Journal of the East Asian Society of Dietary Life (동아시아식생활학회지)

The East Asian Society of Dietary Life (동아시아식생활학회)
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The Relationship Between Bone mineral Density and The Environmental Factors in Korean Pubescent Girls

한국 사춘기 소녀들의 골밀도와 환경요인들과의 관계(II)

  • 최미자 (계명대학교 가정대학 식생활학과)
  • Published : 1995.04.01
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Abstract

Bone mass accretion during puberty appears to be critical in the development of peak bone mass. Although bone density of females in Korea has been studied, only a few studies have related bone mass with anthropometric patterns or puberty in the pubescent girls. This study was conducted as part of a study of major determinants of bone development during puberty. Subjects were aged 14∼16 yr(mean 14.97), and had no history of disorders or dedication use likely to influence bone or calcium metabolism. Bone mineral density and content were measured by dual energy X-ray absorptiometry using a Lunar DPX+Scanner (Lunar Madison, WI). Also, total body fat, and total lean body mass were assessed using a Lunar DPX dual-energy X-ray absorptiometer, Pubertal status was assessed according to the Marshall and Tanner guidelines. Serum levels of osteocalcin was measured by RIA using a commercial kit assay. Skinfold measurements were taken with a skinfold caliper(Lange Caliper, USA). Data were analyzed using the regression and GLM procedure of the statistical package SAS. The results indicated that the observed means for lumbar spine BMD and femoral BMD correspond to approximately 91% and 96% of the means for young adult females, respec tively. All subjects were menarchal, with the majority being in the middle to end stages of pubertal development. Total body BMD was positively related to fat mass(P<0.001), lean body mass and time since menarche, and negatively related to urine pyridinoline, serum alkaline phosphatase and osteocalcin. The data indicate that girls who reported lower age for menarche had significantly higher bone densities than girls who reported higher age for menarche. Attaining peak skeletal bone mass during puberty may reduce the incidence of osteoporosis in later life. this finding suggests that early menarche may augment peak bone mass, influencing the extent of bone loss later in adulthood. The results suggest that good nutrition in childhood appears to be needed not for growth and development, but possibly also to assure an optimal peak of bone mass and thus greater latitude for the maintenance or skeletal integrity in the face of bone losses. Troeps skinfold thickness was a better predictor of total BMD and total BMC than was any other skinfold thickness. The study did not find a relationship between total BMD and body fat %, but total fat was significantly positively related to total BMD(r=0.49) and total BMC(r=0.60). It supports earlier report that there was a significant correlation between TBMD and body weight. Conclusively, total fat, lean body mass and pubertal development could influence BMD in pubescent girls. Clearly, longitudinal studies are required to assess the effect of puberty on peak bone mass, and to define further the potential determinants of peak bone mass.

