DOI QR코드

DOI QR Code

Effects of Body Weight Control Behaviors on Bone Mineral Density in Korean Young Adult Women

한국 2.30대 여성의 체중조절행위가 골밀도에 미치는 영향

  • Chung, Chae Weon (College of Nursing, Research Institute of Nursing Science, Seoul National University) ;
  • Lee, Suk Jeong (Red Cross College of Nursing, Chung-Ang University)
  • 정재원 (서울대학교 간호대학) ;
  • 이숙정 (중앙대학교 적십자간호대학)
  • Received : 2012.08.30
  • Accepted : 2013.01.07
  • Published : 2013.03.20

Abstract

Purpose: This study identified the effects of body weight control behaviors on bone mineral density (BMD) in Korean women aged 20 to 39 years. Methods: A secondary analysis of the 5th Korean National Health and Nutrition Examination Survey was conducted. Asian-Pacific criteria of BMI (Body Mass Index) and BMD were calculated for 1,026 women selected. The effects of body weight control behaviors were assessed using binary multiple logistic regression analysis while controlling for BMI. Results: Osteopenia and osteoporosis rates were 32.8% and 2.0%, respectively. About 69% of women performed weight control behaviors, and a combination of diet/exercise (22.7%) and drug added methods (10.9%) for weight control. Women who performed both diet control and exercise had a lower possibility to have abnormal BMD than those who did not try weight control (OR=0.67, CI=0.45~0.98, p=.039). Further weight control behaviors did not influence abnormal BMD. Conclusion: Body weight control should include proper diet and exercise in accordance with each woman's BMI level.

