The Association of Dietary Patterns with Bone Mineral Density in Middle-aged Women: A Cohort of Korean Genome Epidemiology Study

중.장년기 여성의 식사패턴과 골밀도간의 연관성 연구: 한국인유전체역학조사사업 예방유전체 지역사회 코호트

  • Park, Seon-Joo (Center for Genome Science, National Institute of Health, KCDC) ;
  • Ahn, Youn-Jhin (Center for Genome Science, National Institute of Health, KCDC) ;
  • Kim, Hyo-Mi (Center for Genome Science, National Institute of Health, KCDC) ;
  • Joo, Seong-Eun (Center for Genome Science, National Institute of Health, KCDC) ;
  • Oh, Kyung-Soo (Center for Genome Science, National Institute of Health, KCDC) ;
  • Park, Chan (Center for Genome Science, National Institute of Health, KCDC)
  • 박선주 (질병관리본부 국립보건연구원 유전체센터) ;
  • 안윤진 (질병관리본부 국립보건연구원 유전체센터) ;
  • 김효미 (질병관리본부 국립보건연구원 유전체센터) ;
  • 주성은 (질병관리본부 국립보건연구원 유전체센터) ;
  • 오경수 (질병관리본부 국립보건연구원 유전체센터) ;
  • 박찬 (질병관리본부 국립보건연구원 유전체센터)
  • Published : 2007.06.30

Abstract

Several nutrients are known to affect bone mineral density (BMD). However, these nutrients are combined with food intake and dietary patterns and little is known about the association of dietary patterns and BMD. The objective of this study was to investigate the association of dietary patterns with BMD in Korea Genome Epidemiology Study subjects. Among 2,884 women (40-69 yr) recruited at baseline study (2001), 861 subjects with BMD measurements at baseline and a 4-year follow up study (2005) completed the semi-quantitative food frequency questionnaire. BMD was measured by the Quantitative Ultrasound method. One hundred three food items were combined into 17 food groups and 4 dietary patterns were identified by factor analysis. Cluster analysis using factor score classified each subject into one of three dietary pattern groups named 'Rice and kimchi eating' (n = 617), 'Contented eating' (n = 124), and 'Healthy and light eating' (n = 120). The 'Healthy and light eating' group, characterized by higher intake of fruit, vegetables, fish, milk and dairy products, and younger age, more exercise, higher education, and higher income than other groups. The tibia BMD of the 'Healthy and light eating' group was higher than the other groups after adjusting for the age. After the adjustment for the age BMI and exercise, the 'Healthy and light eating' group showed significantly lower odds of tibia osteopenia/osteoporosis risk compared to the 'Rice and kimchi eating' group both at the baseline [OR(95% CI) : 0.50(0.30-0.84)] and follow-up [OR(95% CI) : 0.59(0.36-0.97)] examinations. The dietary pattern with low calorie and high intakes of fruit, vegetables, fish, milk and dairy products may have beneficial effects on BMD in middle-aged women.

Keywords

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