DOI QR코드

DOI QR Code

Relationships among Obesity, Bone Mineral Density, and Cardiovascular Risks in Post-menopausal Women

폐경 후 여성의 비만, 골밀도와 심혈관질환 위험도 간의 관계

  • So, Hee-Young (College of Nursing, Chungnam National University) ;
  • Ahn, Suk-Hee (College of Nursing, Chungnam National University) ;
  • Song, Rha-Yun (College of Nursing, Chungnam National University) ;
  • Kim, Hyun-Li (College of Nursing, Chungnam National University)
  • Received : 2010.07.07
  • Accepted : 2010.08.04
  • Published : 2010.09.20

Abstract

Purpose: This study explored the relationships among obesity, bone mineral density, and cardiovascular risks in post-menopausal women. Methods: One hundred post-menopausal women were recruited via convenience sampling from osteoporosis prevention program participants who were living in a metropolitan city in September 2006. Obesity was evaluated by body mass index, bone mineral density measured by DEXA scan, and cardiovascular risk factors assessed by a guideline of American Heart Association. Results: Seventy-two percent of women were either in the osteopenia or osteoporosis group, while 28% were in normal range in lumbar vertebrae. Obese women had greater bone mineral density in lumbar (F=3.31, p=.040) and femur (F=4.72, p=.011). Variables for cardiovascular risks were significantly different for high density lipoprotein (F=7.51, p=.001), systolic blood pressure (F=5.21, p=.007), and in percent of 10-year cardiovascular disease risk according to obesity. Conclusion: Post-menopausal women are at risk for obesity, osteoporosis, and cardiovascular disease. In order to prevent these conditions, nursing interventions such as resistance and aerobic exercise that reduces body weight and bone loss, increases high density lipoprotein, and reduces systolic blood pressure, should be proposed continually through health promotion programs for postmenopausal women.

