Journal of the Korean Society of Radiology (한국방사선학회논문지)

The Korean Society of Radiology (한국방사선학회)
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The Bone Mineral Density Impact Factors of Adult Women before the Menopause - based on the National Health and Nutrition Examination Survey -

폐경 전 성인여성의 골밀도 영향 요인 - 국민건강영양조사 자료를 이용하여 -

  • Kim, Kyung-Hee (Dept. of Public Health Graduate School of Public Health, Daegu Haany University) ;
  • Lee, Jung-Hee (Dept. of Public Health Graduate School of Public Health, Daegu Haany University) ;
  • Yeo, Jin-Dong (Dept. of Radiological Technology, Sorabol College)
  • 김경희 (대구한의대학교 보건대학원 보건학과) ;
  • 이정희 (대구한의대학교 보건대학원 보건학과) ;
  • 여진동 (서라벌대학교 방사선과)
  • Received : 2015.02.01
  • Accepted : 2015.04.25
  • Published : 2015.04.30
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Abstract

In this research, we have analyzed the impact factors on the bone mineral density thru the examination of bone density difference in the entire femur, femoral neck and lumbar of adult women before the menopause in accordance with the general features, lifestyle, eating habits, health and body composition. The survey was conducted among adult women before the menopause and older than 30 years based on the data of the National Health and Nutrition Examination Survey carried out in the 4th term (2008-2009) and 5th term (2010-2011) and we would like to provide the research results for the establishment of recommendations or guidelines for the treatment of adult women before the menopause with regard to the impact factors on the bone mineral density and for the development of health education materials for the accurate measurement of bone mineral density of young women in order to prevent the postmenopausal osteoporosis. With respect to the general features of adult women before the menopause, the bone mineral density was higher in the entire femur at age 40-44, femoral neck at 35-39, in high-school education level, in the earlier menarche group, without smoking experiences, with regular walking time and exercise frequency and with the habits of eating no hamburger or pizza. With regard to the body composition, the bone mineral density was higher in obesity and lower in underweight cases, higher among people with abdominal obesity and weight control experiences. In terms of total body fat ratio, total amount of fat and muscle, the bone mineral density got gradually increased from the 1st quarter (Q1) to the 4th quarter(Q4). The obesity, disease, total amount of fat and muscle were shown to be significantly related with the bone mineral density in this research and it is required for young women to keep the adequate weight and the normal BMI in order to increase the bone mineral density. For the prevention of osteoporosis, it is advised to keep the right habits including regular exercise and no smoking discipline from the growing period and achieve the maximum bone mass thru the control of proper weight from a young age.

본 연구는 폐경 전 성인여성의 일반적 특성, 생활습관, 식습관, 여성건강행태 및 신체조성에 따른 대퇴골전체, 대퇴골경부 및 요추의 골밀도 차이가 존재 하는지 규명하여 골밀도의 영향요인을 분석하였다. 연구는 제4기(2008년~2009년), 제5기(2010년~2011년)에 실시한 국민건강영양조사 자료를 활용하여 30세 이상 폐경 전 성인여성 3820명을 대상으로 실시되었으며 이 결과는 폐경 전 성인여성에서 골밀도 영향요인이 무엇인지 규명하여 치료하는데 필요한 권고사항이나 지침을 마련하고, 젊은 성인여성의 골밀도를 올바르게 평가하여 폐경 후 골다공증 예방을 위한 보건교육 자료의 개발을 위한 기초자료를 제공하고자 한다. 폐경 전 성인여성의 일반적 특성 중 연령은 대퇴골전체에서 40~44세, 요추에서 35~39세에 골밀도가 높았다. 교육수준은 고졸에서 골밀도가 높았고, 여성건강행태 중 초경연령이 낮을수록 골밀도가 높았다. 생활 습관은 흡연경험이 없고 걷는 시간 및 운동 빈도가 규칙적일수록 골밀도가 높았고, 식습관은 햄버거와 피자 섭취를 하지 않을 경우 골밀도가 높았다. 신체조성 중 비만유병여부는 비만일 때 골밀도가 높았고 저체중일 때 골밀도가 낮았다. 복부비만 및 체중조절경험이 있는 사람이 골밀도가 높았다. 총체지방률, 총지방량 및 총근육량은 제1사 분위(Q1)에서 제4사 분위(Q4)로 갈수록 골밀도가 높게 나타났다. 이 연구에서는 비만유병여부, 총지방량 및 근육량이 골밀도 간에는 매우 유의적인 상관관계를 보였으며, 젊은 여성들은 골밀도를 증가시키기 위해 자신의 체형에 맞는 적정한 체중을 유지해야하며 정상적인 BMI를 유지 할 필요가 있음을 알았다. 골다공증의 예방을 위해서는 성장기부터 규칙적인 운동과 금연 등의 올바른 생활습관과 젊은 시절부터 적절한 체중조절을 통해 최대 골질량에 도달할 수 있도록 노력해야 할 것이다.

