DOI QR코드

DOI QR Code

Anthropometric, Biochemical Characteristics, Nutrient Intakes and Bone Density by Smoking Period in Elderly Male Smokers: Analysis of Data from Korea National Health and Nutrition Examination Survey (KNHANES), 2008~2011

흡연 노인 남성의 흡연기간에 따른 신체적, 생화학적 특성, 영양소섭취 및 골밀도 차이 : 2008~2011년 국민건강영양조사 자료 분석

  • 최순남 (삼육대학교 식품영양학과) ;
  • 조광현 (삼육대학교 경영학과) ;
  • 정남용 (경인여자대학교 식품영양과)
  • Received : 2015.06.04
  • Accepted : 2015.07.22
  • Published : 2015.08.02

Abstract

This study investigated anthropometric and biochemical characteristics, nutrient intakes, and bone density of Korean elderly men (over 65 yrs). Data on bone density and anthropometric (height, weight, waist circumference, body mass index and blood pressure) and biochemical (total cholesterol, high-density lipoprotein (HDL)-cholesterol, low-density lipoprotein (LDL)-cholesterol, triglyceride and hemoglobin) characteristics, nutrient intakes, and nutrient density were obtained from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES, 2008~2011). Subjects were categorized into smoking and non-smoking groups, and smoking groups were divided into three groups by smoking period (under 20 yrs, 21~40 yrs and over 41 yrs). Serum triglyceride concentrations of the smoking group aged 21~40 yrs were higher than those of other groups (P<0.01), whereas other biochemical factors were not different. Intake ratios of energy, protein, phosphorus and sodium in subjects were over 100% of Dietary Reference Intake for Koreans (KDRI). Nutrient densities according to intakes of thiamin, riboflavin, and niacin per 1,000 kcal were significantly different among the groups (P<0.05). Bone density of subjects decreased according to smoking period (T-score of total femur in non-smoking group -0.3108, and -0.2918, -0.4941, -0.6847 in smoking group, respectively). Ratio of osteoporosis was 38.1% in the non-smoking group and 44.4%, 51.1%, and 64.0% in the smoking group, respectively. The findings of the present study show that smoking may be associated with bone health, higher ratio of osteoporosis, and low nutrient density in elderly men. Therefore, practical and systematic non-smoking programs are required to improve the bone density of elderly men as well as maintain healthy bone levels and desirable lifestyle.

