Dietary Risk Factors Related to Bone Mineral Density in the Postmenopausal Women with Low Bone Mineral Density

폐경후 골밀도 저하 여성의 골밀도와 식생활 관련 요인에 관한 연구

  • 이은주 (가톨릭대학교 산업보건대학원 보건 및 임상영양전공) ;
  • 손숙미 (가톨릭대학교 식품영양학과)
  • Published : 2004.10.01

Abstract

This study was conducted to detennine the dietary and lifestyle factors related to bone the mineral density (BMD) of postmenopausal women with decreased BMD. The subjects (N =163) were recruited from women who visited a orthopedic clinic for BMD check up. A trained dietition interviewed subjects individually to obtain data about dietary behavior, consumption frequency of foods known as main dietary source of calcium and potassium, and clinical symptoms. The risk factors were identified by correlation and multiple regression analysis of variables. The mean age of the subjects was 66.8 yews. Most of them showed low levels of education and monthly income. The mean age of menarche and menopause were 17.2 and 48 year, respectively. The mean menopause duration was 18.7 year. Most of the consumption of calcium was centered to vegetable foods. Education level were positively correlated (r =0.272, P < 0.05) with BMD whereas age, menarch age, menopause duration, number of children were negatively correlated (r=-0.355, r=-0.240, r=-0.283, r=-0.193, respectively, p < 0.05) with BMD. The consumption of soybean, radish were positively correlated (r=0.187, r=0.158, respectively, p < 0.05) with BMD. Potassium intake with rice showed significantly negative correlation with BMD (r =-0.189, P < 0.05), but calcium intake with brown seaweeds, bean sprouts were positively correlated (r =0.247, r =0.254 respectively, p < 0.05) with BMD. Protein intake with roasted pork was also positively correlated (r =0.216, P < 0.05) with BMD. Multiple regression analysis showed that the most prominent negative predictor influencing the BMD was age. Minor negative factors influencing the BMI were age of menarche, potassium intake from rice. But the significantly positively factors influencing the BMD were consumption of radish and soybean intake, education, and protein intake with roasted pork. In conclusion brown seaweeds, radish or soybeans can be promoted as cheap foods replacing milk and milk products for menopausal women with low income.