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References

  1. 경제기획원 조사통계국 인구 센서스 보고
  2. Screening procedure for woman at Risk of developing Postmenopausal osteporosis v.1 Christiansen,C.;Riis,B.J.;Redbro.P.
  3. Arch. phys. med. Rehab. v.63 Osteoporosis-a review and update Lukert,B.P.
  4. Osteoporosis Int. v.1 Relationship Between serum Intact parathyroid Hormone concentrations and Bond Remodeling in type ⅠOsteoporosis : Evidence that skeletal sensitivity is increased Kotowicz,M.A.;Klee,G.G.;Kao,P.C.;O'Fallon,W.H.;Hodgson,S.F.;Cedel,S.L.;Eriksen,E.F.;Daryl Onchoroff,G.G.;Judd,H.L.;Riggs,B.L.
  5. J. Clin. Invest. v.73 Impaired vitamin D Metabolism with aging women : Possible role in pathogenesis of senile osteoporosis Tsai,K.S.;Heath,H.Ⅲ.;kumer,R.;Riggs,B.L.
  6. J.Clin. Invest. v.70 Changes in bone mineral density of the proximal femur and spine with aging Riggs,B.L.;Wahner,H.W.;Seeman,E.;Offord,K.P.Dum,W.L.;Mazess,R.B.;Johnson,k.A.;MeltonⅢL.J.
  7. 대한의학협회지 v.35 no.1 골조송증의 진단과 치료 장준섭.
  8. Ann. Intern. med. v.112 Screening for osteoporosis Joseph,L.;MeltonⅢ.;David,M.;Eddy,C.;Conrad,J.Jr.
  9. 대한의학협회지 v.35 no.5 폐경과 골다공증 조수현.
  10. Hum. Biol. v.42 The age of menopause in classical Greece and Rome Amundsen,D.W.;Diers,C.J.
  11. J. Clin. Invest v.77 Rates of bone loss in the axial and appendicular skeletons of woman : evidence of substandial vertebral bone loss prior to menopause Riggs,B.L.;Whner,H.W.;Melton,L.J.Ⅲ.;Richelson,L.S.;Judd,H.L.;Offord,K.P.
  12. 한국 중년 여성의 연령 증가에 따른 골밀도 변화에 관한 연구(석사논문) 주영신.
  13. 한국영양학회지 v.25 no.2 폐경전 40대 한국 여성들의 영양섭취와 골밀도와의 관계 이종호.;문수재.;임승길.;허갑범.(등)
  14. 대한내분비학회지 v.4 no.1 한국인 갱년기 여성의 골밀도 및 호르몬 변화에 관한 연구 한인권.;박원근.(등)
  15. 연세생활과학논집 v.7 폐경이후 여성의 영양 섭취 및 화동상과 골밀도의 상관관계에 관한 연구 문수재.;최은정.;이명희.;임승길.;허갑범.
  16. 한국영양학회지 v.25 no.7 폐경후 여성의 골밀도에 대한 환경, 생리적 요인의 영향 이보경.;장유경.;조수현.
  17. 한국영양학회지 v.25 no.7 폐경후 여성의 골밀도에 대한 영양소 섭취 실태의 영향 이보경.;장유경.;최경숙.
  18. Am. J. Med. v.91 no.S 5B Bone mass measurements in diagnosis and measurement of therapy Wasnich,R.D.
  19. Am. J. Clin. Nutr. v.44 Relationship between usual nutrient intake and bone mineral content of wemen 35~65years of age : logitudanal and cross-sectional analysis Jo L Freudenheim.;Nancy E Johnson.;Everett,I.Smith.
  20. J. Clin. Endocrinol Metab. v.75 no.2 Determinants of bone density in young woman. Ⅰ. Relationships among pubertal development, totalbody, bone mass and Total body bone density in premenarchal females Tomlloyd.;NanRollings.(et al.)
  21. Osteoporosis Int. v.1 interaction of genetic and environment influences on peak bone density P.K.Kelly.;J.A.Eisman.(et al.)
  22. Ecol. Food Nutr. v.10 Calcium intake and bone ealth in the elderly Garn,S.M.;Solomon,M.A.;Friedl,J.
  23. J. Clin. Endocrinol Metab. v.71 Attainment of peak bone mass Susan,M.O.
  24. J. Clin. Endocrinol. Metab. v.73 Critacal years and stages of puberty for spinal and femoral bone mass accumulation during adolescence Banjour,J.P.;Theintz,G.;Buchs,B.;Sloman,D.;Rizzoli,R.
  25. 동아시아 식생활학회지 v.4 no.3 한국 사춘기 소녀들의 골밀도와 환경요인들과의 관계(Ⅰ) 최미자.
  26. Arch. Dis. Child. v.44 Variations in patterns of pubertal changes in girl Maeshall,W.A.;Tanner,J.M.
  27. 대한내과학회잡지 v.34 no.4 한국여성 골조송증 환자들에서 보인 골조송증 위험인자(예보) 임승길.;정현철.;이미경.;김현만.;허갑범.;김남현.;박병문.
  28. Bone and Mineral v.9 The parthogenesis of osteopoprosis Gallagher,J.C.
  29. J. Bone. Mineral v.6 Spine bone mineral density in 350 normal and obese children and adolescents : evidence for ethnic and sex differences McCormic,D.P.;Ponder,S.W.;Fawcett,H.D.;Palmer,J.L.
  30. J. Clin. Endocrinol. Metab. v.71 Effect of hormonal status on bone density in adolescent girls Dhuper,S.;Warren,M.P.;Brooks-Gunn,J.;Fox,R.
  31. Am. J. Clin. Nutr. v.53 Bone density in premenopausal women : effect of age, dietary intake, physical activity, smoking and birth-controll pills Mazeaa,R.B.;Barden,H.S.
  32. Ann. Epidemiol v.1 Bone compposotion, age, and femoral bone mass of young sadult women Sowers,M.F.;Kshirsagar,A.;Crutchfield,M.;Updike,S.
  33. J. Bone Mineral Res. v.3 Early vertebra, trabecular bone loss in normal premenopausal women Buchana,J.R.;Myers,C.;LIoyd,T.;Greer,R.B.
  34. 제44차 대한내과학회 추계학술대회 심포지움집 한국 여성의 골밀도 측정 및 Bone Maker 한인권.
  35. 제 5차 대한골대사학회 추계학술대회 초록집 폐경후 여성에서 골지표로서의 소변내 pyridinoline cross links 유리에 관한 연구 정호연.;장학철.;김치정.;민용기.;문인걸.;한인권.
  36. 국민영양조사보고서 보사부.
  37. Am. J. Clin. Nutr. v.34 New norms of upper limb fat and miuscle area for assessment of nutritional status Frisancho,A.R.
  38. The sports medicine fitness course Nieman,D.C.
  39. 대한내과학회잡지 v.44 no.2 한국인 여성최대 골질량 형성 중요 시기에 영향을 미치는 요인들에 관한 연구(에보) 이남호.;임승길.;정윤석.;송영득.;안광진.;이현철.;허갑범.;최미숙.;이종호.