Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

A Study of Factors Influencing the Bone Mineral Density on Premenopausal Women: Using the 2011 Korean National Health and Nutrition Examination Survey Data

폐경 전 성인여성의 골밀도에 미치는 영향 요인: 2011년 국민건강영양조사 자료 이용

  • Chun, Young-Mi (Taegu Science University, Department of Nursing) ;
  • Lee, Sun-Hee (Kyungpook National University, College of Nursing)
  • 전영미 (대구과학대학교 간호학과) ;
  • 이선희 (경북대학교 간호대학)
  • Received : 2013.09.02
  • Accepted : 2013.12.05
  • Published : 2013.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

The aim of this study was to determine the factors affecting the Bone Mineral Density (BMD) on Premenopausal Women. This study made use of the data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-2, 2011). The results are as follows. The factors with an effect on the bone mineral density (BMD) were the body mass index, age, and walking exercise. These factors explain 11.7% of the variance in the BMD. In addition, the bone density of people in their 20s was lower than those in their 50s. Walking exercise for less than 3 days showed that the BMD had decreased significantly. In conclusion, to maintain a normal BMD on premenopausal women, it is important to avoid an excessive diet and recognize the correct body image. These results suggest that education programs including the appropriate diet and lifestyle should be developed for women in their 20's.

본 연구는 폐경 전 여성의 골밀도를 조사하고 골밀도에 미치는 영향요인을 파악하기 위해 시도된 연구로 2011년 국민건강영양조사 자료를 이용하여 분석하였다. 연구 결과, 폐경 전 여성의 골밀도에 미치는 영향요인으로 BMI, 나이, 걷기운동이었고 설명력은 11.7%이었다. 이중 가장 큰 영향력이 있는 것은 BMI로 저체중, 정상, 과체중에 따라 골밀도 수치에 영향을 미치는 것으로 나타났다. 또한, 20대가 50대에 비해 골밀도 감소가 유의하게 나타났고, 걷기운동에서는 3일 이하 운동이 골밀도 감소에 영향을 미치는 것으로 나타났다. 결론적으로, 폐경 전 여성인 경우 골밀도 유지를 위해 과도한 다이어트를 지양하고 올바른 체형인식을 할 필요가 있다. 특히 최대 골질량 형성기인 20대 여성을 대상으로 적절한 영양과 운동 및 생활습관을 위한 보건교육프로그램을 개발 적용한 추후 연구를 제언한다.

