The relation of household food security with osteoporosis in 40-50 year non-menopausal women referred to Karaj DEXA center

Osteoporosis is now recognized as a community health problem, and its complications can impose a lot of financial and psychological damage to the community. This study was conducted to investigate the relationship between food insecurity with osteoporosis in 40 to 50-year-old non-menopausal women. In this study, 280 non-menopausal women aged 40 to 50 years old referred to the Alborz Bone Mineral Density Center (Karaj, Iran) in a case-control study were compared in two groups of 140 with osteoporosis and normal bone in 2018. The Household Information Insecurity Access Scale (HFIAS) was completed. Finally, the data were analyzed using χ2 and one-way ANOVA and correlation. In this study, there was a significant relationship between food security and osteoporosis (p<0.001). 77.9% of healthy subjects and 87.1% of people with osteoporosis had food insecurity. The associated factors with osteoporosis were the age (p=0.01), number of children (p=0.002), number of breastfeeding months (p<0.001), age of menarche (p=0.001), exposure to direct sunlight (p=0.05), physical activity (p<0.001), history of osteoporosis (p=0.018), economic status (p<0.001) and smoking (p=0.02). After the adjustment of confounding factors in the regression analysis, predictive factors for osteoporosis were the age of menarche, physical activity, and household economic status. Considering the factors associated with osteoporosis and the association of food insecurity with osteoporosis in non-menopausal women, provision of proper nutrition guidelines and preventive measures seem to be necessary.