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Relation among Dietary Habits, Nutrient Intakes and Bone Mineral Density in Korean Normal and Obese Elementary Students  

Bae Yun Jung (Department of Food and Nutrition, Sookmyung Women's University)
Kim Eun Yeong (Department of Food and Nutrition, Sookmyung Women's University)
Cho Hye Kyung (Department of Food and Nutrition, Sookmyung Women's University)
Kim Mi Hyun (Department of Food and Nutrition, Samcheok National University)
Choi Mi Kyeong (Department of Human Nutrition & Food Science, Chungwoon University)
Sung Mi Kyung (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.11, no.1, 2006 , pp. 14-24 More about this Journal
Abstract
The purpose of this study was to investigate the relation between bone mineral density and nutrient intake among normal and obese elementary students. Each subject was assigned to one of such as normal (n = 69) and obese groups (n = 94) according to their obesity indices. And they were asked for general characteristics, dietary habits and nutrient intakes using questionnaires and 24-hr recall method. They measured the sound of speed (SOS) of calcaneus using quantitative ultrasound. The averages age of the subjects were 10.6 years in normal and 10.7 years in obese group. The averages weight (p < 0.001) and obesity index (p < 0.001) of the normal group were significantly lower than those of the obese group. In dietary habits, the obese group in boys was the higher skipped breakfast than normal group (p < 0.01). The plant calcium intake of obesity in girls was lower than those of normal group (p < 0.05). The SOS in the calcaneus was 1697.6 m/s in the obese group and 1763.7 m/s in the normal group (p < 0.01). The SOS in the calcaneus was negatively correlated to weight (p < 0.01), obesity index (p < 0.001) and percent of body fat (p < 0.01). Also the SOS in the calcaneus was positively correlated plant calcium intake (p < 0.05). In conclusion, the excessive increase of weight and percent of body fat in elementary students appeared to have negative impact to bone health. And based on these results, further studies on the effects on bone mineral density of obese and nutrient intakes in needed for proper bone health.
Keywords
obesity; bone mineral density; nutrient intakes; dietary habits; elementary students;
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1 Aloia JF (1994): The gain and loss of bone in the human life cycle. Adv Nutr Res 9: 1-33
2 Cho EM, Kim JY, Bai SW, Park KH (1997): Analysis of correlation between parameters by QUS (Quantitative Ultrasound) and bone mineral density by DEXA (Dual-energy X-ray absorptiometey). Korean Society of Menopause 3(2): 171-177
3 Fehily AM, Coles RJ, Evans WD, Elwood PC (1992): Factors affecting bone density in young adults. Am J Clin Nutr 56(3): 579-586   DOI
4 Flynn A (2003): The role of dietary calcium in bone health. Proc Nutr Soc 62(4): 851-858
5 Heaney RP, Weaver CM (1990): Calcium absorption from kale. Am J Clin Nutr 51(4): 656-667   DOI
6 Kleinman RE, Hall S, Green H, Korzec-Ramirez D, Patton K, Pagano ME, Murphy JM (2002): Diet, breakfast, and academic performance in children. Ann Nutr Metab 46 Suppl 1: 24-30
7 Lee YS, Park HS, Lee MS, Sung MK, Park DY, Choi MK, Kim MH, Sung CJ (2002): A study of nutrient intake, serum lipid and leptin levels of elementary school students with different obesity index in Kyunggi area. Korean J Nutr 35(7): 743-753
8 Saldanha LG (1995): Fiber in the diet of US children: results of national surveys. Pediatrics 96(5 Pt 2): 994-997
9 Constantino NL (1995): The effects of impact on bone mineral density over the course of a sports season. Unpublished doctoral dissertation. University of Southern california
10 Jo GJ (2004): The research study on the food habits according to obesity index of primary school children in Busan. Korean J Food Culture 19(1): 106-117
11 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
