여성건강간호학회지 (Women's Health Nursing)

  • 제18권3호
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  • Pages.190-199
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  • 2012
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  • 3022-7666(pISSN)
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  • 3022-8247(eISSN)
한국여성건강간호학회 (Korean Society of Women Health Nursing)
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일 대학 여대생의 골밀도와 골밀도에 영향을 주는 요인

Bone Mineral Density and Factors influencing Bone Mineral Density in College Women

  • 투고 : 2012.07.10
  • 심사 : 2012.09.14
  • 발행 : 2012.09.20
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초록

Purpose: The purpose of this study was to identify the levels of bone mineral density (BMD) and to explain the factors influencing BMD among female college students in Korea. Methods: A cross-sectional study was conducted with 144 college women. Lifestyle factors were determined by self-report questionnaire. Body composition was measured by body composition analyzer and bone mineral density was measured by ultrasound bone densitometry. Data were analyzed using SPSS for windows, version 19.0. Results: The mean BMD at calcaneus site was 0.56$g/cm^2$ (mean T-score=-0.22). The incidence of osteopenia was 21.5%. Factors predicting BMD were menarche age (r=-.22, p=.009) and height (r=-.18, p=.030) with 7% of explained variance. Conclusion: These results suggest that health care professionals need to provide young women with program that is intended to affect their intention toward osteoporosis preventive behavior change.

