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Relationship Analysis of Osteoporosis and Body Mass Index(BMI) in the Middle-Aged Women

중년여성 골다공증과 체질량지수와의 관계 분석

  • Lim, Jong-Duek (Department of Radiology, Morning Orthopedic Surgery Clinic) ;
  • Jung, Jae-Eun (Department of Biomedical Engineering, Sahm Yook Seoul Medical Center) ;
  • Park, Cheol-Woo (Department of Radiological Technology, Dongeui Institute of Technology) ;
  • Dong, Kyung-Rae (Department of Radiological Technology, Gwangju Health College University) ;
  • Kim, Ho-Sung (Department of Nuclear Medicine, Asan Medical Center) ;
  • Kim, Sun-Geun (Department of Radiology, Woosuk University Oriental Medical Hospital)
  • 임종덕 (모닝정형외과의원 영상의학과) ;
  • 정재은 (삼육의료원 서울병원 의생명공학과) ;
  • 박철우 (동의과학대학 방사선과) ;
  • 동경래 (광주보건대학교 방사선과) ;
  • 김호성 (서울아산병원 핵의학과) ;
  • 김순근 (우석대학교병원 영상의학과)
  • Received : 2011.09.04
  • Accepted : 2011.12.22
  • Published : 2011.12.30

Abstract

Generally, the osteoporosis of a middle-aged women have been reported that was a high risk in underweight, but the obese women have feasible osteoporosis. Therefor, the subjects were 120 middle-aged women that were diagnosed with osteoporosis in the bone mineral densitometer (BMD), this study was done for the purpose of analyzing the relationship between osteoporosis and body mass index (BMI) of the middle-aged women. We were determined BMI which was less than 18.5 underweight, 18.5 to 22.9 normal, 23.0 to 24.9 overweight, 25.0 to 29.9 obesity and extremely obesity were more than 30. When we examined the BMI distribution of the subjects, it was 2 women (1.7%) for underweight, 18 women (15.0%) for normal, 19 women (15.8%) for overweight, 75 women (62.5%) for obesity and 6 women (5.0%) for extremely obesity. Also, the relationship between osteoporosis and BMI of the subjects, it was the osteoporosis in 13 cases out of 18 (72.2%) with normal, in 14 case out of 19 (73.7%) with overweight, in 63 case out of 75 (84%) with obesity, in 5 case out of 6 (83.3%) with extremely obesity, besides, the osteoporosis usually marks the highest in a BMI with obesity. In conclusion, the result of analyzing the relationship between osteoporosis and BMI, we found out that the osteoporosis of the middle-aged women was high risk with obesity, and that was mostly higher the osteopenia rather than osteoporosis.

일반적으로 중년여성의 골다공증은 저체중에서 발생률이 높은 것으로 보고되었으나 비만인 경우에도 발생할 수 있다. 따라서 본 연구의 목적은 골밀도 검사에서 골다공증으로 진단받은 중년여성 120명을 대상으로 골다공증과 체질량지수의 상관관계를 비교하고자 하였다. 체질량지수가 18.5 미만을 저체중, 18.5 ~ 22.9를 정상, 23.0 ~ 24.9를 과체중, 25.0 ~ 29.9를 비만, 30.0 이상인 경우를 고도비만으로 하였다. 연구 결과 대상자의 체질량지수 분포는 저체중이 2명(1.7%), 정상이 18명(15.0%), 과체중이 19명(15.8%), 비만이 75명(62.5%), 고도비만이 6명(5.0%) 이었다. 또한 체질량지수와 골다공증의 상관관계는 체질량지수가 정상인 경우 18명 중 13명(72.2%)이 골다공증이었으며 과체중의 경우 19명 중 14명(73.7%), 비만의 경우 75명 중 63명(84%), 고도비만의 경우 6명 중 5명(83.3%)로 나타나 체질량지수가 비만인 경우에서 골다공증 발생률이 높았다. 결론적으로 중년여성의 골다공증은 체질량지수가 비만일수록 골다공증 환자가 많다는 것을 알 수 있었으며 대부분 골감소증보다는 골다공증이 높게 나타남을 알 수 있었다.

