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http://dx.doi.org/10.4163/kjn.2012.45.5.470

Dietary factors affecting bone mineral density in Korean rural postmenopausal women  

Choe, Jeong Sook (Agro-food Utilization Division, Rural Development of Administration)
Ahn, Eun Mi (Agro-food Utilization Division, Rural Development of Administration)
Kwon, Sung Ok (Department of Food and Nutrition, Kyoung Hee University)
Park, Young Hee (Agro-food Utilization Division, Rural Development of Administration)
Lee, Jinyoung (Agro-food Utilization Division, Rural Development of Administration)
Publication Information
Journal of Nutrition and Health / v.45, no.5, 2012 , pp. 470-478 More about this Journal
Abstract
This study was conducted to investigate dietary factors, bone status, and bone loss in postmenopausal women in rural areas. A total of 189 women participated in the follow-up study after two years. Radius, Tibia, and Phalanx SOS (Speed of Sound) was measured on two occasions 2 years apart by ultra-sonic-metry, and % body fat was measured by bioelectrical impedance analysis at the baseline and after 2years. Dietary intake data were collected 4 times at different season by 24-hour recall method, and then calculated as average. Bone density of radius decreased by 4.2% during the two year period. When the subjects were divided into three groups, by bone decline level during two years, the lowest bone loss group had higher potassium and vegetable intake than other groups. Age and calcium intakes showed significant correlation with bone decline rate at tibia. In multiple regressions, the baseline SOS, vitamin A, vegetables and eggs intakes were found to be significant factors for tibia bone decline. In conclusion, dietary factors, such as higher vegetable intake, seem to affect the changes in bone mineral density in more favorable way. Therefore, efforts are needed to enhance the access to nutritional care for rural elderly postmenopausal women.
Keywords
Postmenopausal women; bone mineral density; radius; nutrient density; food intake;
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1 Chung JE, Hwang SJ, Kim MJ, Song JY, Cho HH, Kwon DJ, Lew YO, Lim YT, Kim EJ, Kim JH, Kim JH, Kim MR. Relationship between body composition and bone mineral density in pre- and post-menopausal women. J Korean Soc Menopause 2010; 16(1): 29-38
2 Cure-Cure C, Cure-Ramirez P, Teran E, Lopez-Jaramillo P. Bone-mass peak in multiparity and reduced risk of bone-fractures in menopause. Int J Gynaecol Obstet 2002; 76(3): 285-291   DOI   ScienceOn
3 Hur SE, Chung HW. Age related difference in the bone mineral density of the distal forearm in Korean women. J Korean Soc Menopause 2003; 9(3): 226-231
4 Jeong IG, Yoon JH, Kim JO, Kim YP, Lee MS, Yoon JS, Byun JJ. Relationship of isokinetic flexion and extension muscle strength, muscle mass to bone mineral density in body limbs. Korean J Sports Med 2003; 21(2): 176-183
5 Bae YJ, Sung CJ. A comparison between postmenopausal osteoporotic women and normal women of their nutrient intakes and the evaluation of diet quality. Korean J Community Nutr 2005; 10(2): 205-215
6 Farrell VA, Harris M, Lohman TG, Going SB, Thomson CA, Weber JL, Houtkooper LB. Comparison between dietary assessment methods for determining associations between nutrient intakes and bone mineral density in postmenopausal women. J Am Diet Assoc 2009; 109(5): 899-904   DOI   ScienceOn
7 Yeon JY, Sung CJ. A study on dietary mineral intakes, urinary mineral excretions, and bone mineral density in Korean postmenopausal women. Korean J Community Nutr 2011; 16(5): 569-579   DOI
8 Kim KR, Kim KH, Lee EK, Lee SS. A study on the factors affecting bone mineral density in adult women-based on the mothers of elementary school students. Korean J Nutr 2000; 33(3): 241-249
9 Park HM, Heo J, Park Y. Calcium from plant sources is beneficial to lowering the risk of osteoporosis in postmenopausal Korean women. Nutr Res 2011; 31(1): 27-32   DOI   ScienceOn
10 Kim MS, Koo JO. Analysis of factors affecting bone mineral density with different age among adult women in Seoul area. Korean J Community Nutr 2007; 12(5): 559-568
11 Tucker KL, Chen H, Hannan MT, Cupples LA, Wilson PW, Felson D, Kiel DP. Bone mineral density and dietary patterns in older adults: the Framingham Osteoporosis Study. Am J Clin Nutr 2002; 76(1): 245-252
12 Ruiz-Ramos M, Vargas LA, Fortoul Van der Goes TI, Cervantes- Sandoval A, Mendoza-Nunez VM. Supplementation of ascorbic acid and alpha-tocopherol is useful to preventing bone loss linked to oxidative stress in elderly. J Nutr Health Aging 2010; 14(6): 467-472   DOI   ScienceOn