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참고문헌

  1. Chang, K. Y. (2001). The influences of obesity on bone mineral density in children. Unpublished master's thesis, Korea University, Seoul.
  2. Choi, J. H., & Kim, S. K. (2008). Comparison of the dietary factors between normal and osteopenia groups by bone mineral density in Korean female college students. Journal of Korean Society of Food Science and Nutrition, 37, 869-878. https://doi.org/10.3746/jkfn.2008.37.7.869
  3. Choi, S. H., Hwang, D. K., Song, H. R., Noh, H. J., Kang, J. Y., Choi, D. H., et al. (2009). The predictors of lumbar spinal bone mineral density in pre- and postmenopausal women. The Journal of Korean Society of Menopause, 15, 101-109.
  4. Dibba, B., Prentice, A., Ceesay, M., Stirling, D. M., Cole, T. J., & Poskitt, E. M. E. (2000). Effect of calcium supplementation on bone mineral accretion in Gambian children accustomed to a low-calcium diet. American Journal of Clinical Nutrition, 71, 544-549. https://doi.org/10.1093/ajcn/71.2.544
  5. Galuska, D. A., & Sowers, M. R. (1999). Menstrual history and bone density in young women. Journal of Women's Health & Gender-based Medicine, 8, 647-656. https://doi.org/10.1089/jwh.1.1999.8.647
  6. Gray, D. S. (1989). Diagnosis and prevalence of obesity. Medical Clinics of North America, 73, 1-13. https://doi.org/10.1016/S0025-7125(16)30688-5
  7. Handerson, J. B., Hall, S. M., & Lipton, H. L. (1980). Changing self destructive behavior in health psychology. Sanfrancisco: Jossey-Bass.
  8. Institute of Experimental Psychology, Heinrich-Heine-University. (2011). G*Power version 3.1.3. Retrieved February 6, 2012, from http://www.psycho.uni-duesseldorf.de/abteilungen/ aap/gpower3/download-and-register
  9. International Obesity Task Force, WHO. (2000). The Asian-Pacific perspective: Redefining obesity and its treatment. Sydney: Health Communications Australia.
  10. Ito, M., Yamada, M., Hayashi, K., Ohki, M., Uetani, M., & Nakamura, T. (1995). Relation of early menarche to high bone mineral density. Calcified Tissue International, 57, 11-14. https://doi.org/10.1007/BF00298989
  11. Kang, B. M., Kim, M. R., Yoon, B. K., Lee, B. S., Chung, H. W., Choi, H., et al. (2007). The Influence of exercise on bone mineral density in Korean postmenopausal women. The Journal of Korean Society of Menopause, 13, 131-138.
  12. Karsenty, G. (2006). Convergence between bone and energy homeostasis: Leptin regulation of bone mass. Cell Metabolism, 4, 341-348. http://dx.doi.org/10.1016/j.cmet.2006.10.008
  13. Kim, C. K., & Park, G. J. (2000). Training method. Seoul: Daekyung.
  14. Kim, H. J., Jeong, K. A., & Chung, H. W. (2009). Menstrual status and bone mineral density among East Asian immigrants in Korea. The Journal of Korean Society of Menopause, 15, 116-123.
  15. Kim, M. H., & Kim, J. S. (2003). The relationship between body composition and bone mineral density in college women. Journal of Korean Academy of Nursing, 33, 312-320. https://doi.org/10.4040/jkan.2003.33.3.312
  16. Kim, Y. M., & Kim, M. H. (2002). A study of the osteoporosis- related lifestyle and health promotion behavior of university and college female student. The Journal of Rheumatology Health, 9, 53-67.
  17. Kjaerbye-Thygesen, A., Munk, C., Ottesen, B., & Kruger-Kjaer, S. (2004). Why do slim women consider themselves too heavy? A characterization of adult women considering their body weight as too heavy. The International Journal of Eating Disorders, 35, 275-285. https://doi.org/10.1002/eat.10274
  18. Lee, E. N. (2009). The influencing factors of the bone health promoting behavioral change after the bone mineral density test in college women. Journal of Muscle and Joint Health, 16, 105-115.
  19. Lee, J. Y., Chung, S. C., Cha, Y. J., Kwon, H. S., Lee, S. J., Sohn, I. S., et al. (2005). Difference in the relative contribution of body composition analysis to bone mineral density with generation in Korean women. The Journal of Korean Society of Menopause, 11, 213-218.
  20. Lim, J. H., Bae, H. S., Lee, S. M., & Ahn, H. S. (2008). Dietary and non-dietary factors related to bone mineral density in female college students. Korean Journal Community Nutrition, 13, 418-425.
  21. Ministry of Health, Welfare and Family Affairs [MOHWFA] & Korea Center for Disease Control and Prevention [KCDCP]. (2009). 2008 National Health Statistics- The 4th Korea National Health and Nutrition Examination Survey. Seoul: Author.
  22. Oh, E. G., Ko, I. S., Chu, S. H., Lee, J. E., & Yoo, J. Y. (2012). Female college students' knowledge, self-efficacy and health behaviors related to bone health. Korean Journal of Women Health Nursing, 18, 38-48. http://dx.doi.org/10. 4069/kjwhn.2012.18.1.38 https://doi.org/10.4069/kjwhn.2012.18.1.38
  23. Ruffing, J. A., Nieves, J. W., Zion, M., Tendy, S., Garrett, P., Lindsay, R., et al. (2007). The influence of lifestyle, menstrual function and oral contraceptive use on bone mass and size in female military cadets. Nutrition & Metabolism, 4, 17. http://dx.doi.org/10.1186/1743-7075-4-17
  24. Schnatz, P. F., Marakovits, K. A., DuBois, M., & O'Sullivan, D. M. (2011). Osteoporosis screening and treatment guidelines: Are they being followed? Menopause, 18, 1072-1078. http:// dx.doi.org/10.1097/gme.0b013e318215101a
  25. Sedlack, C. A., Doheny, M. O., & Jones, S. L. (2000). Osteoporosis education programs: Changing knowledge and behavior. Public Health Nursing, 17, 398-402. https://doi.org/10.1046/j.1525-1446.2000.00398.x
  26. The Korean Nutrition Society. (2010). Dietary reference intakes for Korean. Seoul: Author.
  27. The Korean Society of Bone Metabolism. (2008). Physician's guide for diagnosis and treatment of osteoporosis. Seoul: Author.
  28. The study group of menopause. (2006). The effect of favorite foods on BMD of Korean menopausal women. The Journal of Korean Society of Menopause, 12, 73-84.
  29. Tucker, K. L., Chen, H., Hannan, M. T., Cupples, L. A., Wilson, P. W., Felson, D., et al. (2002). Bone mineral density and dietary patterns in older adults: The Framingham osteoporosis study. The American Journal of Clinical Nutrition, 76, 245- 252. https://doi.org/10.1093/ajcn/76.1.245
  30. Williams, B., Cullen, L., & Barlow, J. H. (2002). "I never realized how little I knew!": A pilot study of osteoporosis knowledge, beliefs, and behaviors. Health Care for Women International, 23, 344-350. https://doi.org/10.1080/0739933029008919
  31. World Health Organization. (1994). WHO study group on assessment of fracture risk and its application to screening for postmenopausal osteoporosis. (Technical Report No. 843). Geneva, Switzerland: Author.
  32. Yeoum, S. G. (1996). A study on the relations of cognitive-perceptual factors and behaviors about middle age women's health promotion. Unpublished doctoral dissertation, Chung-Ang University, Seoul.
  33. Yu, C. H., Lee, J. S., Lee, L. H., Kim, S. H., Lee, S. S., & Jung, I. K. (2002). National factors related to bone mineral density in the different age groups of Korean women. The Korean Nutrition Society, 35, 779-790.

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