Keywords

References

  1. Bae JY, Park HS (2006): An exploratory study on the elderly risk behaviors. Korean J Geron Soc 26(4):785-800
  2. Brook JS, Balka EB, Zhang C (2012): The smoking patterns of women in their forties: their relationship to later osteoporosis. Psychol Rep 110(2):351-362 https://doi.org/10.2466/13.18.PR0.110.2.351-362
  3. Canoy D, Wareham N, Luben R, Welch A, Bingham S, Day N, Khaw KT (2005): Cigarette smoking and fat distribution in 21,828 British men and women: a population-based study. Obes Res 13(8):1466-1475 https://doi.org/10.1038/oby.2005.177
  4. Choi MK, Cho HK, Sung CJ (2006): Comparative study on nutrient intakes, blood pressure and seum lipid profile of Korean adult men according to smoking status. J Korean Soc Food Sci Nutr 35(2):164-170 https://doi.org/10.3746/jkfn.2006.35.2.164
  5. Dallongeville J, Marecaux N, Richard F, Bonte D, Zylberberg G, Fantino M, Fruchart JC, Amouyel P (1996): Cigarette smoking is associated with differences in nutritional habits and related to lipoprotein alterations independently of food and alcohol intake. Eur J Clin Nutr 50(10):647-654
  6. Dietrich M, Block G, Norkus EP, Hudes M, Traber MG, Cross CE, Packer L (2003): Smoking and exposure to environmental tobacco smoke decrease some plasma antioxidants and increase gamma-tocopherol in vivo after adjustment for dietary antioxidant intakes. Am J Clin Nutr 77(1):160-166 https://doi.org/10.1093/ajcn/77.1.160
  7. Erikssen J, Enger SC (1978): The effect of smoking on selected coronary heart disease risk factors in middle-aged men. Acta Med Scand 203(1-2):27-30
  8. Gyntelberg F, Meyer J (1974): Relationship between blood pressure and physical fitness, smoking and alcohol consumption in Copenhagen males aged 40-59. Acta medica Scand 195(5):375-380
  9. Hermann AP, Brot C, Gram J, Kolthoff N, Mosekilde L (2000): Premenopausal smoking and bone density in 2015 perimenopausal women. J Bone Miner Res 15(4):780-787 https://doi.org/10.1359/jbmr.2000.15.4.780
  10. Hollenbach KA, Barrett-Connor E, Edelstein SL, Holbrook T (1993): Cigarette smoking and bone mineral density in older men and women. Am J Public Health 83(9):1265-1270 https://doi.org/10.2105/AJPH.83.9.1265
  11. Jorgensen L, Joakimsen R, Ahmed L, Stormer J, Jacobsen BK (2011): Smoking is a strong risk factor for non-vertebral fractures in women with diabetes: the Tromso study. Osteoporos Int 22(4):1247-1253 https://doi.org/10.1007/s00198-010-1340-0
  12. Jutberger H, Lorentzon M, Barrett-Connor E, Johansson H, Kanis JA, Ljunggren O, Karlsson MK, Rosengren BE, Redlund-Johnell I, Orwoll E, Ohlsson C, Mellstrom D (2010): Smoking predicts incident fractures in elderly men: Mr OS Sweden. J Bone Miner Res 25(5):1010-1016
  13. Kang MH (2008): A study on diet quality evaluation of blood composition according to the alcohol or smoking in adult male workers. Masters degree thesis. Dongshin University. pp.25-27
  14. Kanis JA, McCloskey EV, Johansson H, Oden A, Strom O, Borgstrom F (2010): Development and use of FRAX in osteoporosis. Osteoporos Int 21 Suppl 2:S407-S413 https://doi.org/10.1007/s00198-010-1253-y
  15. Kim BH (2010): Osteoporosis knowledge and health behavior in Korean adult men. Masters degree thesis. Ewha Womans University. pp.1-67
  16. Kim KH, Lee CM, Park SM, Cho B, Chang Y, Park SG, Lee K (2013): Secondhand smoke exposure and osteoporosis in never-smoking postmenopausal women: the fourth Korea national health and nutrition examination survey. Osteoporos Int 24(2):523-532 https://doi.org/10.1007/s00198-012-1987-9
  17. Koo JO, Ahn HS, Yoo SY (2008): Study of bone mineral density, body composition and dietary habits of 20-30 years women. Korean J Community Nutr 13(4):489-498
  18. Korea Centers for Disease Control and Prevention (2013): Korean national health and nutrition examination survey. CDC. Cheongju. pp.34
  19. Krall EA, Dawson-Hughes B (1999): Smoking increases bone loss and decreases intestinal calcium absorption. J Bone Miner Res 14(2):215-220 https://doi.org/10.1359/jbmr.1999.14.2.215
  20. Lee JH, Kang ES, Lee MH, Lee YE (2001): The effect of self-efficacy promotion smoking cessation program for middle school students. J Korean Community Nurs 12(3):716-731
  21. Lee JW, Lee MS, Kim JH, Son SM, Lee BS (2011): Nutritional assessment. 3rd ed. Kyomunsa. Paju. pp.89-90
  22. Lee KH, Lee CM, Kwon HT, Oh SW (2010): Relationship between obesity and smoking in Korean men: data analysis from the third and fourth Korea national health and nutrition examination survey (KNHANES). J Korean Soc Res Nicotine and Tobacco 1(2):115-123 https://doi.org/10.25055/JKSRNT.2010.1.2.115
