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http://dx.doi.org/10.5720/kjcn.2013.18.2.177

Factors Associated with Bone Mineral Density in Korean Postmenopausal Women Aged 50 Years and Above: Using 2008-2010 Korean National Health and Nutrition Examination Survey  

Mun, Son-Ok (Department of Obesity Management, Dongduk Women's University)
Kim, Jihye (Department of Clinical Nutrition, Dongduk Women's University)
Yang, Yoon Jung (Department of Food & Nutrition, Dongduk Women's University)
Publication Information
Korean Journal of Community Nutrition / v.18, no.2, 2013 , pp. 177-186 More about this Journal
Abstract
The purpose of this study was to investigate factors associated with Bone Mineral Density (BMD) in Korean postmenopausal women. The data from 2008-2010 Korean National Health and Nutrition Examination Survey (KNHANES) were used for data analysis. Subjects were 2,701 postmenopausal women aged ${\geq}50$ years. BMDs at whole body, total femur, femoral neck, and lumbar spine were measured by Dual-energy X-ray absorptiometry (DXA). Dietary data from 24-hour dietary recall and a food frequency questionnaire containing 63 food items were used. The proportions of osteopenia at total femur, femoral neck, and lumbar spine were 37.4%, 54.5%, and 45.4%, respectively. The proportions of osteoporosis at total femur, femoral neck, and lumbar spine were 6.2%, 25.6%, and 34.3%, respectively. Age, anthropometric index including height, weight, and Body Mass Index (BMI), parathyroid hormone, and physical activity were related to BMD, but the relationships were site specific. Total femur BMD was explained by age, weight, parathyroid hormone and intakes of carbohydrate and fruits. Femoral neck BMD was related to age, weight, parathyroid hormone and intakes of riboflavin and fruits. Lumbar spine BMD was associated with age, weight, milk and dairy products, calcium intake, and exercise. These results indicated that adequate intakes of milk and dairy products, fruits, carbohydrate, calcium, riboflavin and exercise as well as weight maintenance might play an important role in maintaining optimum bone health in Korean postmenopausal women.
Keywords
Bone mineral density; osteoporosis; osteopenia; postmenopausal women; dietary factor;
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1 Basu S, Michaelsson K, Olofsson H, Johansson S, Melhus H (2001): Association between oxidative stress and bone mineral density. Biochem Biophys Res Commun 288(1): 275-279   DOI   ScienceOn
2 Chae JW, Kim IH, Kwon WS, Lee KM, Jung SP, Moon Y (2003): The relationship between body composition and bone mineral density in postmenopausal women. Yeungnam Univ J Med 20(1): 53-61   DOI
3 Cheng XG, Yang DZ, Zhou Q, Zhuo TJ, Zhang HC, Xiang J, Wang HF, Ou PZ, Liu JL, Xu L, Huang GY, Huang QR, Barden HS, Weynand LS, Faulkner KG, Meng XW (2007): Age-related bone mineral density, bone loss rate, prevalence of osteoporosis, and reference database of women at multiple centers in China. J Clin Densitom 10(3): 276-284   DOI   ScienceOn
4 Choe HJ, Lee DJ (2003): Age-related change of spinal bone mineral density and accumulated bone loss rate in women. J Korean Soc Menopause 9(2): 171-176
5 Chung YS (2010): The medical treatment of osteoporosis. Korean J Med 79(3): 250-253
6 Dalsky GP, Stocke KS, Ehsani AA, Slatopolsky E, Lee WC, Birge SJ (1998): Weight-bearing exercise training and lumbar bone mineral content in postmenopausal women. Ann Intern Med 108(6): 824-828
