{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T11:09:06Z","timestamp":1762081746798,"version":"build-2065373602"},"reference-count":39,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2022,12,18]],"date-time":"2022-12-18T00:00:00Z","timestamp":1671321600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Data obtained in recent years clearly demonstrate the aging process of European populations. Consequently, the incidence of osteoporosis has been rising. The aim of this study is to assess the quality of life (QoL) of women with osteoporosis. A total of 260 women participated in this study. The patient group consisted of 170 women with osteoporotic disorders. The control group consisted of 90 healthy women. Participants\u2019 quality of life was measured with the Qualeffo-41 Questionnaire. The total 25(OH)D concentration level was assessed with an assay using the chemiluminescent immunoassay. To assess the pain level, the Visual Analogue Scale (VAS) was used. To assess dietary behaviors, data were obtained by a 13-item Food Frequency Questionnaire. To assess the nutrition knowledge of participants, the Beliefs and Eating Habits Questionnaire was used. Based on the frequency of food intake, participants were classified into three patterns of behavior, i.e., Prudent, Western, and Not Prudent-Not Western. The patients assessed their quality of life as average (36.6 \u00b1 19.9 points). The most favorable scores were obtained in the domains of \u201cAbility to do jobs around the house\u201d and \u201cMobility\u201d. The worst rated domain among the respondents was \u201cMental function\u201d. There were significant differences identified in quality of life depending on diet, nutritional knowledge, comorbidities and occurrence of fractures in the subjects. The individuals in the \u201cPrudent\u201d group reported a significantly higher quality of life as compared to the \u201cNot Prudent-Not Western\u201d and \u201cWestern\u201d groups and those with high nutritional knowledge as compared to those with moderate and low. Lower quality of life was also observed among women with comorbidities and with bone fractures. Depending on serum 25(OH)D levels, poorer quality of life was characterized women with vitamin D deficiency. Patient education, implementation of effective methods aimed at alleviating pain and maintaining the optimal concentration of vitamin D can help improve the quality of life in patients with osteoporotic disorders.<\/jats:p>","DOI":"10.3390\/ijerph192417023","type":"journal-article","created":{"date-parts":[[2022,12,19]],"date-time":"2022-12-19T05:55:43Z","timestamp":1671429343000},"page":"17023","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Dietary Behaviors, Serum 25(OH)D Levels and Quality of Life in Women with Osteoporotic Disorders"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3579-8537","authenticated-orcid":false,"given":"Ma\u0142gorzata","family":"Godala","sequence":"first","affiliation":[{"name":"Department of Nutrition and Epidemiology, Medical University of Lodz, Zeligowskiego Street 7\/9, 90-752 Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewa","family":"Sewerynek","sequence":"additional","affiliation":[{"name":"Department of Endocrine Disorders and Bone Metabolism, Medical University of Lodz, 90-752 Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewelina","family":"Gaszy\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Epidemiology, Medical University of Lodz, Zeligowskiego Street 7\/9, 90-752 Lodz, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,12,18]]},"reference":[{"key":"ref_1","first-page":"105","article-title":"The epidemiology of osteoporosis","volume":"133","author":"Clynes","year":"2020","journal-title":"Brit. Med. Bull."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s00198-018-4704-5","article-title":"European guidance for the diagnosis and management of osteoporosis in postmenopausal women","volume":"30","author":"Kanis","year":"2019","journal-title":"Osteoporos. Int."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1007\/s00198-017-4317-4","article-title":"Quality of life for up to 18 months after low-energy hip, vertebral, and distal forearm fractures-results from the ICUROS","volume":"29","author":"Svedbom","year":"2018","journal-title":"Osteoporos. Int."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1726","DOI":"10.1007\/s00198-006-0172-4","article-title":"An estimate of the worldwide prevalence and disability associated with osteoporotic fractures","volume":"17","author":"Johnell","year":"2006","journal-title":"Osteoporos. Int."