Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Nutritional Factors Related to Bone Mineral Density in the Different Age Groups of Korean Women

한국 여자의 연령별 골밀도에 영향을 미치는 영양요인 분석

  • Published : 2002.09.01
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Abstract

Nutritional factors affecting bone mineral density (BMD) in the different age groups of Korean women were investigated to obtain baseline data for maintaining bone health. Information on diet and anthropometry were collected in 80 elementary school children (height 127.2 cm, weight 27.3 kg), 84 high school students (height 161.6 cm, weight 52.4 kg), 100 adults aged 25 to 35 years (height 159.4 cm, weight 52.7 kg) and 120 elderly people over 60 years of age (height 150.9 cm, weight 55.6 kg). Data for nutrient intake were obtained by 24-hour recall method. BMDs of lumbar spine (L$_2$-L$_4$) and femoral neck were measured by dual energy x-ray absorptiometry. The relationship between BMD of femoral neck and nutritional factors were analyzed. The average BMD of femoral neck for females was 0.61 g/$\textrm{cm}^2$ in children, 0.88 g/$\textrm{cm}^2$ in adolescents, 0.90 g/$\textrm{cm}^2$ in adults, 0.64 g/$\textrm{cm}^2$ in elderly people. Among the adult subjects, 11.0% was classified as osteopenia in the femoral neck. For the elderly, the prevalence of osteopenia and osteoporosis were 34.2% and 47.5% of the subjects. It was shown the intake of energy, protein, plant protein, animal protein, fat, carbohydrate, Ca, P, Fe, vitamin A, thiamin, riboflavin, niacin, vitamin C, carbohydrate energy percent and fat energy percent influenced bone health status in all age groups. In the MAR on bone health status, children, adult and elderly subjects were significantly different among groups classified by bone health status and the MAR of the groups with good in bone health was higher. The RDA percent of each nutrient was influence factor on BMD. Nutrient intake of energy, protein, P, Fe, thiamin, niacin were lower BMD on below 75% of Korean RDA. Stepwise multiple regression analysis revealed that several dietary factors were influence on BMD. MAR on femoral neck BMD of children and elderly subjects was the highest influence factor. Beyond this, the most influential dietary factors on BMD were the vitamin A, total Ca and vegetable Ca. The above results have confirmed that dietary factors influence BMD in various age groups. Energy, protein, Ca, P, Fe, thiamin, riboflavin, niacin, vitamin C as well as MAR were important dietary factors influencing BMD. The results of this study revealed that people who received sufficient nutrients intake showed healthy bone status. The MAR mainly influenced the bone health status.