Keywords

References

  1. Ahn, H. S., Kim, S. H., & Lee, S. S. (2005). A study of factors affecting bone mineral density in Korean adolescents: Anthropometric measurements, lifestyle, and other environmental factors. Korean Journal of Nutrition, 38, 242-250.
  2. Ahn, S. H., Kim, H. L., So, H. Y., & Song, R. Y. (2009). Factors influencing fear of falling in postmenopausal women. Korean Journal of Women Health Nursing, 15, 344-352. http://dx.doi.org/10.4069/kjwhn.2009.15.4.344
  3. Barrera, G., Bunout, D., Gattas, V., de la Maza, M. P., Leiva, L., & Hirsch, S. (2004). A high body mass index protects against femoral neck osteoporosis in healthy elderly subjects. Nutrition, 20, 769-771. http://dx.doi.org/10.1016/j.nut.2004.05.014
  4. Cho, D. S., & Lee, J. Y. (2008). Bone mineral density and factors affecting in female college students. Korean Journal of Women Health Nursing, 14, 297-305. http://dx.doi.org/10.4069/kjwhn.2008.14.4.297
  5. Cho, S. J., & Kim, C. K. (1997). The effect of female students' obese level and weight control behavior and attitudes on stress. The Journal of Korean Society for Health Education and Promotion, 14, 1-16.
  6. Choi, H. S., Oh, H. J., Choi, W. H., Kim, J. G., Kim, K. M., Kim, K. J., et al. (2011). Vitamin D insufficiency in Korea-A greater threat to younger generation: The Korea national health and nutrition examination survey 2008. The Journal of Clinical Endocrinology and Metabolism, 96, 643-651. http://dx.doi.org/10.1210/jc.2010-2133
  7. Eisman, J., Clapham, S., & Kehoe, L. (2004). Osteoporosis prevalence and levels of treatment in primary care: The Australian bonecare study. Journal of Bone and Mineral Research, 19, 1969-1975. http://dx.doi.org/10.1359/jbmr.040905
  8. Hong, M. S., Pak, H. O., & Sohn, C. Y. (2012). Comparative study of food behaviors and nutrients intake according to the bone mineral density of female university students. Korean Journal of Food and Nutrition, 25, 156-162. https://doi.org/10.9799/ksfan.2012.25.1.156
  9. Jung, D. J. (2006). Influence of weight control behavior, body image, self-esteem, health promotion behavior and mental health promotion behavior in university female students by BMI. Exercise Science, 15, 365-376.
  10. Kim, K. H., Lee, K., Ko, Y. J., Kim, S. J., Oh, S. I., Durrance, D. Y., et al. (2012). Prevalence, awareness, and treatment of osteoporosis among Korean women: The fourth Korea national health and nutrition examination survey. Bone, 50, 1039-1047. http://dx.doi.org/10.1016/j.bone.2012.02.007
  11. Kim, M. S., & Koo, J. O. (2007). Analysis of factors affecting bone mineral density with different age among adult women in Seoul area. Korean Journal of Community Nutrition, 12, 559-568.
  12. Kim, M. S., & Koo, J. O. (2008). Comparative analysis of food habits and bone density risk factors between normal and risk women living in the Seoul area. Korean Journal of Community Nutrition, 13, 125-133.
  13. Korea Centers for Disease Control and Prevention. (2010). A guidebook of the fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1). Seoul: Author.
  14. Lee, J. K., Kim, E. J., Suk, M. H., Kim, E. Y., & Hwang, R. I. (2003). Factors influencing osteoporosis. Journal of Korean Community Nursing, 14, 253-262.
  15. Lee, M. S., Kang, P. S., & Lee, K. S. (2007). Factors affecting bone mineral density in premenopausal women. Yeungnam University Journal of Medicine, 24, 330-339.
  16. Meyer, H. E., Tverdal, A., & Selmer, R. (1998). Weight variability, weight change and the incidence of hip fracture: A prospective study of 39,000 middle-aged Norwegians. Osteoporosis International, 8, 373-378. https://doi.org/10.1007/s001980050077
  17. Min, H. J., & Oh, H. Y. (2011). A study on osteoporosis knowledge, health beliefs and health behaviors among female college students. Journal of Korean Academy of Community Health Nursing, 22, 111-120. https://doi.org/10.12799/jkachn.2011.22.2.111
  18. Nguyen, T. V., Sambrook, P. N., & Eisman, J. A. (1998). Bone loss, physical activity, and weight change in elderly women: The Dubbo osteoporosis epidemiology study. Journal of Bone and Mineral Research, 13, 1458-1467. https://doi.org/10.1359/jbmr.1998.13.9.1458
  19. Salamone, L. M., Cauley, J. A., Black, D. M., Simkin-Silverman, L., Lang, W., Gregg, E., et al. (1999). Effect of a lifestyle intervention on bone mineral density in premenopausal women: A randomized trial. The American Journal of Clinical Nutrition, 70, 97-103. https://doi.org/10.1093/ajcn/70.1.97
  20. Shapses, S. A., & Riedt, C. S. (2006). Bone, body weight, and weight reduction: What are the concerns? Journal of Nutrition, 136, 1453-1456. https://doi.org/10.1093/jn/136.6.1453
  21. Tang, B. M., Eslick, G. D., Nowson, C., Smith, C., & Bensoussan, A. (2007). Use of calcium or calcium in combination with vitamin D supplementation to prevent fractures and bone loss in people aged 50 years and older: A meta-analysis. Lancet, 370, 657-666. http://dx.doi.org/10.1016/S0140-6736(07)61 342-7
  22. Teegarden, D., Proulx, W. R., Martin, B. R., Zhao, J., McCabe, G. P., Lyle, R. M., et al. (1995). Peak bone mass in young women. Journal of Bone and Mineral Research, 10, 711-715.
  23. WHO/IASO/IOTF. (2000). The Asia-Pacific perspective: Redefining obesity and its treatment. Retrieved January 10, 2010, from http://www.idi.org.au/obesity_report.htm
  24. Wing, R. R., & Hill, J. O. (2001). Successful weight loss maintenance. Annual Review of Nutrition, 21, 323-341. https://doi.org/10.1146/annurev.nutr.21.1.323

Cited by

  1. 여대생의 자외선 차단제 사용과 골 건강증진행위 및 골밀도와의 관계 vol.15, pp.4, 2013, https://doi.org/10.7586/jkbns.2013.15.4.202
  2. 간호학과 여학생의 체질량지수와 체중지각에 따른 건강증진행위 vol.16, pp.1, 2014, https://doi.org/10.7586/jkbns.2014.16.1.60
  3. 서울지역 20~30대 성인여성의 직업유무에 따른 골밀도와 영향요인: 제5기 국민건강영양조사자료 분석, 2010~2011 vol.20, pp.2, 2013, https://doi.org/10.14373/jkda.2014.20.2.110
  4. 젊은 여성의 체중조절행위와 건강행위와의 관련성: 2013년 지역사회건강조사자료를 바탕으로 vol.16, pp.7, 2013, https://doi.org/10.5762/kais.2015.16.7.4734
  5. 간호대학생의 건강증진행위와 건강상태 인지 변화에 대한 종단적 연구 vol.28, pp.3, 2015, https://doi.org/10.15434/kssh.2015.28.3.220
  6. 국민건강영양조사 제 5기(2010-2012)를 활용한 한국의 19세 이상 성인의 식습관에 따른 정신건강상태 vol.17, pp.10, 2013, https://doi.org/10.5762/kais.2016.17.10.168