Keywords

References

  1. J. A. Kanis, E. V. McCloskey, H. Johansson, A. Oden, L. J. Melton 3rd, N. Khaltaev, "A reference standard for the description of osteoporosis, Bone, 42(3), 467-475, 2008. DOI: http://dx.doi.org/10.1016/j.bone.2007.11.001
  2. J. W. Nieves, "Osteoporosis: the role of micronutrients", The American Journal of Clinical Nutrition, 81(5), 1232s-1239s, 2005. https://doi.org/10.1093/ajcn/81.5.1232
  3. C. H. Song, S. Y. Joo, Y. S. Kim, S. M. Ock, "Bone mineral density according to exercise and physical activity in premenopausal women" Osteoporosis, 8(3), 290-296, 2010.
  4. E. S. Choi, J. Y. Lee, "A study on the level of awareness and self-efficacy of osteoporosis in young women" The Korean Journal of Women Health Nursing, 16(2), 204-214, 2010. DOI: http://dx.doi.org/10.4069/kjwhn.2010.16.2.204
  5. S. M. Jang, C. M. Park, S. H. Jang, C. S. Shin, Y. C. Ha, "A study of the drug prescription patterns and medical use on osteoporosis", 83-87, Health Insurance Review Assessment Service, 2010. http://www.hira.or.kr
  6. H. Y. Jung, "Comparative analysis of body mass index and body mineral density of female college students at their 20s' according to the existence of physical exercise" Unpublished master's thesis, Ewha Womens University, Seoul, 2004.
  7. J. W. Chae, I. H. Kim, W. S. Kwon, K. M. Lee, S. P. Jung, Y. Moon, "The relationship between body composition and bone mineral density in postmenopausal Women", Yeungnam University Journal of Medicine, 20(1), 53-61, 2003. https://doi.org/10.12701/yujm.2003.20.1.53
  8. Health Insurance Review Assessment Service, {cited 2013.01.31.}, http://www.hira.or.kr/dummy.do?pgmid=HIRAA020041 000000&cmsurl=/cms/notice/02/1316013_13390.html
  9. H. J. Lim, "Association of bone mineral density with physiological characteristics and lifestyles in premenopausal working women" Journal of the Korean Society of Food Science and Nutrition, 33(2), 339-348, 2004. DOI: http://dx.doi.org/10.3746/jkfn.2004.33.2.339
  10. H. A. Makay, M. A. Petit, K. M. Khan, R. W. Schutz, "Lifestyle determinants of bone mineral: a comparison between prepubertal Asian and Caucasian boys and girls". Calcified Tissue International, 66(5), 320-324, 2000. DOI: http://dx.doi.org/10.1007/s002230010067
  11. J. I. Youk, "Female bone mineral density in an urban area and its relation with contributing factors" Unpublished master's thesis, Chungnam National University, Daejon, 2004.
  12. E. J. Lee, "A study on dietary life related factors affecting on bone mineral density in the postmenopausal women with decreased bone mineral density" Unpublished master's thesis, The Catholic University, Seoul, 2002.
  13. Y. S. Byun, O. S. Kim, "Development of the education program and it effect on osteoporosis and life style among women", Journal of Korean Academy of Nursing, 30(3), 764-775. 2000. https://doi.org/10.4040/jkan.2000.30.3.764
  14. E. N. Lee, Y. W. Yoo, "The influencing factors of the compliance level with therapeutic regimen after the bone minera densitometry, Journal of Korean Academy of Nursing, 34(1), 63-71, 2004. https://doi.org/10.4040/jkan.2004.34.1.63
  15. I. R. Reid, "Relationship among body, its component and bone", Bone, 31(5), 547-555, 2002. DOI: http://dx.doi.org/10.1016/S8756-3282(02)00864-5
  16. Y. M. Kim, S. U. Wie, "The effects of 12-weeks health education and exercise program on body composition, bone density, blood lipid, and health behavior among middle-aged and aged women in rural areas". Journal of The Korea Academia-Industrial cooperation Society, 14(4), 1737-1746, 2013. https://doi.org/10.5762/KAIS.2013.14.4.1737
  17. J. H. Kim, S. M. Choi, Y. H. Park, K. A. Park, M. H. Suh, S. O. Lee, "The effect of the dietary approaches to stop hypertension (DASH) diet education program on bone mineral density in the middle-aged women: a pilot study" Journal of Korean Biology Nursing Science, 12(3), 195-205, 2010.
  18. G. A. Go, "Dietary intakes and quality among korean postmenopausal women with different bone health levels : using the 2010 Korean National Health and Nutrition Examination Survey Data", Unpublished master's thesis, Myongji University, Seoul, 2012.
  19. S. O. Moon, "Factors affecting bone mineral density in korean postmenopausal women : using the data from 2008-2010 Korean National Health and Nutrition Examination Survey", Unpublished master's thesis, Dongduk Womens University, Seoul, 2013.
  20. Y. M. Kim, M. S. Chung, S, C, Seong, "Introduction to orthopedic surgery", 49-60, Koonja Publisher, 1998.
  21. The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-5), 2010, Korea Centers for Disease Control and Prevention