Keywords

References

  1. J Nutr v.125 Function of osteocytes in bone-Their role in Mechanotransduction Burger EH;Klein-Nulend J;Van Der Plas A;Nijweide PJ
  2. Osteoporosis (Osteopenia) The korean society of bone
  3. N Engl J Med v.314 Involutional osteoporosis Riggs BL;Melton LJ https://doi.org/10.1056/NEJM198606263142605
  4. Korean J Nutr v.27 no.6 Osteoporosis and dietary factors Kim WY
  5. Clinical Orthopaedics and Related Research v.165 On aging bone loss Mazess RB
  6. J Nutr v.116 NIH Consensus Conference : Osteoporosis, factors contributing to osteoporosis Spencer H;Kramer L
  7. JAMA v.252 Consensus Conference : Osteoporosis https://doi.org/10.1001/jama.252.6.799
  8. A hand book for the medical profession national osteoporosis society and the european foundation for osteoporosis and bone disease The silence epidemic : Postmenopausal osteoporosis Christiansen C;Riis BJ
  9. J Bone Miner Res v.9 The diagnosis of osteoporosis Kanis JK;Melton Ⅲ LJ;Christiansen C;Johnston CC;Khaltaer N https://doi.org/10.1002/jbmr.5650090802
  10. J Korean Med Assoc v.35 no.5 Menopause and osteoporosis Jo SH
  11. 제1회 기능성식품 세미나 초록집 칼슘이 인체에 미치는 영향: 중년기의 골다공증 예방 및 대책 조진호
  12. Kor J Intern Med v.34 no.4 Risk factors for osteoporosis in Korean women Lim SK;Jung HC;Lee MK;Kim HM;Lee HC;Huh GB;Kim MH;Park BM
  13. Yonsei J of Living Science Research v.7 A study on the correlation between nutrients intake, physicla activity and bone mineral density in postmenopausal women Moon SJ;Choi EJ;Lee MH;Lim SK;Huh GB
  14. Health and Medical Technology Project Report Baseline study on establishing Calcium and Phosphorus recommended allowance for korea - Ca & P balance study in human and bone metabolism Lee LH;Yu CH;Kim SH;Lee SS;Lee YS
  15. Am J Clin Nutr v.30 Calcium balance and calcium requirements in middle-aged women Heaney RP;Recker RR;Saville PD
  16. Am J Clin Nutr v.32 Bone status and fracture rates in two regions of Yugoslavia Matkovic V;Kostial K;Simonovic I;Buzina R;Brodarec A;Nordin BEC
  17. Am J Clin Nutr v.42 The relationship between diet and bone mineral content of multiple skeletal sites in elderly Japanese-American men and women living in Hawaii Yano K;Heibrun LK;Wasnich RD;Hankin JH;Vogel JM
  18. Am J Clin Nutr v.54 Calcium supplementation and bone loss: A review of controlled clinical trials Dawson-Hughes B
  19. Korean J Nutr v.27 no.10 The effect of Ca and vitamin D supplementation on bone metabolism in postmenopausal women Hong HO;Yu CH
  20. J Nutr v.123 Epidemiology of calcium and vitamin D in bone loss Sower MFR
  21. J Nutr v.126 Vitamin D and bone health Holick MF
  22. Korean J Nutr v.31 no.1 Some factors affecting bone density of Korean college women Yu CH;Lee YS;Lee JS
  23. Korean J Nutr v.28 no.9 Effect of dietary protein level in Ca efficiency in bone mineral density in growing rates Jung SH;Choi MJ
  24. Korean J Nutr v.30 no.3 The effect of dietary protein and calcium levels on calcium and bone metabolism in growing rats Chang YE;Chung HK;Chang NS;Lee HS
  25. J Nutr v.123 no.12 High fiber diets slow bone turnover in young men but have no effect on efficiency of intestinal calcium absorption O'Brien KO;Allen LH;Quatromoni P;Siu-Caldera ML;Vieira NE;Perez A;Holick MF;Yergey AL
  26. Korean J Nutr v.29 no.9 Influencing factors on the bone status of rural menopausal women Choi EJ;Lee HO
  27. Korean J Nutr v.32 no.8 Some factors affecting bone mineral density of Korean rural women Lee JS;Yu CH
  28. Korean J Nitr v.29 no.1 The effect of dietary calcium, protein, and phosphorus intakes on bone mineral density in Korean premenopausal women Oh JJ;Hong ES;Baik IK;Lee HS;Lim HS
  29. N Engl J Med v.323 A controlled trial of the effect of calcium supplementation on bone density in postmenopausal women Dawson-Hughes B;Dallal GE;Krall EA;Sadowski L;Sahyoun N;Tannenbaum S