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Glinkowski, W., Narloch, J., Krasuski, K., and \u015aliwczy\u0144ski, A. (2019). The Increase of Osteoporotic Hip Fractures and Associated One-Year Mortality in Poland: 2008\u20132015. J. Clin. Med., 8.","DOI":"10.3390\/jcm8091487"},{"key":"ref_6","first-page":"300","article-title":"Measuring quality of life in patients with osteoporosis\u2014A review of generic and disease-specific quality of life measurement scales","volume":"47","year":"2009","journal-title":"Reumatology"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.3889\/oamjms.2019.271","article-title":"Effect of Exercises on Quality of Life in Patients with Postmenopausal Osteoporosis\u2014Randomized Trial","volume":"7","author":"Koevska","year":"2019","journal-title":"Maced. J. Med. Sci."},{"key":"ref_8","first-page":"8","article-title":"Vitamin D and osteoporosis","volume":"32","author":"Jasik","year":"2019","journal-title":"Post. Nauk Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1016\/j.jsbmb.2017.01.021","article-title":"Vitamin D supplementation guidelines","volume":"175","author":"Holick","year":"2018","journal-title":"J. Steroid Biochem. Mol. Biol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1007\/s11914-020-00566-7","article-title":"General and specific considerations as to why osteoporosis-related care is often suboptimal","volume":"18","author":"Curtis","year":"2020","journal-title":"Curr. Osteoporos. Rep."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Anden\u00e6s, R., Sm\u00e5stuen, M.C., Misv\u00e6r, N., Ribu, L., Vistad, I., and Helseth, S. (2020). Associations between menopausal hormone therapy and sleep disturbance in women during the menopausal transition and post-menopause: Data from the Norwegian prescription database and the HUNT study. BMC Womens Health, 20.","DOI":"10.1186\/s12905-020-00916-8"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1016\/j.maturitas.2010.12.009","article-title":"Sleep problems in midlife and beyond","volume":"68","year":"2011","journal-title":"Maturitas"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.6061\/clinics\/2012(11)16","article-title":"Quality of life measurements in patients with osteoporosis and fractures","volume":"67","author":"Madureira","year":"2012","journal-title":"Clinics"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1007\/s11657-013-0136-1","article-title":"Osteoporosis in the European Union: Medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA)","volume":"8","author":"Hernlund","year":"2013","journal-title":"Arch. Osteoporos."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.maturitas.2008.10.012","article-title":"Quality of life in women with postmenopausal osteoporosis: Correlation between QUALEFFO 41 and SF-36","volume":"62","author":"Ferreira","year":"2009","journal-title":"Maturitas"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1007\/s00198-004-1762-7","article-title":"Quality of life in patients with osteoporosis","volume":"16","author":"Lips","year":"2005","journal-title":"Osteoporos. Int."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1177\/0013164420952118","article-title":"Design of paper-based visual analogue scale items","volume":"81","author":"Weigl","year":"2021","journal-title":"Educ. Psychol. Meas."},{"key":"ref_18","unstructured":"Je\u017cewska-Zychowicz, M., Gaw\u0119cki, J., W\u0105do\u0142owska, L., Czarnoci\u0144ska, J., Gali\u0144ski, G., Ko\u0142\u0142ajtis-Do\u0142owy, A., Roszkowski, W., Wawrzyniak, A., Przyby\u0142owicz, K., and Krusi\u0144ska, B. (2021, September 01). Beliefs and Eating Habits Questionnaire Created by Behavioral Conditions of Nutrition Team, Committee of Human Nutrition Science, Polish Academy of Science. Warsaw. Available online: http:\/\/www.knozc.pan.pl\/."},{"key":"ref_19","first-page":"1","article-title":"Predictors of quality of life in women with postmenopausal osteoporosis","volume":"278","year":"2022","journal-title":"Psychiatr. Pol."},{"key":"ref_20","first-page":"476","article-title":"Quality of life in postmenopausal women with reduced bone mineral density: Psychometric evaluation of the Polish version of QUALEFFO-41","volume":"7","author":"Opala","year":"2011","journal-title":"Arch. Med. Sci."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Nawrat-Szo\u0142tysik, A., Miodo\u0144ska, Z., Piejko, L., Szo\u0142tys, B., B\u0142aszczyszyn, M., Matyja, B., Zarzeczny, R., Zaj\u0105c-Gawlak, I., Kucio, E., and Polak, A. (2021). Assessment of Quality of Life and Pain Severity in Older Men with Osteoporosis: Cross-Sectional Study. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182111276"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"67","DOI":"10.7365\/JHPOR.2016.1.11","article-title":"Assessment of Quality of life (QoL) in postmenopausal osteoporosis in the Lublin region","volume":"1","author":"Drozd","year":"2016","journal-title":"J. Health Policy Outcomes Res."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1521","DOI":"10.1589\/jpts.26.1521","article-title":"The Relationships among Vitamin D Level, Balance, Muscle Strength, and Quality of Life in Postmenopausal Patients with Osteoporosis","volume":"26","author":"Korkmaz","year":"2014","journal-title":"J. Phys. Ther. Sci."