13 Promislow JH, Goodman-Gruen D, Slymen DJ, Barrett-Connor E. Retinol intake and bone mineral density in the elderly: the Rancho Bernardo Study. J Bone Miner Res 2002; 17(8): 1349-1358   DOI   ScienceOn
14 Ribaya-Mercado JD, Blumberg JB. Vitamin A: is it a risk factor for osteoporosis and bone fracture? Nutr Rev 2007; 65(10): 425-438   DOI   ScienceOn
15 Talaulikar VS, Chambers T, Manyonda I. Exploiting the antioxidant potential of a common vitamin: could vitamin C prevent postmenopausal osteoporosis? J Obstet Gynaecol Res 2012; 38 (1): 253-257   DOI   ScienceOn
16 Aaseth J, Boivin G, Andersen O. Osteoporosis and trace elements- -an overview. J Trace Elem Med Biol 2012; 26(2-3): 149-152   DOI   ScienceOn
17 Moon ES, Lee ES. The relationship between knowledge, health beliefs, and prevention behaviors of osteoporotic fracture in patients receiving osteoporosis treatment. Korean J Women Health Nurs 2010; 16(2): 147-156   DOI
18 Lee JS, Yu CH. Some factors affecting bone mineral density of Korean rural women. Korean J Nutr 1999; 32(8): 935-945
19 Lim S, Shin CS, Kim KS, Kim SY, Bang EJ, Shin EK, Choi HR, Chung MH, Cho SI. Determinants of limb-bone mineral density in healthy men and women aged over 50 in rural area. J Korean Soc Endocrinol 2003; 18(2): 193-205
20 Sung CJ, Choi YH, Kim MH, Choi SH, Cho KO. A study of nutrient intake and serum levels of osteocalcin, Ca, P, and Mg and their correlation to bone mineral density in Korean postmenopausal women residing in rural areas. Korean J Community Nutr 2002; 7(1): 111-120
21 Kim JG, Moon YW. Diagnosis of osteoporosis. J Korean Hip Soc 2011; 23(2): 108-115   DOI
22 Shin YL. Assessment of bone mineral density. J Korean Soc Pediatr Endocrinol 2006; 11(2): 123-130
23 Chung SJ, Kang SH, Song SM, Ryu SH, Yoon J. Nutritional quality of Korean adults' consumption of lunch prepared at home, commercial places, and institutions: analysis of the data from the 2001 National Health and Nutrition Survey. Korean J Nutr 2006; 39(8): 841-849
24 Baek KH, Kang MI. Official positions of the international society for clinical densitometry. J Korean Soc Endocrinol 2005; 20 (1): 1-7   DOI   ScienceOn
25 Park J, Choi M, Lee S, Choi Y, Park Y. The association between bone mineral density, bone turnover markers, and nutrient intake in pre- and postmenopausal women. Korean J Nutr 2011; 44(1): 29-40   DOI
26 Ahlborg HG, Johnell O, Nilsson BE, Jeppsson S, Rannevik G, Karlsson MK. Bone loss in relation to menopause: a prospective study during 16 years. Bone 2001; 28(3): 327-331   DOI   ScienceOn
27 Baczyk G, Chuchracki M, Klejewski A. The relationship between selected biochemical parameters, clinical factors and bone mineral density in postmenopausal women with osteoporosis. Ginekol Pol 2012; 83(3): 194-201
28 Lee MK, Yoon BK, Chung HY, Park HM. The serum vitamin D nutritional status and its relationship with skeletal status in Korean postmenopausal women. Korean J Obstet Gynecol 2011; 54(5): 241-246   DOI
29 Greendale GA, Sowers M, Han W, Huang MH, Finkelstein JS, Crandall CJ, Lee JS, Karlamangla AS. Bone mineral density loss in relation to the final menstrual period in a multi-ethic cohort: Results from the study of women's health across the nation (SWAN). J Bone Miner Res 2012; 27(1): 111-118   DOI   ScienceOn
30 Saarelainen J, Kiviniemi V, Kroger H, Tuppurainen M, Niskanen L, Jurvelin J, Honkanen R. Body mass index and bone loss among postmenopausal women: the 10-year follow-up of the OSTPRE cohort. J Bone Miner Metab 2012; 30(2): 208-216   DOI   ScienceOn
31 Statistics Korea. Report of society investigation. Daejeon: Statistics Korea; 2011
32 Kim OS, Ryu HS. The study on blood lipid levels according to the food habits and food intake patterns in Korean elderly. Korean J Food Nutr 2009; 22(3): 421-429
33 Uh SB, Kim HS, Baek K, Kang KH, Yuk JY, Kim BS. A study on risk factors of nutrition in a rural aged people. J Korea Sport Res 2005; 16(6): 237-250
34 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korean National Health and Nutrition Examination Survey. Cheongwon: Korea Centers for Disease Control and Prevention; 2010
35 Jang S, Park C, Jang S, Yoon HK, Shin CS, Kim DY, Ha YC, Lee SS, Choi HJ, Lee YK, Kim BT, Choi JY. Medical service utilization with osteoporosis. Endocrinol Metab 2010; 25(4): 326-339   DOI
36 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korean National Health and Nutrition Examination Survey. Cheongwon: Korea Centers for Disease Control and Prevention; 2008
37 Lee WJ, Kim NW. A statistical compare analysis of bone mineral density of lumbar spine and femur, risk factors for osteoporosis in the women of pre, postmenopausal. J Radiol Sci Technol 2005; 28(3): 227-234