Browse > Article

A Comparison between Postmenopausal Osteoporotic Women and Normal Women of Their Nutrient Intakes and the Evaluation of Diet Quality  

Bae Yun-Jung (Department of Food and Nutrition, Sookmyung Women's University)
Sung Chung-Ja (Department of Food and Nutrition, Sookmyung Women's University)
Publication Information
Korean Journal of Community Nutrition / v.10, no.2, 2005 , pp. 205-215 More about this Journal
Abstract
The purpose of this study was to compare the nutrient intake and diet quality of postmenopausal osteoporotic women to those of control subjects, and to investigate the relationship among diet quality and bone mineral density in postmenopausal women. In this study, we classified the subjects into the postmenopausal osteoporotic women (n =38) and control (n = 43) according to their lumbar spine bone mineral density and age. Dietary intakes, anthropometric measurements and dietary quality indices were measured and evaluated. The average age of osteoporotic and control group were 60.4 yrs and 58.3 yrs, respectively and there was no significant difference. Body weight, body mass index of osteoporotic group were significantly lower than those of control group. The average energy intake of osteoporotic and control group were 1243.3 kcal and 1475.8 kcal, respectively and there was a significant difference. The osteoporotic group consumed significantly lower quantities of protein, plant protein, vitamin A, vitamin $B_1,\;vitamin\;B_2$, folate, vitamin C, calcium, animal calcium, plant calcium, iron and zinc compared to the control group. The osteoporotic group consumed significantly lower of food, vegetables, mushrooms, fruits intakes compared to the control group. In the diet quality, protein, vitamin A, vitamin $B_1,\;vitamin\;B_2$, folate, vitamin C, calcium, iron, Zinc nutrient adequacy ratio (NAR) of osteoporotic group were significantly lower than that of control group. Mean adequacy ratio (MAR) of osteoporotic and control group were 0.63 and 0.78, respectively and there was significant difference. To evaluate nutrient density, Index of nutritional quality (INQ) was calculated by dividing nutrient content per 1,000 kcal of diet with RDA per 1,000 kcal. The average dietary variety score (DVS) of osteoporotic and control group were 22.4 and 33.2, respectively and there was significant difference. DVSs of pulses (p<0.01), seeds (p<0.01) and vegetables (p<0.05) in osteoporotic group were significantly lower than those of the control. In conclusion, postmenopausal osteoporotic women had lower protein, vitamin A, folate, vitamin C, calcium, iron zinc intake quality and vegetables, mushrooms, fruits DVSs than those of the control. Therefore, to promote skeletal health enough energy and food should be consumed, and the maintenance of vitamin and mineral balance by increasing of vitamin A, folate, vitamin C, calcium, iron of intakes are very important.
Keywords
postmenopausal; osteoporotic women; nutrient intakes; diet quality;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Angus RM, Sambrook PN, Pocock NA, Eisman JA (1988): Dietary intake and bone mineral density. Bone Miner 4 (3) : 265-277
2 Choi YJ, Kim SY, Jung KA, Chang YK (2000): An assessment of diet quality in the postmenopausal women. Korean J Nutrition 33 (3) : 304-313
3 Lee BK, Chang YK, Choi KS (1992): Effect of nutrient intake on bone mineral density in postmenopausal women. Korean J Nutrition 25 (7) : 656-667
4 Lee JE, Ahn YJ, Lee JY, Cha JH, Park C, Kim KC (2004): Evaluation of nutrient intake quality over 40 year-old people living in rural and suburban areas. Korean J Community Nutrition 9(4): 491-500
5 Miller WL, Crabtree BF, Evans DK (1992): Exploratory study of the relationship between hypertension and diet diversity among Saba Islanders. Public Health Rep 107 (4) : 426-432
6 Oh SY (2000): Analysis of method on dietary quality assessment. Korean J Community Nutrition 5 (2S) : 362-367
7 Prockop DJ (1971): Role of iron in the synthesis of collagen in connective tissue. Fed Proc 30 (3) : 984-990
8 Rapuri PB, Gallagher JC, Haynatzka V (2003): Protein intake: effects on bone mineral density and the rate of bone loss in elderly women. Am J Clin Nutr 77 (6): 1517-1525
9 Tucker KL, Hannan MT, Chen H, Cupples LA, Wilson PW, Kiel DP (1999): Potassium, magnesium and fruit and vegetable intakes are associated with grater bone mineral density in elderly men and women. Am J Clin Nutr 69(4): 727-736
10 Douchi T, Yamamoto S, Kuwahata R, Oki T, Yamasaki H, Nagata Y (2000) : Effect of non-weight-bearing body fat on bone mineral density before and after menopause. Obstet Gynecol 96 (1): 13-17   DOI   ScienceOn
11 Kim IS, Yu HH (2001): Diet qualities by sex and age of adults over thirty years old in Jeon-ju area. Korean J Nutrition 34 (5) : 580-596
12 Slemenda CW (1995): Body composition and skeletal density-mechanical loading or something more. J Clin Endocrinol Metab 80(6): 1761-1773   DOI   ScienceOn
13 Kim SY (1998): The analysis of nutritional factors related to hypercholesterolemia in postmenopausal women. Hanyang University
14 Choi YH (2002): A study on nutritional status, bone metabolism related factors and serum mineral in Korean postmenopausal women with different bone mineral density. Sookmyung Women's University