7 Dawson-Hughes B, Dalal GE, Krall EA, Sadowski L, Sahyoun N, Tannenbaum S (1990): A controlled trial of the effect of calcium supplementation on bone density in postmenopausal women. N Engl J Med 323(13): 178-183
8 Douchi T, Yamamoto S, Oki T (2000): Difference in the effect of adiposity on bone density between pre and postmenopausal women. Maturitas 34(3): 261-266   DOI   ScienceOn
9 El Maghraoui A, Guerboub AA, Achemlal L, Mounach A, Nouijai A, Ghazi M, Bezza A, Tazi MA (2006): Bone mineral density of the spine and femur in healthy Moroccan women. J Clin Densitom 9(4): 454-460   DOI   ScienceOn
10 Finkelstein JS, Lee ML, Sowers M, Ettinger B, Neer RM, Kelsey JL, Cauley JA, Huang MH, Greendale GA (2002): Ethnic variation in bone density in premenopausal and early perimenopausal women: Effects of anthropometric and lifestyle factors. J Clin Endocrinol Metab 87(7): 3057-3067   DOI
11 Garnero P, Delmas PD (1996): New developments in biochemical markers for osteoporosis. Calcif Tissue Int 59 Suppl 1: S2-9   DOI
12 Garnero P, Munoz F, Sornay-Rendu E, Delmas PD (2007): Associations of vitamin D status with bone mineral density, bone turnover, bone loss and fracture risk in healthy postmenopausal women. Bone 40(3): 716-722   DOI   ScienceOn
13 Han IK (1995): Hormone replacement therapy for osteoporosis. J Korean Med Assoc 38(1): 42-48
14 Hwang YC, Ahn HY, Jeong IK, Ahn KJ, Chung HY (2013): Optimal serum concentration of 25-hydroxyvitamin D for bone health in older Korean adults. Calcif Tissue Int 92: 68-74   DOI   ScienceOn
15 Kang BM, Kim MR, Yoon BK, Lee BS, Chung HW, Choi Hoon, Park HM, Kim JU (2007): The influence of exercise on bone mineral density in Korean postmenopausal women. J Korean Soc Menopause 13(2): 131-136
16 Kim HJ (2003): Reserarch on relation of nutrients intake, health status, and bone mineral density in middle-aged women. J Korean Diet Assoc 9(4): 307-315
17 Kim KR, Kim KH, Lee EK, Lee SS (2000): A study on the factors affecting bone mineral density in adult women-based on the mothers of elementary school students. Korean J Nutr 33(3): 241-249
18 Lau EM, Suriwongpaisal P, Lee JK, Das De S, Festin MR, Saw SM, Khir A, Torralba T, Sham A, Sambrook P (2001): Risk factors for hip fracture in Asian men and women-the Asian Osteoporosis Study (AOS). J Bone Miner Res 16(3): 572-580   DOI   ScienceOn
19 Kim JH, Jung JC, Kim SO (2004): Survey on the benefit coverage rate of national health insurance in 2004. Health Insurance Research Institute
20 Kim MH, Kim JS, Kim YM (2002): The relationship between bone mineral density and physical, obstetric characteristics in middleaged women. J Korean Acad Adult Nurs 14(4): 532-542
21 Lee HJ, Choi MJ, Lee IK (1996): The effect of anthropometric measurement and body composition on bone mineral density of Korean women in Taegu. Korean J Nutr 29(7): 778-787
22 Lim JS, Kim KM, Rhee Y, Lim SK (2012): Gender-dependent skeletal effects of vitamin D deficiency in a younger generation. J Clin Endocrinol Metab 97(6): 1995-2004   DOI   ScienceOn
23 Maalouf G, Salem S, Sandid M, Attallah P, Eid J, Saliba N, Nehme I, Johnell O (2000): Bone mineral density of the Lebanese reference population. Osteoporos Int 11(9): 756-764   DOI   ScienceOn
24 Meyer HE, Sogaard AJ, Falch JA, Jørgensen L, Emaus N (2008): Weight change over three decades and the risk of osteoporosis in men. Am J Epidemiol 168(4): 454-460   DOI   ScienceOn
25 Mikhail BI (1992): Reduction of risk factors for osteoporosis among adolescents and young adults. Issues Compr Pediatr Nurs 15(4): 271-280   DOI
