The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
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An Analysis of The Correlation between Breast-feeding, Bone Mineral Density and Metabolic Syndrome in Elderly Women

여성노인의 대사증후군과 모유수유, 골밀도와의 연관성 분석

  • 황정희 (남서울대학교 컴퓨터소프트웨어학과)
  • Received : 2021.06.01
  • Accepted : 2021.07.28
  • Published : 2021.08.31
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Abstract

Women are reported to have increased risk of metabolic syndrome after menopause. Nevertheless, there is a lack of study on the convergent association between breast-feeding, bone mineral density(BMD) and metabolic syndrome due to women's childbirth. In this study, the data of 939 elderly women using raw data from the fifth Korean National Health and Nutrition Examination Survey(KNHANES V-1 and 2) in 2010 and 2011 were analyzed. The correlation between breast-feeding children, BMD and metabolic syndrome was analyzed by dividing them into three groups based on the number of breast-feeding children. As a result of the analysis, no specific association was found between risk factors of metabolic syndrome and BMD according to the increase in the number of breast-feeding children after adjustment for confounders. However, elderly women with a large number of breast-feeding children showed a significant association with more risk factors of metabolic syndrome. These findings can be used as a basic material for the prevention and diagnosis of metabolic syndrome and health care in elderly women.

여성은 폐경이후에 대사증후군의 위험이 더욱 증가한다고 보고되고 있지만, 출산으로 인한 모유수유, 골밀도와 대사증후군의 융합적 연관성에 대한 연구는 부족하다. 본 연구에서는 2010년과 2011년의 제 5기 국민건강영양조사의 원시자료를 이용하여 여성노인 939명을 대상으로, 모유 수유한 자녀수 기준의 세 그룹으로 분류하여 모유 수유한 자녀수, 골밀도와 대사증후군과의 연관성을 분석하였다. 분석 결과에서 변수 보정 후 모유수유 자녀수의 증가에 따른 대사증후군의 위험요인과 골밀도와의 유의한 연관성은 나타나지 않았지만, 모유 수유한 자녀수가 많은 여성노인은 더 많은 대사증후군 위험 요소들과 유의한 연관성을 보였다. 이러한 연구결과는 여성노인의 대사증후군 예방과 진단 그리고 건강관리를 위한 기초 자료로 활용될 수 있다.

