Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Relationship between Bone Mineral Density and Bone Metabolic Biochemical Markers and Diet Quality Index-International(DQI-I) in Postmenopausal Obese Women

폐경비만여성의 골밀도와 골대사 지표 및 식사의 질 상관성 조사

  • Jeong, Yeonah (Department of Nutrition Services, Wonkwnag University Hospital) ;
  • Kim, Misung (Department of Food and Nutrition, Wonkwang University) ;
  • Shin, Saeron (Department of Family Medicine, Wonkwang University Hospital) ;
  • Han, Ahreum (Department of Family Medicine, Wonkwang University Hospital) ;
  • Seo, Geomsuk (Department of Internal Medicine, Digestive Disease Research Institute, Wonkwang University College of Medicine) ;
  • Sohn, Cheongmin (Department of Food and Nutrition, Wonkwang University)
  • 정연아 (원광대학교병원 영양팀) ;
  • 김미성 (원광대학교 식품영양학과) ;
  • 신새론 (원광대학교병원 가정의학과) ;
  • 한아름 (원광대학교병원 가정의학과) ;
  • 서검석 (원광대학교 의과대학 내과학교실, 소화기질환연구소) ;
  • 손정민 (원광대학교 식품영양학과)
  • Received : 2016.06.13
  • Accepted : 2016.06.22
  • Published : 2016.06.30
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Abstract

Objectives: This study compared the differences of postmenopausal women's bone mineral density in relation to the degree of obesity, metabolism index and dietary factors that affect bone mineral density. Methods: The subjects included in the study are 39 postmenopausal women of normal weight with body mass index less than $25kg/m^2$ and 32 postmenopausal who are obese. Anthropometry and biochemical analysis were performed and nutrient intakes and DQI-I were assessed. Results: Normal weight women were $56.03{\pm}3.76years$ old and obese women were $58.09{\pm}5.13years$ old and there was no significant difference in age between the two groups. The T-score of bone mineral density was $0.03{\pm}1.06$ in normal weight women and $-0.60{\pm}1.47$ in obese women and this was significantly different between the two groups (p<0.05). Blood Leptin concentration was significantly lower in normal weight women ($6.09{\pm}3.37ng/mL$) compared to obese women in ($9.01{\pm}4.99ng/mL$) (p<0.05). The total score of diet quality index-international was $70.41{\pm}9.34$ in normal weight women and $64.93{\pm}7.82$ in obese women (p<0.05). T-score of bone mineral density showed negative correlations with percentage of body fat (r = -0.233, p=0.05), BMI (r = -0.197, p=0.017), triglyceride (r = -0.281, p=0.020) and leptin (r = -0.308, p=0.011). The results of multiple regression analysis performed as the method of entry showed that with 22.0% of explanation power, percentage of body fat (${\beta}=-0.048$, p<0.05), triglyceride (${\beta}=-0.005$, p<0.05) and HDL-cholesterol (${\beta}=0.034$, p<0.01), moderation of DQI-I (${\beta}=-0.231$, p<0.05) affected T-score significantly. Conclusions: The results of the study showed that obese women have less bone density than those with normal weight women. In addition, the factor analysis result that affect bone mineral density showed that intake of fat is a very important factor. Therefore, postmenopausal women need to maintain normal weight and manage blood lipid levels within normal range. They also need to take various sources of protein and reduce consumption of empty calorie foods that have high calories, fat, cholesterol and sodium.

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