26 Morton DJ, Barrett-Connor E, Kritz-Silverstein D, Wingard DL, Schneider DL (2003): Bone mineral density in postmenopausal Caucasian, Filipina, and Hispanic women. Int J Epidemiol 32(1): 150-156   DOI   ScienceOn
27 Na HB (2004): Factors affecting bone mineral density in Korean women by menopause. Korean J Community Nutr 9(1):73-78
28 NOF Scientifis Statement (2012): NOF'S updated recom-mendations for calcium and vitamin D3 intake. Available from http:// www.nof.org/files/nof /public/co-ntent/file/218/upload/68.pdf [cited 2012 October 12]
29 Nam TH, Oh DJ, Han SS, Cha SU, Kim YW (1997): A preliminary research on osteoporosis in women before and after menopause. J Phys Educ Sports Sci 13: 227-244
30 National Institutes of Health (2000): Osteoporosis prevention, diagnosis, and therapy. NIH Consens Statement 17: 1-45
31 Oh KW (2008): Diabetes and osteoporosis. Korean Diabetes J 33(3): 169-177
32 Okubo H, Sasaki S, Horiguchi H, Oguma E, Miyamoto K, Hosoi Y, Kim MK, Kayama F (2006): Dietary patterns associated with bone mineral density in premenopausal Japanese farmwomen. Am J Clin Nutr 83(5): 1185-1192   DOI
33 Park J, Choi M, Lee S, Choi Y, Park Y (2011): The association between bone mineral density, bone turnover markers and nutrient intake in pre- and postmenopausal women. Korean J Nutr 44(1): 29-40   DOI
34 Park YJ, Koo BS, Kang BS, Chun SH, Yoon JW (2001): The menopausal age and climacteric symptoms and the related factors of Korean women. Korean J Women Health Nurs 7(4): 473-485
35 Rikli RE, McManis BG (1990): Effects of exercise on bone mineral content in postmenopausal women. Res Q Exerc Sport 61(3): 243-249   DOI   ScienceOn
36 Ross AC, Taylor CL, Yaktine AL, Del Valle HB, Editors (2011): Dietary reference Intakes for calcium and vitamin D. The National Academies Press, Washington D.C, pp.13-14
37 Sadat-Ali M, Al-Habdan IM, Al-Mulhim FA, El-Hassan AY (2004): Bone mineral density among postmeno-pausal Saudi women. Saudi Med J 25(11): 1623-1625
38 Shils ME, Olson JA, Shike M, Ross AC (1999): Modern nutrition in health and disease. Nine edition, Lippincott Williams and Wilkins, Riverwoods, pp.1353-1364
39 Sung CJ, Baek SK, Lee HS, Kim MH, Choi SH, Lee SY, Lee DH (2001): A study of body anthropometry and dietary factors affecting bone mineral density in Korean pre-and postmenopausal women. J Korean Soc Food Sci Nutr 30(1): 159-167
40 Shin A, Lim S, Sung J, Myung S, Kim J (2010): Dietary habit and bone mineral density in Korean postmenopausal women. Osteoporos Int 21: 947-955   DOI   ScienceOn
41 Wardlaw GM, Weese N (1995): Putting calcium into perpective for your clients. Clin Nutr 11(1): 23-35
42 Yoon EH, Noh H, Lee HM, Hwang HS, Park HK, Park YS (2012): Bone mineral density and food-frequency in Korean adults: The 2008 and 2009 Korea national health and nutrition examination survey. Korean J Fam Med 33: 287-295   DOI   ScienceOn
43 You MH, Son BS, Park JA, Kim JO, Yang WH (2004): Patterns of bone mineral density of adult women and its causal factors in Suwon Korea. Korea J Sanitation 19(3): 71-80
44 Youk JI (2004): Female bone mineral density in an urban area and its relation with contributing factors. Master thesis, Graduate school of public health, Chungnam National University, pp. 26-30
45 Yu CH, Lee JS, Lee LH, Kim SH, Lee SS, Kang SA (2004): Nutritional factors related to bone mineral density in the different age group of Korean men. Korean J Nutr 37(2): 132-142