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Bone Mineral Density, with Anthropometric Measurement, and Maternal Factors for Postmenopausal Women in Chungnam  

Park, Mie-Ja (Dept. of Food and Nutrition, Kongju National University)
Publication Information
The Korean Journal of Food And Nutrition / v.20, no.4, 2007 , pp. 450-459 More about this Journal
Abstract
This study was performed to assess the relationships between bone mineral density(BMD), anthropometric measurements, and maternal factors in postmenopausal women. The anthropometric measurements were taken by a trained practitioner, and the maternal factors of the 85 subjects in Chungnam were acquired by an interview questionaire. The BMDs of the lumbar $spines(L_2-L_4)$, femoral necks(FN), ward's triangles(WT), and trochanters(TR) were measured by dual energy X-ray absorptiometry(DEXA). The BMDs(T-score) for $L_2-L_4$, FN, and WT were 0.996 $g/cm^2$(-1.601), 0.697 $g/cm^2(-1.657)$, and 0.793 $g/cm^2(-1.512)$ respectively, which were assessed as osteopenia by the T-score ; TR was noma1 at 0.718 $g/cm^2(-0.675)$. The 85 subjects in Chungnam were divided into three groups according to their BMD measurements for $L_2-L_4$ and FN, assessed by the T-score. The percentages in the osteoporosis, osteopenia, and normal groups were 32.9%, 42.4, and 24.7%, respectively. The average age was significantly the highest in the osteoporosis group than in the other two osteopenia and normal group(p<0.001). The subjects' BMDs were positively correlated with weight, height, BMI, waist, WHR, OBR and hip circumference, and negatively correlated with the age, duration time after menopause, lactation, the age of last delivery, menarche age, and number of children. The average age at menopause was 48.8. The osteoporosis group's average age at menopause was lower than those of the other groups. However, the BMD of the lumbar spine positively correlated with duration time after menopause and the BMD of the femoral neck with lactation, last delivery, menarch age, number of children. Therefore, researches are needed to find out the effective way to minimize the effect of age and other physiological conditions on the decrease of bone mass density.
Keywords
bone density; postmenopausal; anthropometric indices; body mass index; menarche age;
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Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Son, SM and Lee, YN. Bone density of the middle aged women residing in urban area and the related factors. Kor. J. Commu. Nutr. 3:380-388. 1998   과학기술학회마을
2 Lee, HJ, Choi, MJ and Lee, IK. The effect of anthropometric measurement and body composition on bone mineral density of Korean women in Taegu. Kor. J. Nutr. 29:778-787. 1996   과학기술학회마을
3 Judd, HL, Jude, GE, Lucas, WE and Yen, SSc. Endocrine function of the postmenopausal ovary: concentration of andrgens and estrogens in ovarian and peripheral vein blood. J. Clin. Endocrinol Metab. 39:1020-1024. 1974   DOI
4 Schindler, AE, Ebert, A and Friedrich, E. Conversion of androstendione to estrone by human tissue. J. Clin. Endocrinol Metab. 35:627-630. 1972   DOI
5 Min, HG. Conceptualism of osteoporosis therapy. Kor. J. Endocrinol Metab. 4:1-3. 1989
6 Son, SM, Park, YJ, Koo, Jo, MO, SM, Yoon, HY and Sung, CJ. Nutritional and health status of Korean elderly from low income, urban area and improving effect of meal service on nutritional and health status-I. anthropometric measurements and nutrient intakes. Kor. J. Commu. Nutr. 1:79-88. 1996
7 Cummings, SR, Nevitt, MC, Browner, WS, Stone, K, Fox, KM, EO, Srud, KE, Caulex, J, Black, D and Vogt, TM. Risk factors for hip fracture in white women, Study of Osteoporotic Fractures Research Group. N. Engl. J Med. 332: 767-773. 1995   DOI   ScienceOn
8 Ziegler, R, Scheidt-Nave, C and Schar1a, S. Pathophydsiology of osteporosis : Unresolved problems and new insights. J. Nutr. 125(7 supp1):2033S-2037S. 1995
9 Yong, SJ, Lim, SG, Huh, KB, Park, BM and Kim, NH. Bone density of Korean adults. Kor. J. Medical. 31:1350-1358. 1998
10 Choi, EJ and Lee, HO. Influencing factors on the bone status of rural menopausal women. Kor. J. Nutr. 29:1013-1020. 1996   과학기술학회마을
11 Burtis, G and Martin, S. Applied nutrition and diet therapy WB. Saunders Company. Phildelphia. 1988
12 Steinberg, KK, Freni-Titulaer, LW, DePuey, EG, Miller, DT, Sgoutas, DS, Coralli, CH, Phillips, DL, Rogers, TN and Clark, RY. Sex steroid and bone density in premenopausal and perimenopausal women. J. Clin. Endocrinol. Metab. 69: 533-539. 1989   DOI