Keywords

References

  1. Ajani, U. A., Ford, E. S., & McGuire, L. C. (2006). Distribution of lifestyle and emerging risk factors by 10-year risk for coronary heart disease. European Journal of Cardiovascular Prevention and Rehabilitation, 13 (5), 745-52. https://doi.org/10.1097/01.hjr.0000230099.70900.f6
  2. Broussard, D. L., & Magnus, J. H. (2004). Risk assessment and screening for low bone density in a multi ethnic population of women and men: Does on approach fits all? Osteoporosis International, 15, 349-360. https://doi.org/10.1007/s00198-003-1549-2
  3. Broussard, D. L., & Magnus, J. H. (2008). Coronary heart disease risk and bone mineral density among U. S. women and men. Journal of Women's Health, 17 (3), 479-490. https://doi.org/10.1089/jwh.2007.0593
  4. Choi, H., Song, T. J., Yang, Y. H., Oh, E. K., Ko, J. K., Lee, C. M., et al. (2005). The validation study of BMI (body mass index), age, and body weight for prediction of osteoporosis in Korean post- and perimenopausal women. Journal of the Korean Society of Menopause, 11 (1), 43-48. https://doi.org/10.1258/136218005775544507
  5. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Philadelphia: Lawrence Erlbaum.
  6. Cui, L. H., Shin, M. H., Chung, E. K., Lee, Y. H., Kweon, S. S., Park, K. S., et al. (2005). Association between bone mineral densities and serum lipid profiles of pre- and postmenopausal rural women in South Korea. Osteoporosis International, 16, 1975-1981. https://doi.org/10.1007/s00198-005-1977-2
  7. Cui, L. (2006). Osteoporosis and some cardiovascular risk factors in a Korean rural population. Unpublished doctoral dissertation, Chonnam National University, Gwangju.
  8. D'Agostino, R. B., Vasan, R. S., Penica, M. J., Wolf, P. A., Cobain, M., Massaro, J. M., et al. (2010). General cardiovascular risk profile for use in primary care: The Framingham study. Circulation, 117, 743-753.
  9. Ha, H-Y., Choi, B-Y., & Park, H-B. (1997). Correlation between obesity indices and cardiovascular risk factors and usefullness of abdominal obesity. Journal of Preventive Medicine and Public Health, 30 (2), 327-341.
  10. Han, S., Nam, K., Kim, J., Ha, T., & Lim, K. (1996). Relationship of whole body bone mineral density to body fat in the postmenopausal women. Inje Medical Journal, 17 (3), 285- 290.
  11. Hyldstrup, L., Andersen, T., McNair, P., Breum, L., & Transb$\phi$l, I. (1993). Bone metabolism in obesity: Changes related to severe overweight and dietary weight reduction. Acta Endocrinology, 129 (5), 393-398.
  12. Innes, K. E., Selfe, T. K., & Taylor, A. G. (2008). Menopause, the metabolic syndrome, and mind-body therapies. Menopause, 15 , 1005-1013. https://doi.org/10.1097/01.gme.0b013e318166904e
  13. Jung, J., & Kim, N. (2006). Risk factors, subjective symptoms, knowledge of coronary artery disease and preventive health practices in postmenopausal women. Korean Journal of Women Health Nursing, 12, 29-36.
  14. Kim, C. J., Kim, T. H., Rhu, W. S., & Ryoo, U. H. (2000). Influence of menopause on high density lipoprotein-cholesterol and lipids. Journal of Korean Medical Science, 15, 380-386. https://doi.org/10.3346/jkms.2000.15.4.380
  15. Kim, C. J., Oh, K. W., Rhee, E. J., Kim, K. H., Jo, S. K., Jung, C. H., et al. (2009). Relationship between body composition and bone mineral density (BMD) in perimenopausal Korean women. Clinical Endocrinology (Oxf), 71 (1), 18- 26. https://doi.org/10.1111/j.1365-2265.2008.03452.x
  16. Kim, M. K., Baek, K. H., Lim, D. J., Lee, S. S., Han, J. H., Song, K. H., et al. (2007). Clinical characteristics of postmenopausal women whose total hip BMD is lower than lumbar spine BMD. Korean Journal of Bone Metabolism, 14 (2), 125-132.
  17. Koh, Y., Rhee, E., Kim, S., Jung, C., Park, C., Lee, W., et al. (2006). The relationship between lumbar spine bone mineral density and cardiovascular risk factors in Korean female adults. Journal of Korean Society of Endocrinology, 21 (6), 497-505. https://doi.org/10.3803/jkes.2006.21.6.497
  18. Koller, M. T., Steyerberg, E. W., Wolbers, M., Stijnen, T., Bucher, H. C., Hunink, M., et al. (2007). Validity of the Framingham point scores in the elderly: Results from the Rotterdam study. American Heart Journal, 154 (1), 87-93. https://doi.org/10.1016/j.ahj.2007.03.022
  19. Korea Centers for Disease Control and Prevention (2010). National health and nutrition examination survey: The 4th (2008) results report: 2008 National health statistics. Seoul:Ministry of Health, Welfare and Family.
  20. Korean Society for the Study of Obesity (2001). Clinical obesity. Seoul: Korea Medical Book Publishing.
  21. Lee, W., & Kim, N. (2005). A statistical compare analysis of bone mineral density of lumbar spine and femur, risk factors for osteoporosis in women of pre, post-menopausal. Journal of Korean Society of Radiological Technology, 28 (3), 227-234.
  22. Masse, P. G., Tranchant, C. C., Dosy, J., & Donovan, S. M. (2005). Coexistence of osteoporosis and cardiovascular disease risk factors in apparently healthy, untreated postmenopausal women. International Journal of Vitamin and Nutrition Research, 75 (2), 97-106. https://doi.org/10.1024/0300-9831.75.2.97
  23. Mosca, L., Banka, C. L., Benjamin, E. J., Berra, K., Bushnell, C., Dolor, R. J., et al. (2007). Evidence-based guidelines for cardiovascular disease prevention in women: 2007 Update. Circulation, 115 , 1481-1501. https://doi.org/10.1161/CIRCULATIONAHA.107.181546
  24. Revilla, M., Villa, L. F., Sánchez-Atrio, A., Hernández, E. R., & Rico, H. (1997). Influence of body mass index on the age-related slope of total and regional bone mineral content. Calcified Tissue International, 61 (2), 134-138. https://doi.org/10.1007/s002239900310
  25. Rho, H. K., Lee, E. S., & Park, H. M. (2008). Perception level of Vitamin D and calcium on osteoporosis treatment. The Journal of the Korean Society of Menopause, 14 (2), 115- 129.
  26. Shakir, Y. A., Samsioe, G., Nyberg, P., Lidfeldt, J., & Nerbrand, C. (2006). Does the hormonal situation modify lipid effects by lifestyle factors in middle-aged women? results from population-based study of Swedish women: The women's health in the Lund area study. Metabolism-Clinical and Experimental, 55 , 1060-1066. https://doi.org/10.1016/j.metabol.2006.03.018
  27. Song, H. R., & So, H. (2007). Effects of the knowledge, health belief, and self-efficacy about osteoporosis on calcium intake behavior for postmenopausal osteoporosis patients. Journal of Korean Academy of Adult Nursing, 19, 763-774.
  28. Suk Danik, J., Rifai, N,, Buring, J. E., & Ridker, P. M. (2006). Association of physical activity and body mass index with novel and traditional cardiovascular biomarkers in women. Journal of American Medical Association, 295, 1412-1419. https://doi.org/10.1001/jama.295.12.1412
  29. Tanaka, H., Clevenger, C. M., Jones, P. P., Seals, D. R., & DeSouza, C. A. (1998). Influence of body fatness on the coronary risk profile of physically active postmenopausal women. Metabolism: Clinical & Experimental, 47 (9), 1112- 1120. https://doi.org/10.1016/S0026-0495(98)90286-4
  30. Wilsgaard, T., & Arnesen, E. (2007). Body mass index and coronary heart disease risk score: The troms$\phi$study, 1979 to 2001. Annals of Epidemiology, 17 (2), 100-105. https://doi.org/10.1016/j.annepidem.2006.05.006

