The Relationship Between Body Composition and Bone Mineral Density in College Women

여대생의 신체조성과 골밀도의 관계

  • Published : 2003.06.01

Abstract

Purpose: To investigate body compositons and bone mineral density(BMD) in college women and to find the relationship between them. Method: From January to March of 2001, BMD at four parts(forearm, lumbar, femur and whole body), body mass index(BMI), body fat mass(BFM), lean body mass(LBM) and body fat percentage(%Fat) were measured with the Dual Energy X-ray Absorptiometry. Other physical characteristics were measured with a scale, a height measurer, and questionnaires. Result: Grouping by the BMI, 43.2% showed low weight, and 5% over weight. When applying the percent Fat, 43.8 % was diagnosed as obesity group. The fact indicate that a majority of college women have unbalanced body composition with high percent Fat, compared to their body weight. Assessing the BMD with the WHO standards, 91.4~95.7% of the BMD of forearm and whole body was normal. But, 40.3% and 33.1~43.9% showed osteopenia at lumbar and femur, and 104 %, 0.7~7.2% showed osteoporosis. The BMD at all parts showed significant correlation each other(r=.29~.89, p=.001~.000). Body weight and BMI showed correlations to with BMDs at all parts of the body(r=.19~46, p=.025~.000; r=18~.45, p=.039~.000). But the percent Fat had a correlation with only femur neck BMD(r=.19, p=.024). Conclusion: This study showed a majority of healthy college women were exposed to the risk for osteoporosis. Additional study is required to develop nursing interventions to remove the risk factors of osteoporosis. In particular, the acquisition of balanced body composition is necessary, increasing body weight and BMI through the increase of LBM, not through the quantitative increase of BFM.

Keywords

References

  1. Byun, Y. S., & Kim, O, S. (2000). Development of the education program and it effect on osteoporosis and life style among women, J Korean Acad Nurs, 30(3), 764-775
  2. Cadogan, J., Blumsohn, A., Barker, M. E., & Eastell, R. (1998). A longitudinal study of bone gain in pubertal girls : anthropometric and biochemical correlates, J Bone Miner Res, 13(10), 1602-1612 https://doi.org/10.1359/jbmr.1998.13.10.1602
  3. Chang, K. Y. (2001). The influences of obesity on bone mineral density in children, Unpublished master dissertation, Korea University
  4. Chu, S. O. (2001), Comparative study of bone mineral densiry of women over 50 years old related with age, weight and height, Unpublished master dissertation, Soonchunhyang University
  5. Constantion, N. L. (1995), The effects of impact on bone mineral densiry over coures of a sports season, Unpublished doctoral dissertation, Universtiy of southern california
  6. Doh, J. H., Kang, P. S., Joo, R., Kim, S. B., & Kim, S. K. (2000). Determinants of bone mineral density in adult women, J Krean Soci Maternal and Child Health, 4(2), 189-198
  7. Garrow, J. S., & Webster, J. (1985). Quetelet's index$(W/H^2)$ as a measure of fatness, Int J Obes, 9(2), 147-153
  8. Gray, D. S. (1989). Diagnosis and prevalence of obesity, Medical Clinics of North America, 73(1), 1-13
  9. Goulding, A., Tayler, R. W., Jones, I. E., MeAuley, K. A., Manning, P. J., & Williams, S. M. (2000). Overweight and obese children have low bone mass and area for their weight, Int J Obes, 24, 627-632
  10. Hannson, T., & Ross, B. (1984). Age change in the bone mineral density of lumbar spine in normal women, Calcif Tissue Int, 38, 328-332
  11. Kim, H. S. (1999). Correlations between waist-hip retio, body fat, BMI(body mass index), relative body weight and serum lipids by men and women, J Korean Acad Nurs, 29(3), 596-604
  12. Kim, J. S. (2002), Effects of osteogenic stimulus exercise on bone metabolism in young women, Unpublished doctroal dissertation, Pusan National University, Pusan
  13. Kim, M. H., Kim, J. S., & Kim, Y. M. (2002), The relationship between bone mineral density and physical, obstetric characteristics in middle-aged women, J Korean Acad Adult Nurs, 14(4), 532-542
  14. Kim, S. Y. (1995), A literature reivew and pilot study on risk factors of postmenopausal osteoporosis, Unpublished master dissertation, Seoul national universtiy, Seoul
  15. Kim, C. K., & Park, G. J. (2000). Training method, Seoul : DaeKyung, 22
  16. Lee, E, N. (1998). Prediction model for reduced bone mass in women using individual characteristics & life style factors, Unpublished doctoral dissertation, Seoul National University
  17. Martin, A. D., & Houstion, C. S. (1987), Osteoporosis calcium and physical activity, Cand, Med Ass J, 136, 587
  18. Mazess, R. B. (1991). Preventing osteopoprosis, Br Med J, 303, 921
  19. Na, B. J., Park, Y. S., Sun, B. H., Mam, H. S., J. H., Sohn, S. J., & Choi, J, S. (1997). The study of body fatpercent measured by bioelectric impedance analyzer in an rural adult population, The Korean Journal of Perverntive, 30(1), 31-44
  20. Oh, D. J. (1999). The study on the bone mineral density of adolescence majoring dance, Unpublished doctoral dissertation, Pusan National University
  21. Reid, I. R., Legge, M., Stapleton J. P., Evans, M. C. & Grey, A. B. (1995), regular exercise dissociatates fat mass and bone density in premenopausal women, J Clin Endocrinol Metab, 80(6), 1764-8 https://doi.org/10.1210/jc.80.6.1764
  22. Richelron, L. S., Wahner, H. W., Melton, L. J. (1984). Relative contributory of aging and estrogen deficiency to postmenoposal bone loss, N Engl J Med, 311, 1273-1275
  23. Ryu, H. K. (1999). A study of factors unducing weight control behavior in adolescent females, Unpubilshed doctoral dissertation, Keimyung University
  24. Song, Y. J. (2001). Effect of dietary, biochemical and lifestyle factors on bone mineral density change in korean college women, Unpublished doctoral dissertation, Seoul National University
  25. Song, Y. D., Lim, S. K., Chung, Y. S., Park, S. W., Chung, C. H., Ahn, K. J., Lee, E. F., Lee, H. C., Huh, K. B., Choi, M. S., Paik, I. K., &Lee, J. H. (1993), The effect of body fat on bone density in per-and postmenopausal women, J Korean Soci Endo, 8(3), 251-258
  26. Yang, S. Y., Oh, K. Y., Park, M. H., Hwang, I. T., Jeong, J. H., & Park, J. S. (2001). A multiple regression analysis ofr changes of spinal bone mineral density in postmenopausal women, J Korean Soci Menopause, 7(1), 64-75
  27. Yeoum, S. G. (1998), A relations of bone mass promoting behaviors for pervention of osteoporosis and multidimensional health locus of control scale cluster, J Korean Women's Health Nurs Acad Soci, 3(2), 181-192