Keywords

References

  1. korean statistical information service, 2011
  2. Ministry of Health & Welfare Report on 2001, National nutrition survey-Health behavior survey Seoul, 2002.
  3. M.S.Lee, P.S. Kang, K.S.Lee, "Factors Affecting Bone Mineral Density in Premenopausal Women", Yeungnam University journal of medicine., Vol.24, No.2, pp. 330-339. 2007.
  4. http://woman.donga.com/docs/magazine/woman/contents/author02_100.html
  5. M.H. Park, H.K. Yoo, J.J. Ahn, B.H. Woo, "Risk Factors on Osteoporosis in the Menopausal women", Obstetrics &Gynecology Science., Vol. 38, No. 12, pp. 2303-2310, 1995.
  6. J.D. Yeo, B.G. Jeon, "The Examination of Pre-Menopause Women's Bone Mineral Density and Its Related Factors by Using the Dual-Energy X-Ray Absorptionmetry", The Korean Society of Radiology, Vol.5, No. 1, pp. 27-35, 2011. https://doi.org/10.7742/jksr.2011.5.1.027
  7. S,R. Jang, Y.H. Choe, M.G. Choe, S.H. Kang, J.Y. Jung, Y.J. Choe, "Prevalence and Associated Factors of Osteoporosis among Postmenopausal Women in Chuncheon: Hallym Aging Study (HAS)", Journal of preventive medicine and public health., Vol..39, No.5, pp. 389-396, 2006.
  8. H.M. Park, D.W.Seo, J.H. Seo, M. Hur, "The Lumber Spinal Bone Mineral Density by Quantitative Computed Tomography in Women between the Age Forty and Sixty-five Years Old", Korean Journal of Bone Metabolism., Vol.1, No.1, pp. 61-69. 1996.
  9. S.G.Yeom, "Relationship between cognitive factors and conduct research on the health of middle-aged women - Focusing on prevention of osteoporosis", The Journal of Muscle and Joint Health., Vol.9, No.2, pp.247-256, 2002.
  10. D.L. Alekel, E. Mortillaro, E.A. Hussain, B. West, N. Ahmed, Ct. Peterson, "Lifestyle and biologic contributors to proximal femur bone mineral density and hip axis length in two distinct ethnic groups of premenopausal women", Osteoporosis International, Vol.9, No.4, pp. 327-338, 1999. https://doi.org/10.1007/s001980050155
  11. T.I. Kim, M. K. Lee, "(The) Influence of Reproductive Factor and Life Style Factor in Postmenopausal Women's Bone Mineral Density", Korean journal of women health nursing., Vol.14, No.1, pp. 12-19, 2008.
  12. Health Insurance Review & Assessment Service, 2011.
  13. G.M. Lee, S.H. Lee, "Factors Affecting to Bone Mineral Density in Postmenopausal Women",Yeungnam University journal of medicine., Vol.13, No.2, pp. 261-271, 1996. https://doi.org/10.12701/yujm.1996.13.2.261
  14. S.O. Woo, S.S. Bae, D.H. Kim, "A Case-control Study on Risk Factors of Osteoporosis in Some Korean Outpatient Women of One General Hospital of Seoul", Korean journal of preventive medicine., Vol.28, No.3, pp. 609-622, 1995.
  15. C.W. Slemenda, J.C Christian, T. Reed, T.K. Reister, C.J, Williams, Johnst, "Long-term bone loss in men: effects of genetic and environmental factors", Annals of Internal Medicine, 117, pp. 86-291, 1992.
  16. B.M. Kang, M.R. Kim, B.K. Yoon, B.S. Lee, H.W. Chung, H. Choi, H.M. Park, J.G. Kim, "The Influence of Exercise on Women's Bone Mineral Density and Its Related Factors by Using the Dual-Energy X-Ray Absorptionmetry", The Korean Society of Radiology, Vol.5, No. 1, pp. 27-35, 2011. https://doi.org/10.7742/jksr.2011.5.1.027
  17. S,R. Jang, Y.H. Choe, M.G. Choe, S.H. Kang, J.Y. Jung, Y.J. Choe, "Prevalence and Associated Factors of Osteoporosis among Postmenopausal Women in Chuncheon: Hallym Aging Study (HAS)", Journal of preventive medicine and public health., Vol..39, No.5, pp. 389-396, 2006.
  18. S.O. Woo, S.S. Bae, D.H. Kim, "A Case-control Study on Risk Factors of Osteoporosis in Some Korean Outpatient Women of One General Hospital of Seoul", Korean journal of preventive medicine., Vol.28, No.3, pp. 609-622, 1995.
  19. K.R. Kim, K.H. Kim, E.K. Lee, "A study on the factors affecting bone mineral density in adult women-besed on the mothers of elementary school students", Korean Nutrition Society, vol.33, No.3. pp. 241-249, 2000.
  20. S.J. Woon, G.S. Lee, H.S. Moon, "The Risk factors of Osteoporosis", Korean Academy of Family Medicine, Vol.17, No.12, pp. 1450-1461, 1996.
  21. D.L. Alekel, E. Mortillaro, E.A. Hussain, B. West, N. Ahmed, Ct. Peterson, "Lifestyle and biologic contributors to proximal femur bone mineral density and hip axis length in two distinct ethnic groups of premenopausal women", Osteoporosis International, Vol.9, No.4, pp. 327-338, 1999. https://doi.org/10.1007/s001980050155
  22. D.Y. Song, S.G. Lim, Y.S. Jung, S.W. Park, Ch.H. Jung, G.J. An, "The Effect of Body Fat on Bone Density in Pre - and Postmenopausal Women", Endocrinology and metabolism, Vol.8, No.3, pp. 251-258, 1993.
  23. D.H. Bess, S. Susan, A. Elizabeth, E. Gerard, "Effect of Calcium and Vitamin D Supplementation on Bone density in Men and Women 65 Years of Age or Older", England Journal of Medicine, Vol.337, No.10, pp. 670-676, 1997 https://doi.org/10.1056/NEJM199709043371003

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