15 Gurthrie HA, Scheer JC (1981) : Validity of a dietary score for assessing nutrient adequacy. J Am Diet Assoc 78 (3): 241-245
16 Carol PR, Joann LD(1986): Evaluation of the Nutrient Guide as a dietary assessment tool. J Am Diet Assoc 86 (2) : 228-233
17 Abelow BJ, Holford TR, Insogna KL (1992): Cross-cultural association between dietary animal protein and hip fracture: a hypothesis. Calcif Tissue Int 50 (1): 14-18   DOI   ScienceOn
18 Lee SY, Ju DL, Paik HY, Shin CS, Lee HK (1998): Assessment of dietary intake obtained by 24-hour recall method in adults living in Yeonchon Area (1): assessment based on nutrient intake. Korean J Nutrition 31 (3): 333-342
19 La Vecchia C, Munoz SE, Braga C, Fernandez E, Decarli (1997): Diet diversity and gastric cancer. Int J Cancer 72 (2) : 255-267   DOI   ScienceOn
20 McCann SE, Randall E, Marshall JR, Graham S, Zielezny M, Freudenheim JL (1994): Diet diversity and risk of colon cancer in western New York. Nutr Cancer 21 (2): 133-141   DOI   ScienceOn
21 Tranquilli AL, Lucino E, Garzetti GG, Romanini C (1994): Calcium, phosphorus and magnesium intakes correlate with bone mineral content in postmenopausal women. Gynecol Endocrinol 8(1): 55-58   DOI   ScienceOn
22 Schuette SA, Hegsted M, Zemel MB, Linkswiler HM (1981): Renal acid, urinary cyclic AMP, and hydroxyproline excretion as affected by level of protein, sulfur amino acid, and phosphorus intake. J Nutr 111 (12): 2106-2016
23 Dawson-Hughes B, Jacques P, Shipp C (1987): Dietary calcium intake and bone loss from the spine in healthy postmenopausal women. Am J Clin Nutr 46 (4) : 685-697
24 Franceschi RT (1992): The role of ascorbic acid in mesenchymal differentiation. Nutr Rev 50 (3) : 65-70   DOI   ScienceOn
25 Lee HJ, Lee HO (1999): A study on the bone mineral density and related factors in Korean postmenopausal women. Korean J Nutrition 32 (2) : 197-203
26 Lee JS, Yu CH, Park SH, Han GJ, Lee SS, Moon HK, Paik HY, Shin SY (1998): A study on nutritional intake of the rural people in Korea-comparison of the nutritent intake by areas and age. Korean J Nutrition 31 (9): 1468-1480
27 Preisinger E, Leitner G, Uher E, Alacamlioglu Y, Seidl G, Marktl W, Resch KL (1995): Nutrition and osteoporosis: a nutritional analysis of women in postmenopause. Wien Klin Wochenschr 107 (14) : 418-422
28 Wang MC, Luz Villa M, Marcus R, Kelsey JL (1997): Associations of vitamin C, calcium and protein with bone mass in postmenopausal Mexican American women. Osteoporos Int 7(6) : 533-538   DOI   ScienceOn
29 Kim IS, Seo EA, Yu HH (1999): A longitudinal study on the change of nutrients and food consumption with advance in age among middle-aged and the elderly. Korean J Community Nutrition 4 (3) : 394-402
30 Metz JA, Anderson JJ, Gallagher PN Jr (1993): Intakes of calcium, phosphorus, and protein, and physical-activity level are related to radial bone mass in young adult women. Am J Clin Nutr 58 (4) : 537-542
31 Fernandez E, D'Avanzo B, Negri E, Franceschi S, La Vecchia C (1996): Diet diversity and the risk of colorectal cancer in northern Italy. Cancer Epidemiol Biomarkers Prev 5(6) : 433-436
32 Gibson RS (1990): Nutritional Assessment. New York, Oxford University Press
33 Ministry of Health & Welfare (2002): Report on 2001 national nutrition survey-Health behavior survey, Seoul
34 Shim JE, Ryu JY, Paik HY (1997) : Contribution of seasonings to nutrient intake assessed by food frequency questionnaire in adults in rural area of Korea. Korean J Nutrition 30(10): 1211-1219
35 Drewnowski A, Henderson SA, Shore AB, Fischler C, Preziosi P, Hercberg S (1996): Diet quality and dietary diversity in France: implications for the French paradox. J Am Diet Assoc 96 (7) : 663-669   DOI   ScienceOn
36 Jones G, Beard T, Parameswaran V, Greenaway T, Von Witt R (1997): A population-based study of the relationship between salt intake, bone resorption and bone mass. Eur J Clin Nutr 51 (8): 561-565   DOI   ScienceOn
37 Shim JE, Paik HY, Lee SY, Moon HK, Kim YO (2002): Comparative analysis and evaluation of dietary intake of Koreans by age groups: (4) The Korean diet quality index. Korean J Nutrition 35 (5) : 558-570
38 Szponar L, Rychlik E (2002): Dietary intake elderly subjects in rural and urban area in Poland. Pol Merkuriusz Lek 13 (78) : 490-496
39 Jequier E (1984): Thermogenesis induced by nutrient administration in man. Infusionsther Klin Ernahr 11 (4): 184-188
40 Kant AK, Schatzkin A, Ziegler RG (1995): Dietary diversity and subsequent cause-specific mortality in the NHANES I epidemiologic follow-up study. J Am Coll Nutr 14 (3) : 233-238
41 Kim IS, Yu HH, Seo ES, Seo EA, Lee HJ (2002): A study on the dietary quality assessment among the elderly in Jeonju area. Korean J Nutrition 35 (3) : 352-367
42 Evans CE, Chughtai AY, Blumsohn A, Giles M, Eastell R (1997): The effect of dietary sodium on calcium metabolism in premenopausal and postmenopausal women. Eur J Clin Nutr 51 (6) : 394-399   DOI   ScienceOn
43 Tkatch L, Rapin CH, Rizzoli R, Slosman D, Nydegger V, Vasey H, Bonjour JP (1992): Benefits of oral protein supplementation in elderly patients with fracture of the proximal femur. J Am Coll Nutr 11 (5) : 519-525