  22. M. S. Kim, J. O. Koo, "Analysis of factors affecting bone mineral density with different age among adult women in seoul area", The Korean Society of Community Nutrition, 12(5), 2007.
  23. H. C. Kim, M. R. Kim, "Self-perception of body image and dieting behaviors by gender among high school students in gyeongbuk province", The East Asian Society Dietary life, 21(4), 587-599, 2011.
  24. I. K. Jung, "A study on body image perception a weight control by degree of obesity in male students", The Journal of Research Institute of Korean Education, 24, 31-39, 2006.
  25. S. O. Park, I. J. Lee, G. S. Shin, "The relationship of age, body mass index, and individual habit to bone mineral density in adults", Journal of Radiological Science and Technology, 31(4), 2008.
  26. C. Cure-Cure, P. Cure-Ramirez, E. Teran, P. Lopez-Jaramillo, "Bone-mass peak in multiparity and reduced risk of bone-fractures in menopause", International Journal of Gynaecology and Obstetrics 76(3), 285-291, 2002. DOI: http://dx.doi.org/10.1016/S0020-7292(01)00583-5
  27. Y. H. Choi, C. J. Sung, "Physiological factors and lifestyles on bone mineral density in postmenopausal women", The Korean Nutrition Society, 40(6), 2007.
  28. W. W. Kim, S. K. Jang, "Relationship between bone mineral density and obstetric history in korean women", The Korean Society Menopause, 8(1), 27-36, 2002.
  29. H. K. Rho, E. S. Lee, H. M. Park, "Level of vitamin D and calcium on osteoporosis treatment", The Korean Society Menopause, 14(2), 115-129, 2008.
  30. J. I. Lee, Y. S. Byeon, "Effects of treadmill walking exercise on BMD and BMI in middle-aged women", Journal of Korean Academy of Fundamentals of Nursing, 15(1), 53-59, 2008.
  31. J. H. Khil, S. B. Kim, "The effects of Taekwondo exercise programs on body composition and bone mineral density in obese adult women", The Journal of Taekwondo Science, 3(1), 23-33, 2010.
  32. J. H. Yoo, E. K. Park, K. W. Yoo, "A study of bone mass & health related physical fitness induced exercise & drinking habits on pre & post-menopause of female", The Journal of the Korea Exercise Science Academy, 20(1), 27-34, 2011. https://doi.org/10.15857/ksep.2011.20.1.27
  33. H. J. Oh, C. H. Lim, H. Y. Chung, K. O. Han, H. C. Jang, H. K. Yoon, I, K. Han, "Relationship of obesity and BMD in pre & peri-menopausal women", Korean Academic Society of Womens Health, 1(1), 91-100, 2000.
  34. H. Y. So, S. H. Ahn, R. Y. Song, H. L. Kim, "Relationships among obesity, bone mineral density, and cardiovascular risks in post-menopausal women", Korean Society of Women Health Nursing, 16(3), 224-233, 2010. DOI: http://dx.doi.org/10.4069/kjwhn.2010.16.3.224
  35. S. K. Jeon, H. R. Hong, K. W. Yi, H. T. Park, J. H. Shin, N. W. Lee, T. Kim, H. J, Kim, J. Y. Hur, S. H. Kim, "Relationship between metabolic syndrome and bone mineral density in middle-aged women", The Korean Society Menopause 16(3), 142-147, 2010.
  36. 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, J. H. Kim, "Body composition and bone mineral density in middle-aged women", Korean Journal of Bone Metabolism, 13(2), 149-155, 2006.
  37. A. Khan, "Premenopausal women and low bone density", Canadian Family Physician, 52, 743-747, 2006.
  38. K. M. Winters, C. M. Snow, "Body composition predicts bone mineral density and balance in premenopausal women", Journal of Women's Health & Gender-Based Medicine, 9(8), 865-872, 2000. DOI: http://dx.doi.org/10.1089/152460900750020892
  39. S. J. Shin, "Obesity and bone mineral density in mid-aged women", Nursing Science, 19(1), 8-15, 2007.
  40. J. O. Koo, S. Y. Park, "Analysis of BMI menopause, blood pressure and dietary habits affecting bone mineral density of 30-60 years women", The Korean Society of Community Nutrition, 15(3), 403-414, 2010.
  41. J. K. Lee, E. J. Kim, M. H. Suk, E. Y. Kim, L. L. Hwang, "Factors influencing osteoporosis", Korean Academy of Community Health Nursing, 14(2), 253-262, 2003.
  42. M. Gotoh, K. Mizuno, Y. Ono, M. Takahashi. "High blood pressure, bone-mineral loss and insulin resistance in women", Hypertension Research, 28, 565-570, 2005. DOI: http://dx.doi.org/10.1291/hypres.28.565
  43. S. H. Lee, "Association of bone mineral density with dietary intake and health-related behavior among korean postmenopausal women department of food and nutrition", Unpublished master's thesis, Myongji University, Seoul, 2012.
  44. I. J. Kim, "The effect of the walking exercise, on the body composition the blood components and bone mineral density(BMD) of obese middle-aged women", Unpublished master's thesis, Dongguk University, Seoul, 2007.