  30. Household measures of commonly used food items Korean Food Industry Association
  31. 2000 School health management standard Seoul metropolitan office of education
  32. Recommended dietary allowances for Koreans(7th) The Korean Nutrition Society
  33. Nutritional assessment(2nd) Lee RD;Nieman DC
  34. 98' National health nutrition report Ministry of health & wekfare
  35. Korean J Nutr v.29 no.7 The effect of anthropometric measurement and body composition on bone mineral density of Korean Women in Taegu Lee HJ;Choi MJ;Lee IK
  36. J Clin Endocrinol Metab v.75 Longitudinal Monitoring of bone mass accumulation in health adolescents: Evidence for a marked reduction after 16 years of age at the levels of lumber spine and femoral neck in female subjects Theintz G;Buchs B;Rizzoli R;Slosman D;Clavien H;Sizonenko PC;Bonjour JP https://doi.org/10.1210/jc.75.4.1060
  37. J Clin Endocrinol Metab v.73 Critical years and stages of puberty for spinal and femoral bone mass accumulation during adolescence Bonjour JP;Theintz G;Buchs B;Slosman D;Rizzoli R https://doi.org/10.1210/jcem-73-3-555
  38. J Nucl Med v.27 Age, sex and menopause-related change of vertebral and peripheral bone:Populatin study using dual and single photon absorptiometry and radiogrammetry Geusens P;Dequeker J;Verstraeten A;Nijs J
  39. Bone v.16 no.SUP.4 Bone mass in children: Normative values for the 2 - 20 year old population Zanchetta JR;Plotkin H;Alvarez Filgueira ML
  40. Am J Clin Nutr v.58 Intake of calcium, phosphorus, and protein, and physical activity level are related to radial bone mass in young adult women Metz JA;Anderson JJB;Gallagher PN
  41. J Bone Miner Res v.10 no.4 Determinants of bone mass in 10- to 26-year-old femals: A twin study Young D;Hopper JL;Newson CA;Green RM;Sherwin AJ;Kaymakci B;Smid M;Guest CS;Larkins RG;Wark JD https://doi.org/10.1002/jbmr.5650100408
  42. J Bone Miner Res v.10 no.5 Peak bone mass in young adults women Teegarden D;Proulx WR;Martin BR;Zhao J;McCabe GP;Lyle RM;Peacock M;Slemenda C;Johnsten CC;Weaver CM https://doi.org/10.1002/jbmr.5650100507
  43. J Kor Med Assoc v.31 no.12 Bone mineral density of normal Korean adults Yong SJ;Lim SK;Huh GB;Paik BM;Kim NS
  44. Modern nutrition in health and disease(9th) Shils ME;Olson JA;Shike H;Ross AC
  45. Am J Clin Nutr v.44 Relationships between usual nutrient intake and bone-mineral content of women 35-65 years of age: longitudinal and cross-sectional analysis Freudenheim Jo L;Johnson NE;Smith EL
  46. Am J Clin Nutr v.33 no.3 A study on the factors affecting bone mineal density in adult women-Based on the mothers of elementary school students Kim KR;Kim KH;Lee EK;Lee SS
  47. Am J Clin Nutr v.69 Prospective study of dietary protein intake and risk of hip fracture in postmenopausal women Munger RG;Cerhan JR;Chiu BC
  48. J Bone Miner Res v.15 Osteoporosis in elderly men and women: Effects of dietary calcium, physical activity and body mass index Nguyen TV;Center JR;Eisman JA https://doi.org/10.1359/jbmr.2000.15.2.322
  49. Calcif Tissue Int v.66 Determinants of bone mass and bone geometry in adolescent and young adult women Kardinaal AFM;Hoorneman G;Vnnen K;Charels P;Ando S;Maggiolini M;Charzewska J;Rotily M;Deloraine A;Heikkinen J;Juvin R;Schaafsma G https://doi.org/10.1007/PL00005834
  50. Am J Clin Nutr v.69 Previous milk consumption is associated with greater bone density in young women Teegarden D;Lyle RM;PRoulx WR;Johnston CC;Weaver CM
  51. Korean J Nutr v.29 no.6 The effect of nutrient intake and energy expenditure on bone mineral density of Korean women in Taegu Lee HJ;Choi MJ
  52. Chungang Univ. Ph.D of Degree Influence of dietary and environmental factors on bone health in elderly Koreans Park YJ