Cited by

  1. Omega-3 and Menopause vol.18, pp.2, 2010, https://doi.org/10.6118/jksm.2012.18.2.75
  2. The Influences of the Intensive Ankle Joint Strategy Training on the Muscular Strength and Balancing Ability in the Elderly Women vol.13, pp.12, 2010, https://doi.org/10.5762/kais.2012.13.12.5909
  3. 타이치 운동이 지역사회 여성노인의 근력, 균형감, 유연성과 골밀도에 미치는 효과 vol.25, pp.1, 2010, https://doi.org/10.7475/kjan.2013.25.1.105
  4. 건강교육과 운동프로그램이 일 농촌지역 중·노년기 여성의 체성분, 혈중 지질, 골밀도 및 건강행태에 미치는 영향 vol.14, pp.4, 2010, https://doi.org/10.5762/kais.2013.14.4.1737
  5. 폐경 전 성인여성의 골밀도에 미치는 영향 요인: 2011년 국민건강영양조사 자료 이용 vol.14, pp.12, 2013, https://doi.org/10.5762/kais.2013.14.12.6246
  6. 한국 남성의 연령에 따른 부위별 골밀도 변화 및 골 소실률 vol.15, pp.6, 2010, https://doi.org/10.5762/kais.2014.15.6.3781
  7. 부자(附子)와 오가피(五加皮) 물 추출물의 골수유래 지방세포와 파골세포 분화 억제 효과 vol.22, pp.1, 2010, https://doi.org/10.14374/hfs.2014.22.1.151
  8. 난소를 절제한 마우스에서 갱년기증후군에 대한 오미자의 효과 vol.37, pp.3, 2010, https://doi.org/10.13048/jkm.16033
  9. 한국인에서 연령에 따른 요추 및 대퇴부에서의 최대 골밀도 및 골소실률에 관한 융합 연구 vol.9, pp.5, 2010, https://doi.org/10.15207/jkcs.2018.9.5.077
  10. 탄력밴드 운동이 여성노인의 체조성, 혈중지질 및 AMPK에 미치는 영향 vol.36, pp.3, 2010, https://doi.org/10.12925/jkocs.2019.36.3.995
  11. Estimated Flavonoid Intake and Analysis of Relevance of Cardiovascular Risk Factors for Pre- and Post-Menopausal Women in Daegu and Gyeongbuk : Based on The Korean National Health and Nutrition Examin vol.29, pp.6, 2010, https://doi.org/10.17495/easdl.2019.12.29.6.538
  12. Electroacupuncture Treatment for Women with Primary Obesity: A Review of Randomized Controlled Trials vol.37, pp.2, 2010, https://doi.org/10.13045/jar.2020.00136
  13. 조기폐경 여부에 따른 삶의 질 관련 요인: 국민건강영양조사 자료(2014-2017년) 분석 vol.26, pp.2, 2010, https://doi.org/10.4069/kjwhn.2020.03.27