Keywords

Acknowledgement

이 논문은 2020년도 남서울대학교 학술연구비 지원에 의해 연구되었음

References

  1. J. S. Kang, H. S. Kanf, E. K. Yun, R. Choi. Factors Influencing Health Behavior Compliance of Patients with Metabolic Syndrome. Korean J. of Adult Nursing. 24(2), pp. 191-199, 2012. https://doi.org/10.7475/kjan.2012.24.2.191
  2. E. J. Lee. Factors Affecting on Maintenance of Exercise among Elderly with Metabolic Syndrome. J. of the Convergence on Culture Technology. 4(2), pp. 139-147, 2018. https://doi.org/10.17703/JCCT.2018.4.2.139
  3. R. Ozelci, B. Dilbaz, E. Ozkaya, D. A. Cirik, T. Zengin, L. Mollamahmutog. Association between bone mineral density and metabolic syndrome in Turkish women who were postmenopausal. J. of Gynecology & Obstetrics. 133(3), pp. 370-374, 2016.
  4. Y. W. Park, S. Zhu, L. Palaniappan, S. Heshka, MR Carnethon & SB Heymsfield. The Metabolic Syndrome: Prevalence and Associated Risk Factor Findings in The US Population from The Third National Health and Nutrition Examination Survey, 1988-1994. Arch Intern Med. 163(4), pp. 427-436, 2003. https://doi.org/10.1001/archinte.163.4.427
  5. JD Tune, AG Goodwill, DJ Sassoon, KJ Mather. Cardiovascular Consequences of Metabolic Syndrome. J. of Laboratory and Clinical Medicine 83, pp. 57-70, 2017.
  6. JS Taylor, JE Kaxmar, M Nothnagle, RA Lawrence. A systematic Review of the Literature Associating Breast feeding with Type 2 Diabetes. J. of the American College of Nutrition, 24(5), pp. 320-326, 2005. https://doi.org/10.1080/07315724.2005.10719480
  7. MC Carr. The emergence of the metabolic syndrome with menopause. J. of Clinical Endocrinology & Metabolism, 88(6), pp. 2404-241, 2003. https://doi.org/10.1210/jc.2003-030242
  8. EP Gunderson et al. Childbearing is Associated with Higher Incidence of The Metabolic Syndrome among Women of Reproductive Age Controlling for Measurements before Pregnancy: The CARDIA Study. American J. of Obstetrics and Gynecology, 201(2), pp. 177-186, 2009.
  9. A Cohen, CF Pieper, AJ Brown, LA Bastian. Number of Children and Risk of Metabolic in Women. J. of Women's Health, 15(6), pp. 763-773, 2006. https://doi.org/10.1089/jwh.2006.15.763
  10. R Sichieri, AE Field, J Rich-Edwards, WC Willet. Prospective Assessment of Exclusive Breasetfeeding in Relation to Weight Change in Women. J. of Obesity, 27(7), pp. 815-820, 2003. https://doi.org/10.1038/sj.ijo.0802285
  11. EP Gunderson et al. Duration of Lactation and Incidence of The Metabolic Syndrome in Women of Reproductive Age according to Gestational Diabetes Mellitus Status: A 20-year Prospective Study in CARDIA (Coronary Artery Risk Development in Young Adults). Diabetes 59, pp. 495-504, 2010. https://doi.org/10.2337/db09-1197
  12. MA Bredella et al. Determinants of Bone Mineral Density in Obese Premenopausal Women. Bone 48, pp. 748-754. 2011. https://doi.org/10.1016/j.bone.2010.12.011
  13. M. Gotoh, K. Mizuno, Y. Ono, M. Takahashi. High Blood Pressure, Bone-mineral Loss and Insulin Resistance in Women. Hypertens Research. 28, pp. 565-570, 2005. https://doi.org/10.1291/hypres.28.565
  14. P Vestergaard. Discrepancies in Bone Mineral Density and Fracture Risk in Patients with Type 1 and Type 2 Diabetes-A Meta Analysis. Osteoporosis International with other metabolic bone diseases. 18, pp. 427-444, 2007.
  15. PL van Daele et al. Bone Density in Noninsulin-dependent Diabetes Mellitus: The Rotterdam Study. Ann Intern Med 122, pp. 409-414, 1995. https://doi.org/10.7326/0003-4819-122-6-199503150-00002
  16. M Russell et al. Visceral Fat is a Negative Predictor of Bone Density Measures in Obese Adolescent Girls. J. of Clinical Endocrinology & Metabolism, 95, pp. 1247-1255, 2001. https://doi.org/10.1210/jc.2009-1475
  17. S Adami et al. Relationship between Lipids and Bone Mass in 2 Cohorts of Healthy Women and Men. Calcified Tissue International. 74, pp. 136-142, 2004. https://doi.org/10.1007/s00223-003-0050-4
  18. S. H. Kim, J. Y. Kim. The Relationship between Risk Factors for Metabolic Syndrome and Bone Mineral Density in Menopausal Korean Women. Iranian J. of Public Health., 48(6), pp. 1025-1032, 2019.
  19. KG Alberti, P Zimmet, J Shaw. The Metabolic Syndrome a New Worldwide Definition. Lancet. 366(9491), pp. 1059-1062, 2005. https://doi.org/10.1016/S0140-6736(05)67402-8
  20. A Shamima et al. Higher Gravidity and Parity Are Associated with Increased Prevalence of Metabolic Syndrome among Rural Bangladeshi Women. PLOS ONE, 8(8), 2013.
  21. XQ Lao et al. Parity and The Metabolic Syndrome in Older Chinese Women: The Guangzhou Biobank Cohort Study. Clinical Endocrinology, 65(4), pp. 460-469. 2006. https://doi.org/10.1111/j.1365-2265.2006.02615.x
  22. H. J. Kim. Differences of lifestyle and prevalence of Metabolic Syndrome by Breatfeeding Experience of Woman in 30s and 40s. Master dissertation, Katholieke University, Seoul. 2014.
  23. JP Despres, I Lemieux. Abdominal obesity and metabolic syndrome. Nature 444, pp. 881-887, 2006. https://doi.org/10.1038/nature05488
  24. GL Vega, HB Adams, R Peshock, D Willett, B Shah, S.M Grundy. Influence of Body Fat Content and Distribution on Variation in Metabolic Risk. J. of Clinical Endocrinology & Metabolism. 91, pp. 4459-4466, 2006. https://doi.org/10.1210/jc.2006-0814
  25. KC Kim, DH Shin, SY Lee, JA Im, DC Lee. Relation between Obesity and Bone Mineral Density and Vertebral Fractures in Korean Postmenopausal Women. Yonsei medical journal, 51(6), pp. 857-863, 2010. https://doi.org/10.3349/ymj.2010.51.6.857
  26. SH Kim, JY Kim. The Relationship between Risk Factors for Metabolic Syndrome and Bone Mineral Density in Menopausal Korean Women. Iranian J. of Public Health, 48(6), pp. 1025-1032, 2019.
  27. R Recker, J Lappe, K Davies, R Heaney. Characterization of Perimenopausal Bone Loss: A Prospective Study. J. of Bone and Mineral Research 15, pp. 1965-1973, 2010. https://doi.org/10.1359/jbmr.2000.15.10.1965
  28. Q Sun et al. The Relationship between Calcaneus Bone Mineral Density and Metabolic Syndrome. Chinese J. of Internal Medicine, 53(7), pp. 542-545, 2014. https://doi.org/10.3760/cma.j.issn.0578-1426.2014.07.010