Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Prevalence and Associated Factors of Osteoporosis among Postmenopausal Women in Chuncheon : Hallym Aging Study(HAS)

춘천지역 폐경 후 여성의 골다공증 유병률과 관련 요인: 한림노년연구

  • Jang, Soong-Nang (Institute of Health and Environment, Seoul National University) ;
  • Choi, Young-Ho (Department of Family Medicine, College of Medicine, Hallym University) ;
  • Choi, Moon-Gi (Department of Internal Medicine, College of Medicine, Hallym University) ;
  • Kang, Sung-Hyun (Department of Statistics, Seoul National University) ;
  • Jeong, Jin-Young (Institute for Aging Studies, Hallym University) ;
  • Choi, Yong-Jun (Department of Social and Preventive Medicine, College of Medicine, Hallym University) ;
  • Kim, Dong-Hyun (Department of Social and Preventive Medicine, College of Medicine, Hallym University)
  • 장숙랑 (서울대학교 보건환경연구소) ;
  • 최영호 (한림대학교 의과대학 가정의학교실) ;
  • 최문기 (한림대학교 의과대학 내과학교실) ;
  • 강성현 (서울대학교 통계학과) ;
  • 정진영 (한림대학교 고령사회연구소) ;
  • 최용준 (한림대학교 의과대학 사회의학교실) ;
  • 김동현 (한림대학교 의과대학 사회의학교실)
  • Published : 2006.09.30
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Abstract

Objectives: A community-based, cross-sectional survey was conducted to determine theprevalence of osteoporosis and to evaluate the effects of body composition, health behaviors and reproductive history on bone density in postmenopausal women. Methods: The study subjects were 362 postmenopausal women, aged 45 years old or over, who were invited to the hospital. Information on their socio-demographic characteristics and the potential risk factors such as their past medical history, smoking, alcohol intake, exercise, diet and menstrual/reproductive histories were collected by trained interviewers. Weight, height, the body mass index ($kg/m^{2}$), and body composition variables were measured. Bone mineral density of the lumbar spine was measured by dual energy X-ray absorptiometry (DXA). Results: The prevalence of osteoporosis was 30.6% in the $45{\sim}64$ years old women, 52.5% in the elderly women aged $65{\sim}74$, and 68.7% in the women aged 75 years or over. After adjustment for the effect of potential covariates, those women in the highest 25% (4th quartile) of the lean body mass are less likely to have osteoporosis (aOR=0.31, 95% CI=0.12-0.76), compared with the lowest quartile group. More parity also had significantly detrimental effects on osteoporosis. Conclusions: These findings suggest that the prevalence of osteoporosis in postmenopausal women increased with age from 46.3% of those aged 45-64 to 68.7% for those aged 75 and over. Lean body mass and parity appeared significant contributor to bone mineral density in postmenopausal women in this population.

Keywords

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