13 Ley, CJ, Lees, B and Stevenson, Jc. Sex-and menopauseassociated changes in body-fat distribution. Am. J. Clin. Nutr. 55:950-954. 1992   DOI
14 Psquali, R, Casimirri, F, Pate, L and Capelli M Characterization of obes women with reduced sex-hormone binding globulin concentrations. Horm. Meta. Res. 22:303-306. 1990   DOI
15 Desimone, DP, Stevens, J and Edwards, J. Influence of body and race on bone mineral density of the midradius, hip. J. bone. Miner Res. 4:827-830. 1989   DOI   ScienceOn
16 Sadler, MJ, Strain, JJ and Caballero, B. Encyclopedia of Human Nutrition. Academic Press. 1999
17 Edwards, DAW. Differences in the distribution of subcutaneous fat with sex and maturity. Clin. Sci. 10:305-315. 1951
18 Lee, Ho. Parameters affecting bone mineral density of menopausal women. Institute of Family Life. Chungang University. 10:161-190. 1997
19 Kim, HM, Han, IK and Cho, NH. The effects on bone metabolism of delivery frequency: sectionnal study. Kor. J. Menopause. 4:16-25. 1998
20 Liel, Y, Edwards, J, Spicer, KM and Gordon, L. The effects of race and body habitus on bone mineral density of radius, hip and spine in premenopausal women. J. Clin. Endocrinol Metab. 66:1247-1250. 1998
21 Lee, HJ and Lee, HO. A study on the bone mineral density and related factors in Korean postmenopausal women. Kor. J. Nutr. 32:197-203. 1999
22 Preisinger, E, Leitner, G, Uher, E, Alacamlioglu, Y, Seidl, G, Marktl, W and Resch, KL. Nutrition and osteoporosis: a nutritional analysis of women in postmenopausal. Wien. Klin. Wochenschr. 107:418-422. 1995
23 Sung, CJ, Choi, SH, Kim, MH, Choi, YH, Lee, DH, Back, SK, Kim, HK and Choi, MK. A study on nutritional status, maternal factors and lifestyles according to BMD in rural postmenopausal women. Kor. J. Commu. Nutr. 6:192-204. 2001
24 Kim, SY, Yoon, JS and Cha, BG. Relationship among body fat distribution, adiposity, fasting serum insulin and lipids in adult female. Kor. J. Nutr. 25:221-232. 1992   과학기술학회마을
25 Moon, SJ, Kim, SW, Kim, JH and Lim, SK A Study on vitamin D status and factors affecting it in young adults. Kor. J. Nutr. 29:747-757. 1996
26 Son, SM and Lee, YN. Study on the factors affecting bone densities of middle aged women. J. Kor. Soc. Food Sci. Nutr. 27:1279-1284. 1998   과학기술학회마을
27 모수미, 이연숙, 구재옥, 손숙미. 식사요법. 교문사, 서울. 한국. 1996
28 Yano, K, Heibrun, LK, Wasnick, RD, Hankin, JH and Vogel, 1M. The relationship between diet and bone mineral content of multiple skeletal sites in elderly Japanese American men and women living in Hawaii. AM. J. Clin Nutr. 42:877-888. 1985   DOI
29 Battin, DA, Marrs, RP, Fleiss, PM and Mishell, DR Effects of suckling on serum prolactin, LH, FSH, and estradiol during prolonged laction. Obstet. Gynecol. 65:758. 1985
30 Smith, DM, Khain, MRA, Norton, J and Johnston, JRCC. Age and activity effects on rate or bone mineral loss. J. Clin. Invest 58:716-721. 1976   DOI
31 Wardlaw, GH. Putting body weight and osteoporosis into perspective. Am. J. Clin. Nutr. 63(suppl):433S-436S. 1996   DOI
32 ALoia, JF, Cohn, SH, Vaswani, A, Yeh, JK, Yuen, K and Ellis, K Risk factors for postmenopausal osteoporosis. Arch J. Med. 78:95-100. 1985
33 Grodin, JM, Siiteri, PK and McDonald, PC. Source of estrogen production in postmenopausal woman. J. Clin. Endocrinol Metab 36:207-218. 1993
34 Lee, HO. Relationship between dietary intakes and osteoporosis of Korean elderly women. Samsung Welfare Foundation: 1-25. 1997
35 Lee, JS and Yu, CH. Some factors affecting bone mineral density of Korean rural women. Kor. J. Nutr. 32:935-945. 1999
36 Forney, JP, Milewich, L, Chen, GT, Garlock, JL, Schwarz, B, Edman, CD and MacDonald, Pc. Aromatization of androstendione to estrone by human adipose tissue in vitro. Correlation with adipose tissue mass, age, and endometrial neoplasia. J. Clin. Endocrinol Metab. 53:192-199. 1981   DOI
37 Heaney, RP, Rocker, RR and Sarilled, PD. Calcium balance and calcium requirements in middle aged women. Am. J. Clin. Nutr. 30:1603-1609. 1977   DOI
38 Min, BG and Bu, BS. A study on postmenopausal of Korean women. J. Kor. Obstet. Gynecol. 28:966-968. 1985
39 Holbrook, TL and Barrett-Connor, E. The association of life time weight and weight control patterns with mineral density in an adult community. Bone & Mineral. 20:141-149. 1993   DOI   ScienceOn
40 Riggs, BL and Melton, LJ. Medical progress: Involutional osteoporosis. N Engl. J Med. 314:1676-1687. 1986   DOI   ScienceOn
41 Koppelman, MC, Kurts, DW, Morrish, KA, Bou, E, Susser, JK, Shapiro, JR and Loriaux, DL. Vertebral body bone mineral content in hyper prolactinemic women. J. Clin. Endocrinol. Metab. 59:1050. 1984   DOI