Keywords

References

  1. Korean Society of Bone Metabolism, "Physician's guide for diagnosis and treatment of osteoporosis.", Seoul: The Korean Society of Bone Metabolism; 2010.
  2. 이진용, 생식내분비학, 서울대학교출판부, 서울, 한국, pp.444-451, 2002.
  3. 정윤석, 올바른 골밀도 측정(기술) 및 해석, 연세의대 골다공증크리닉, 제2회 골다공증심포지움, 최신의학사, pp.23-30, 1995.
  4. 임창훈, 정호연, 한기옥, 김상우, 한인권, 민현기 "XR-36을 이용한 한국인 여성의 골밀도 측정. 대한골대사학회지, Vol. 2, No. 1, pp.50-54, 1995.
  5. Hansen M.A, Overgaard K, Riis BJ, christiansen C : Potentiar risk factors for development of postmenopausal osteoporosis-examined over a 12-year period. Osteoporosis Int, pp.1-95, 1991.
  6. J. A. Peterson, "Osteoporosis Overview.", Geriatric Nursing, Vol. 22, No. 1, pp.17-23, 2001. https://doi.org/10.1067/mgn.2001.113534
  7. P. A. Ballard, D. W. Purdie, C. M. Langton, S.A. Steel, S. Mussurakis, "Prevalence of Osteoporosis and Related Risk Factors in UK Women in the Seventh Decade : Osteoporosis Case Finding by Clinical Referral Criteria or Predictive Model ?", Osteoporosis Int, Vol. 8, pp.535-539, 1998. https://doi.org/10.1007/s001980050095
  8. R. B. Mazes, H. S. Barden, "Bone density in premenopausal women: effects of age, dietary intake, physical activity, smoking, and birth-control pills." Am. J. Clin. Nutr. Vol.53, No. 1, pp.132-142, 1991. https://doi.org/10.1093/ajcn/53.1.132
  9. 이유미, "체지방과 골대사와의 관계", 대한골다공증학회지, Vol. 2, No. 1, pp.111-114, 2004.
  10. S. A. Atkinson, W. E. Ward, "Clinical nutrition: 2. The role of nutrition in the prevention and treatment of adult osteoporosis." CMAJ, Vol. 165, No. 11, pp. 1511-1514, 2001.
  11. 장수진, 김정연, 육태한. "성인남여 480명에서의 골밀도와 비만의 상관관계에 관한 임상적연구" 대한침구학회지, Vol. 15, No. 2, 382-392, 1998.
  12. 오한진, 임창훈, 정호연, 한기옥, 장학철, 윤현구, 한인권, "비만이 폐경 여성의 골밀도에 미치는 영향", 대한비만학회지, Vol. 9, No. 2, pp.122-127, 2000.
  13. D. C. Bauer, W. S. Browner, J. A. Cauley, E. S. Orwoll, J. C. Scott, D. M. Black, J. L. Tao, S. R. Cummings, "Factors associated with appendicular bone mass in older women, The study of osteoporotic fractures research group", Ann. Intern. Med., Vol. 118, No. 9, pp.657-665, 1993. https://doi.org/10.7326/0003-4819-118-9-199305010-00001
  14. D. T Felson, Y. Zhang, M. T. Hannan, J. J. Anderson, "Effects of weight and body mass index on bone mineral density in men and women: the Framingham study.", J. Bone. Miner. Res., Vol. 8, No. 5, pp.567-573, 1993.
  15. T. L. Holbrook, E. Barrett-Connor, "The association of lifetime weight and weight control patterns with bone mineral density in an adult community." Bone Miner., Vol. 20, No. 2, pp.141-149, 1993. https://doi.org/10.1016/S0169-6009(08)80023-2
  16. B. E. Nordin, A. G. Need, A. Bridges, M. Horowitz, "Relative contributions of years since menopause, age, and weight to vertebral density in postmenopausal women.", J. Clin. Endocrinol. Metab., Vol. 74, No. 1, pp.20-23, 1992. https://doi.org/10.1210/jc.74.1.20
  17. 오승아, 갱년기 여성의 골다공증 위험요인에 관한연구, 서울대학교 보건대학원, 석사학위 논문, 1997.
  18. 김수영, 폐경기 여성에서 골다공증의 위험인자에 관한 문헌고찰 및 예비적 연구, 서울대학교 보건대학원, 석사학위 논문, 1995.
  19. M.R. Kim, H.J. Park, H.J. Yu, B.A. Chae, M.J. Kim, H.H. Jo, S.J. Hwang, D.J. Kwon, Y.O. Lew, Y.T. Lim, J.H. Kim, J.W. Lee and J.H. Kim, "Body Composition and Bone Mineral Density in Middle-aged Women", Korean J Bone Metab, Vol. 13, No. 2, pp. 149-155, 2006.

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