  23. Lim SH (2012): Decreasing of bone mineral density in former smokers and current smokers: using the fourth Korean national health and nutrition examination survey (KNHANES IV-2, 3), 2008-2009. Masters degree thesis. Catholic University. pp.1-23
  24. Ma J, Betts NM, Hampl JS (2000): Clustering of lifestyle behaviors: the relationship between cigarette smoking, alcohol consumption, and dietary intake. Am J Health Promot 15(2):107-117 https://doi.org/10.4278/0890-1171-15.2.107
  25. Park HC, Rhyu HS, Roh HT (2013): The effects of exercise, drinking, smoking on body mass index, blood pressure, blood glucose, and total cholesterol in middle-aged men. Korea Soc Wellness 8(2):181-189
  26. Park SY (2012): The effect of lifestyle on bone mineral density in Korean elderly people aged 65 and over: data from the fourth Korea national health and nutrition examination survey (KNHANES IV-2, 3), 2008 and 2009. Masters degree thesis. Kyung Hee University. pp.2-17
  27. Park YC (2011): The introductory health science for smoking cessation. Korean Studies Information. Paju. pp.56-60
  28. Seo JS, Lee JH, Yoon GS, Cho SH, Choi YS (2014): Nutritional assessment. Powerbook. Goyang. pp.153
  29. Seo KY (2012): Morbidity and practical patterns on male osteoporosis in Korea. Masters degree thesis. Konyang University. pp.1-14
  30. Shin CS, Choi HJ, Kim MJ, Kim JT, Yu SH, Koo BK, Cho HY, Cho SW, Kim SW, Park YJ, Jang HC, Kim SY, Cho NH (2010): Prevalence and risk factors of osteoporosis in Korea: a community-based cohort study with lumbar spine and hip bone mineral density. Bone 47(2):378-387 https://doi.org/10.1016/j.bone.2010.03.017
  31. Shin ES, Kwon IS, Cho YC (2013): Investigation of blood pressure, serum lipids, and obesity indices according to smoking status in middle-aged males. J Korea Academia- Industrial Coop Soc 14(3):1359-1366 https://doi.org/10.5762/KAIS.2013.14.3.1359
  32. Smith JR, Landaw SA (1978): Smokers' polycythemia. N Engl J Med 298(1):6-10. https://doi.org/10.1056/NEJM197801052980102
  33. Sung CJ, Bae YJ (2005): The study on nutritional status, bone mineral density and plasma mineral concentrations of smoking male adults. Korean J Community Nutr 10(1):91-100
  34. Tamaki J, Iki M, Sato Y, Kajita E, Kagamimori S, Kagawa Y, Yoneshima H (2010): Smoking among premenopausal women is associated with increased risk of low bone status: the JPOS Study. J Bone Miner Metab 28(3):320-327 https://doi.org/10.1007/s00774-009-0129-8
  35. The Korean Nutrition Society (2010): Dietary reference intake for Koreans. The Korean Nutrition Society. Seoul. pp.1-9
  36. Williamson DF, Madans J, Anda RF, Kleinman JC, Giovino GA, Byers T (1991): Smoking cessation and severity of weight gain in a national cohort. N Engl J Med 324(11): 739-745 https://doi.org/10.1056/NEJM199103143241106
  37. Wong PK, Christie JJ, Wark JD (2007): The effects of smoking on bone health. Clin Sci (Lond) 113(5):233-241 https://doi.org/10.1042/CS20060173
  38. World Health Organization (1994): Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. World Health Organ Tech Rep Ser 843:1-129
  39. World Health Organization (2004): Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet 363(9403):157-163 https://doi.org/10.1016/S0140-6736(03)15268-3
  40. Yan C, Avadhani NG, Iqbal J (2011): The effects of smoke carcinogens on bone. Curr Osteoporos Rep 9(4):202-209 https://doi.org/10.1007/s11914-011-0068-x
  41. Yeon JY, Kim EY, Lee EJ, Bae YJ (2012): Relationship among pack-years of smoking, metabolic biomarkers, and diet quality in male adults: from the Korean national health and nutrition examination surveys, 2007-2009. J East Asian Soc Dietary Life 22(2):175-189
  42. Yoon HS (2011): Factors associated with decreased bone mineral density in Korean adults - Using the forth Korea health and nutrition examination survey, 2009. Masters degree thesis. Chosun University. pp.1-36
  43. Yoon YS, Oh SW, Baik HW, Park HS, Kim WY (2004): Alcohol consumption and the metabolic syndrome in Korean adults: the 1998 Korean national health and nutrition examination survey. Am J Clin Nutr 80(1):217-224
  44. Yun SH, Choi YH, Moon YS, Ahn SH, Kim TG (2002): Difference in hemoglobin between smokers and non-smokers. J Korean Acad Fam Med 23(1):80-86
  45. Zhang RF, Chandran M (2011): Knowledge of osteoporosis and its related risk factors among nursing professionals. Singapore Med J 52(3):158-162