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1186\/1477-7525-10-74","article-title":"Validation of the osteoporosis quality of life questionnaire QUALEFFO-41 for the Serbian population","volume":"18","author":"Tadic","year":"2012","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_25","first-page":"333","article-title":"Quality of life of women with postmenopausal osteoporosis taking part in prophylactic health program","volume":"21","author":"Szczuka","year":"2005","journal-title":"Polish J. Sport. Med."},{"key":"ref_26","first-page":"172","article-title":"Evaluation of the functioning of women with osteoporosis with vertebral fractures and without vertebral fractures using the Polish version of Qualeffo-41","volume":"75","author":"Opala","year":"2010","journal-title":"Chir. Narz. Ruchu Ortop. Pol."},{"key":"ref_27","first-page":"819","article-title":"Evaluation of the quality of life of postmenopausal osteoporotic and osteopenic women with or without fractures","volume":"12","author":"Samborski","year":"2016","journal-title":"Arch. Med. Sci."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"2465","DOI":"10.2147\/CIA.S190440","article-title":"Health-related quality of life in Romanian postmenopausal women with osteoporosis and fragility fractures","volume":"3","author":"Ciubean","year":"2018","journal-title":"Clin. Interv. Aging"},{"key":"ref_29","first-page":"224","article-title":"Comparison of quality of life and bone mass density among postmenopausal women: A cross-sectional study","volume":"11","author":"Singh","year":"2020","journal-title":"J. Midlife Health"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1007\/s00198-008-0761-5","article-title":"Sequential change in quality of life for patients with incident clinical fractures: A prospective study","volume":"20","author":"Hagino","year":"2009","journal-title":"Osteoporos. Int."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1080\/21556660.2019.1677674","article-title":"Impact of fractures on quality of life in patients with osteoporosis: A US cross-sectional survey","volume":"8","author":"Gold","year":"2019","journal-title":"J. Drug Assess."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"295","DOI":"10.5152\/balkanmedj.2014.13265","article-title":"Fracture history in osteoporosis: Risk factors and its effect on quality of life","volume":"31","author":"Kuru","year":"2014","journal-title":"Balk. Med. J."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1007\/s001980170017","article-title":"The influence of osteoporotic fractures on health-related quality of life in community-dwelling men and women across Canada","volume":"12","author":"Adachi","year":"2001","journal-title":"Osteoporos. Int."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Stanghelle, B., Bentzen, H., Giangregorio, L., Pripp, A.H., and Bergland, A. (2019). Associations between health-related quality of life, physical function and pain in older women with osteoporosis and vertebral fracture. BMC Geriatr., 19.","DOI":"10.1186\/s12877-019-1268-y"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1007\/s12020-022-03096-7","article-title":"Vertebral fractures at hospitalization predict impaired respiratory function during follow-up of COVID-19 survivors","volume":"77","author":"Compagnone","year":"2022","journal-title":"Endocrine"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/j.clinthera.2013.12.007","article-title":"Serum 25-hydroxyvitamin D level as an independent determinant of quality of life in osteoporosis with a high risk for fracture","volume":"36","author":"Ohta","year":"2014","journal-title":"Clin. Ther."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"2980","DOI":"10.1210\/jc.2006-0510","article-title":"Vitamin D status in relation to one-year risk of recurrent falling in older men and women","volume":"91","author":"Snijder","year":"2006","journal-title":"J. Clin. Endocrinol. Metab."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1210\/er.2012-1000","article-title":"The nonskeletal effects of vitamin D: An Endocrine Society scientific statement","volume":"33","author":"Rosen","year":"2012","journal-title":"Endocr. Rev."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Di Filippo, L., De Lorenzo, R., Giustina, A., Rovere-Querini, P., and Conte, C. (2022). Vitamin D in Osteosarcopenic Obesity. Nutrients, 14.","DOI":"10.3390\/nu14091816"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/24\/17023\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:43:39Z","timestamp":1760147019000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/24\/17023"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,18]]},"references-count":39,"journal-issue":{"issue":"24","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["ijerph192417023"],"URL":"https:\/\/doi.org\/10.3390\/ijerph192417023","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2022,12,18]]}}}