Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Age-Related Bone Mineral Density, Accumulated Bone Loss Rate at Multiple Skeletal Sites in Korean Men

한국 남성의 연령에 따른 부위별 골밀도 변화 및 골 소실률

  • Kim, Young-Ran (Department of preventive Medicine and Public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences) ;
  • Lee, Tae-Yong (Department of preventive Medicine and Public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences) ;
  • Lee, Ji-Hyun (Department of Occupational Therapy, Young-dong University)
  • 김영란 (충남대학교 의학전문대학원 예방의학교실) ;
  • 이태용 (충남대학교 의학전문대학원 예방의학교실) ;
  • 이지현 (영동대학교 작업치료학과)
  • Received : 2014.02.10
  • Accepted : 2014.06.12
  • Published : 2014.06.30
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Abstract

This study examined the age-related bone mineral density (BMD), accumulated bone loss rate (ABLR) at different skeletal sites in Korean men using the data from the Korea National Health and Nutrition Examination Survey (KNHANES)(the 1st (2010), 2nd (2010) and the year at the 5th survey). The cubic regression model was found to be the best for describing the age-related changes in BMD. The lumbar spine, total hip, femoral neck, trochanter, Ward's triangle in the bone mineral density difference were analyzed by ANOVA. The peak BMD was at 20-24 years at the lumbar spine, total hip, femoral neck, trochanter, Ward's triangle, and the 75-79 years of age group had the highest Accumulated Bone Loss Rate. Therefore, intensive management will be necessary for men over 75 years, and a diagnosis of osteoporosis in Korean men should be made according to The International Society for Clinical Densitometry; ISCD.

국민건강영양조사 제 5기 1 2차년도에 참여한 남성을 대상으로 연령에 따른 부위별 골밀도 변화, 골 소실률에 대해서 알아보고자 시도 하였다. 연령에 따른 골밀도 변화를 가장 잘 보여 주기 위해 Cubic regression을 사용하였고, 척추, 대퇴경부, 대퇴골 전자부, Ward 부위 골밀도 차이는 분산분석을 이용하여 분석하였다. 연구결과, 요추, 대퇴골 전체, 대퇴경부, 대퇴골 전자부, Ward 부위의 최대 골밀도는 20-24세였으며, 75-79세에서 골 소실률이 가장 높았다. 따라서, 남성에서는 75세 이상에서 골다공증의 집중적인 관리가 필요할 것이며, 남성에서의 골다공증 진단기준은 국제 임상 골밀도 학회(The International Society for Clinical Densitometry; ISCD)의 지침을 따르는 방안을 고려해 봐야 할 것이다.

Keywords

References

  1. Cooper C, Campion G, Melton LJ, Hip fractures in the elderly: a world-wide projection, Osteoporosis Int, 2, pp. 285-289, 1992. DOI: http://dx.doi.org/10.1007/BF01623184
  2. G. EL-HAJJ, R. BADDOURA, H. AWADA, N. SALAM, M. SALAMOUN, P. RIZK, Low peak bone mineral density in healthy lebanese subjects, Bone, 31(4), pp. 520-528, 2002 DOI: http://dx.doi.org/10.1016/S8756-3282(02)00845-1
  3. So H.Y., Ahn S. H., Song R. Y., Kim H.L., Relationships among obesity bone mineral density and cardiovascular risk in post menopausal women, Korean J Women Health Nurs, 16(3), pp. 224-233, 2010. DOI: http://dx.doi.org/10.4069/kjwhn.2010.16.3.224
  4. Albala C, Yanez M, Devoto E., Sostin C, Zeballos L, Santos JL, Obesity as a protective factor for postmenopausal osteoporosis, Int J Obs Relat Metab Disord, 20, pp. 1027-1032, 1996.
  5. Choi H.J., Lee D. J., Age-related change of spinal bone mineral density and accumulated bone loss rate in women, J Korean Soc Menopause, 9(2), pp. 171-176, 2003.
  6. Liao E.Y, Wu X.P., Deng X.G, Huang Gan, Zhu X.P. Long Z.F., Wang W.B., Tang W.L, Zhang Hong, Age-Related bone mineral density accumulated bone loss rate and prevalence of osteoporosis at multiple skeletal sites in Chinese women. Osteoporos Int, 13, pp. 669-676, 2002. DOI: http://dx.doi.org/10.1007/s001980200091
  7. Kim Y.R., Nam H.S., Lee T.Y., The Bone Density Level of Korean Men Aged 60 Years and Over, and Its Relevant Factors, Journal of the Korean academia-industrial cooperation society, 14(3), 2013 DOI: http://dx.doi.org/10.5762/KAIS.2013.14.3.1180
  8. Krall E. A., Dawson-Hughes B., Hirst K., Gallagher J.C., Sherman S.S., Dalsky G., Bone mineral density and biochemical markers of bone turn over in healthy elderly men and women. J Gerontol. 52A, pp. 61-67, 1997. DOI: http://dx.doi.org/10.1093/gerona/52A.2.M61
  9. Warhaftig Glynn N, Meilahn E.N., Charron M., Anderson S. J., Kuller L.H., Cauley J.A. Determinants of bone mineral density in older men, J Bone Miner Res, 11, pp. 1769-1777, 1995 DOI: http://dx.doi.org/10.1002/jbmr.5650101121
  10. Bagher L, Alireza M, Abbas A.K., Arash H.N., Akbar S, Amir B. at al. Peak bone mass of Iranian populaton: the Iranian multicenter osteoporosis study, Journal of Clinical Densitometry, 9(3), pp. 367-374, 2006 DOI: http://dx.doi.org/10.1016/j.jocd.2006.05.001
  11. X P. Wu, E. Y. Liao, G. Huang, R. C. Dai, H Zhang. A Comparison Study of the reference curves of bone mineral density at different skeletal sites in native Chinese, Japanese, and American Caucasian Women, Calcified Tissue International, 73, pp. 122-132, 2003 DOI: http://dx.doi.org/10.1007/s00223-002-1069-7
  12. Zhang Z..L., Qin Y. J., Huang Q.R., Hu Y.Q., Li M., He J. W et al. Bone mineral density of the spine and femur in Healthy Chinese men, Asian J Androl, 8 (4), pp. 419-427, 2006 DOI: http://dx.doi.org/10.1111/j.1745-7262.2006.00170.x
  13. SZULC P, MARCHAND F. DUBOEUF F. DELMAS P.D., Cross-Sectional assessment of age-related bone loss in men: The MINOS study, Bone, 26(2), pp. 123-129, 2000 DOI: http://dx.doi.org/10.1016/S8756-3282(99)00255-0
  14. Baek KH, Kang MI. Official positions of the international society for clinical densitometry, The Korean Society of Endocrinology, 79(2), pp. 1-7, 2010

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