12 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   DOI
13 Must A, Jacques PF, Dallal GE, Bajema CJ, Dietz WH (1992): Longterm morbidity and mortality of overweight adolescents. A followup of the Harvard Growth Study of 1922 to 1935. N Engl J Med 327(19): 1350-1355   DOI   ScienceOn
14 Kim SM (2001): Postmenopausal Obesity. Korean Society for the Study of Obesity 2001(0): 217-227
15 Park JK, Ahn HS, Lee DH (1995): Nutrient intake and eating behavior in mid and severely obese children. Korean Society for the Study of Obesity 4(1): 43-51
16 Korean Nutrition Society (2005): Dietary Reference Intakes for Koreans, Seoul
17 Serra Majem L, Ribas Barba L, Aranceta Bartrina J, Perez Rodrigo C, Saavedra Santana P, Pena Quintana L (2003): Childhood and adolescent obesity in Spain. Results of the enKid study (1998-2000). Med Clin (Barc) 121(19): 725-732   DOI   ScienceOn
18 Korean Society of Pediatrics (1999): Body growth standard value of Korean pediatrics in 1998, pp.7-12
19 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): 2106-2116   DOI
20 Glastre C, Braillon P, David L, Cochat P, Meunier PJ, Delmas PD (1990): Measurement of bone mineral content of the lumbar spine by dual energy x-ray absorptiometry in normal children: correlations with growth parameters. J Clin Endocrinol Metab 70(5): 1330-1333   DOI
21 Geppert J, Splett PL (1991): Summary document of nutrition intervention in obesity. J Am Diet Assoc Suppl: S31-35
22 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   DOI
23 Ministry of Health and Welfare (2002): 2001 National Health and Nutrition Survey-Overview, Health examination, Nutrition Survey I, II
24 Sung CJ, Sung MK, Choi MK, Kang YL, Kwon SJ, Kim MH, Seo YL, Adachi M, Mo SM (2001): An ecological study of food and nutrition in elementary school children in Korea. Korean J Community Nutr 6(2): 150-161
25 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   DOI
26 Lonzer MD, Imrie R, Rogers D, Worley D, Licata A, Secic M (1996): Effects of heredity, age, weight, puberty, activity, and calcium intake on bone mineral density in children. Clin Pediatr (Phila) 35(4): 185-189   DOI   ScienceOn
27 Rico H, Arribas I, Casanova FJ, Duce AM, Hernandez ER, Cortes-Prieto J (2002): Bone mass, bone metabolism, gonadal status and body mass index. Osteoporos Int 13(5): 379-387   DOI   ScienceOn
28 Weaver CM, Plawecki KL (1994): Dietary calcium: adequacy of a vegetarian diet. Am J Clin Nutr 59(5 Suppl): 1238S-1241S   DOI
29 Guo SS, Roche AF, Chumlea WC, Gardner JD, Siervogel RM (1994): The predictive value of childhood body mass index values for overweight at age 35y. Am J Clin Nutr 59(4): 810-819   DOI
30 Ooms ME, Lips P, Van Lingen A, Valkenburg HA (1993): Determinants of bone mineral density and risk factors for osteoporosis in healthy elderly women. J Bone Miner Res 8(6): 669-675   DOI   ScienceOn
31 Kang YJ, Hong CH, Hong YJ (1997): The prevalence of childhood and adolescent obesity over the last 18 years in Seoul area. Korean J Nutr 30(7): 832-839
32 Oblacinska A, Jodkowska M (2000): Eating patterns of school-aged children and adolescents in Poland- questionnaire investigations. Med Wieku Rozwoj 4(3 Suppl 1): 53-64
33 Adami S, Giannini S, Giorgino R, Isaia G, Maggi S, Sinigaglia L, Filipponi P, Crepaldi G, Di Munno O (2003): The effect of age, weight, and lifestyle factors on calcaneal quantitative ultrasound: the ESOPO study. Osteoporos Int 14(3): 198-207   DOI
34 Wardlaw GM (1996): Putting body weight and osteoporosis into perspective. Am J Clin Nutr 63(3 Suppl): 433S-436S   DOI
35 Goulding A, Taylor RW, Jones IE, McAuley KA, Manning PJ, Williams M (2000): Overweight and obese children have low bone mass and area for their weight. Int J Obes Relat Metab Disord 24(5): 627-632   DOI   ScienceOn
36 Leung AK, Robson WL (1990): Childhood obesity. Postgrad Med 87(4): 123-130
37 Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH (1997): Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med 337(13): 869-873   DOI   ScienceOn