Keywords

References

  1. 김혜인(1997):중학생의 칼슘 섭취 실태 및 기호도 조사. 영남대학교 대학원 석사논문
  2. 대한영양사회(1999):임상영양관리 지침서
  3. 보건복지부(1993):보건복지 통계연보
  4. 오승아(1997):갱년기 여성의 골다공증 위험요인에 관한 연구. 연세대학교 보건대학원 석사논문
  5. Ackerman GL (1971): Increased calcium excretion after saline administration to hypertension subjects. J Lab Clin Med 77: 298-307
  6. Allen LH (1982): Calcium bioavailability and absorption: A review. Am J Clin Nutr 35(3): 783-808
  7. Allen LH, Oddoye EA, Margen S (1979): Protein induced hypercalciuria. A longer term study. Am J Clin Nutr 32: 741-749
  8. Banibridge RR, Mimouni F8, Landi T, Crossman M, Harris L, Tsang RC (1996): Effect of rice cereal feedings on bone mineralization and calcium homeostasis in cow milk formula fed infants. J Am Coll Nutr 15(4): 383-388 https://doi.org/10.1080/07315724.1996.10718613
  9. Chiu JF, Lan SJ, Yang CY Wang PW, YaoWJ, Su LH, Hsieh CC (1997): Long-term vegetarian diet and bone mineral density in postmenopausal Taiwanese women. Calcif Tissue Int 60(3): 245-249 https://doi.org/10.1007/PL00005812
  10. Choi EJ, Lee HO (1996): Influnencing factors on the bone status of rural menopausal women. Korean J Nutr 29(9): 1013-1020
  11. Choi HM, Kim JH, Chang KJ, Min HS, Yim KS, et al (2001): Essentials of Nutrition, kyomunsa, Seoul
  12. Choi MS, Han KH, Park KS (2001): Comparison of dietary intakes by 24-hr dietary recall, dietary record and frequently questionnaire among elderly people. Korean J Nutr 34(6): 688-700
  13. Choi SH, Sung CJ, Kim MH, Lee SY, Song SJ (1999): Comparison of nutrient intake, bone metabolism and risk factors of chronic diseases between postmenopausal lacto-ovo-vegetarian and omnivores in Kyunggi-Do. Korean J Comm Nutr 4(3): 412-420
  14. Elliot JR, gilchrist NL, Wells JE (1993): Historical assessment of risk factors in screening for osteopenia in a normal Caucasian population. Australian and New Zealand Journal of Medicine 23(5): 458 https://doi.org/10.1111/j.1445-5994.1993.tb01830.x
  15. Firooznia H, Golimbu C, Rafii M, et al (1984): Quantitative computed tomography assessment of spinal trabecular bone, 1. Age related regression in normal men and women. J Comput Tomogr, Apr 8(2): 91
  16. Heaney RP (1982): Effect of nitrogen, phosphorus and caffeine on calcium balance in women. J Lab Clin Med 99: 46-55
  17. Heaney RP (2002): Effects of caffeine on bone and the calcium economy. Food Chem Toxicol 40(9): 1263-1270
  18. Heaney RP, Weaver CM (1990): Calcium absorption from kale. Am J Clin Nutr 51: 656-657
  19. Hu JF, Zhao XH, Parpia G (1993): Dietary intakes and urinary excretion of calcium and acids: a cross-sectional study of women in China. Am J Clin Nutr 58: 398-406 https://doi.org/10.1093/ajcn/58.3.398
  20. Kim WY (1994): Osteoporosis & dietary factors. Korean J Nutr 27(6): 636-645
  21. Krolner B, Nielson-Pore S (1982): Bone mineral content of the lumbar spine in nonmal and osteoporotic women; Cross-sectinal and longitudinal studies. Clin Sci, Mar 62(3): 329 https://doi.org/10.1042/cs0620329
  22. Lee BH, Cho SH, Kim SY (1990): Bone mineral density of the lumbar spine in Rheumatoid Arthirtis. Korean J Rehabil Med 14(2): 300-309
  23. Lee HJ, Choi MJ (1996): The effect of nutrient intake and energy expenditure on bone mineral density of Korean women in Taegu. Korean J Nutr 29(6): 622-633
  24. Lee HS, Lee DH, Sung CJ (2001): Relationship between nutrient intake and biochemical markers of bone metabolism in Korean postmenopausal women. Korean J Comm Nutr 6(5): 765-772
  25. McCarron DA, Rankin LI, Bennett WM (1981): Urinary calcium excretion at extremes of sodium intake in normal man. Am J Nephrol 1: 84-90 https://doi.org/10.1159/000166496
  26. Messina M (1998): Soyfoods, soybean isoflavones, and bone health. Korean Studygroup of Soybean 15(2): 122-136
  27. Messina M, Messina V (1994): The simple soybean and your health. Avery Publishing Group. Garden City Park. NY
  28. Mikhail BI (1992): Reduction of risk factors for osteoporosis among adolescents and young adults. Issue in Comprehensive Pediatric Nursing 15: 271-278
  29. Ministry of Health and Welfare (2002): Report of 2001 National Health and Nutrition and Nutrition Survey -overview-
  30. Mizushima S, Tsuchida K, Yamori Y (1999): Prevent nutritional factors in epidemiology: interaction between sodium and calcium. Clin Erp Pharmacol Physiol 26(7): 573-575 https://doi.org/10.1046/j.1440-1681.1999.03083.x
  31. Moon SJ, Kim JH (1998): The effect of vitamin D status on bone mineral density of Korean. Korean J Nutr 31(3): 46-61
  32. National Osteoporosis Foundation (1996): Physician’s resource manual on osteoporosis. National Osteoporosis Foundation Washington, D.C
  33. Park JY, Yoo EH, Yoo HK (2001): A Statistical analysis of risk factor for osteoporosis. Korean J Menopausiology 7(2): 117-125
  34. Park MH (1994): Risk factors on osteoporosis in the menopausal women. Thesis, Ehwa Uni
  35. Shortt G, Madden A, Flynn A (1988): Influence of dietary sodium intake on urinary calcium excretion in selected Irish individuals. Euro J Clin Nutr 42: 595-603
  36. Son SJ (2000): A Study on calcium and phosphorus balance in elderly Korean women. Thesis, Jung-Ang Uni
  37. Son SM, Lee YN (1998): Bone densities of the middle aged women residing in the city and related factors. J Kor Socie of Food Science and Nutr 27(6): 1027-1032
  38. Son SM, Lee YN (1998): Bone density of the middle aged women residing in urban area and the related factors - I. distribution of bone density according to age and the prevalance of osteoporosis in the middle aged women residing in urban Area. Korean J Comm Nutr 3(3): 380-388
  39. The Korean Society of Nutrtion (2000): Recommended Dietary Allowances for Koreans. 7th revision
  40. Weaver CM (2001): Calcium In: Bowman BA, Russell RM, eds. Present Knowledge in Nutrition, 287-295, ILSI, Washington, D. C
  41. Weaver CM, Plawecki KV (1994): Dietary calcium: adequacy of vegetarian diet. Am J Clin Nutr 59: 1238s-1241s https://doi.org/10.1093/ajcn/59.5.1238S
  42. Yoo CH, Lee YS, Lee JS (1998): Some factors affecting bone density of Korean college women. Kor J Nutr 31: 36-43
  43. Zarkadas M, Reyburn RG, Marliss EB (1989): Sodium chloride supplementation and urinary calcium excretion in postmenopausal women. Am J Clin Nutr 50: 1088-1094 https://doi.org/10.1093/ajcn/50.5.1088