement therapy (HRT). To accomplish this purpose, the author conducted a survey of 62 women between 30 and 60 years of age. These women completed a self-administered questionnaire that provided both quantitative and qualitative information. The results suggest that these socioeconomic factors increase the likelihood that menopausal women will receive treatment with HRT. Implications for clinical practice are discussed.     

Women in the Sandwich Generation:

The demands made upon 66 middle aged women by their elderly parents and the mediating role of adult children continuing to live at home were examined. Contrary to expectations, adult children played a strong supportive function for the women. The demands made upon the women and the supports provided by the adult children are described. Implications for human services practice are examined.     

Women at Midlife: Women's Perceptions,Physicians' Perceptions

Research and assessment of the well-being of women at midlife, for the most part, focuses on assumptions based on stereotypes and myths that hinder our ability to realistically appraise women's experiences. Women's reproductive role, manifested in the centrality of menopause, predominates in the health literature. This paper looks at how physicians and midlife women view the experiences of midlife women. Attribution theory is used to offer explanations for different perceptions that may hinder appropriate health care. Suggestions to mitigate these differences in the future are offered.     

Effect of Soy Isolate Protein and Resistance Exercises on Muscle Performance and Bone Health of Osteopenic/Osteoporotic Post-Menopausal Women

There are contradictory reports regarding the effect of soy protein isolate on bone health in menopause. The main objective of this study was to assess the influence of soy isolate protein intake and resistance exercises on isokinetic muscle strength, endurance, power, and bone health parameters in osteopenic/osteoporotic postmenopausal women. Sixty osteoporotic sedentary women (mean age 54.55 years) were randomly assigned to three groups: soy isolate protein (Group A), soy?+?exercise group (Group B), and control group (Group C). Group B performed supervised progressive resistance exercises 4 times/week for 12 weeks. Muscle performance was measured by isokinetic dynamometry, and bone health was measured by ultrasound densitometry. Analysis of variance showed significant bone and muscle strength gains (p < .05) both in Group A and B, with the improvements more pronounced in Group B. Significant muscle performance changes, after intervention, were evident and bone strength increases may parallel changes in muscle strength.     

Self-Assessment and Change in One's Profession: Notes on the Phenomenology of Aging Among Mid-Life Women

Using data from a pilot study of mid-life, mid-career women in nursing, this research note suggests further exploration of women's work roles in understanding subjective assessments of self and aging. The analysis shows that among the nurses studied, dynamics of occupational or professional change were related to views of self in the future. These issues of change rather than age graded norms for achievement were paramount in the nurses' self assessment.