Browse > Article
http://dx.doi.org/10.5762/KAIS.2013.14.10.4943

Factors Associated with the Lumbar Spine and Femoral Neck Bone Mineral Density in Korean Elderly Women  

Kim, Young-Ran (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
Lee, Tae-Yong (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.14, no.10, 2013 , pp. 4943-4952 More about this Journal
Abstract
This study was conducted among Korean women over aged 60 who participated in Korea National Health and Nutrition Examination Survey (KNHANES) (the 2nd and 3rd year at the 4th survey, and the 1st year at the 5th survey). The purpose of the study was to figure out a relation between femoral neck and lumbar spine bone mineral density and anthropometry, life style, diet, fracture history, family history of osteoporosis, medical history, menstrual history and reproductive factor. To express the strength of the associations, percent differences were calculated from multiple linear regression models using the formula ${\beta}{\times}$(unit/mean BMD). Unit for continuous variables were chosen to approximate 1 standard deviation(SD). In women aged 60 or older, lean mass(B: 0.257) and fat mass(B: 0.237) greatly influenced bone density in the femoral neck and lumbar spine. Therefore it will be an effective way to prevent osteoporosis for elderly women by increasing lean mass and maintaining proper weight.
Keywords
Elderly women; Lean mass; Fat mass; Osteoporosis;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Cauley JA, Blackwell Terri, Zmuda JM, Fullman RL, Ensrud KE, Stone KL et al. Correlates of trabecular and cortical volumetric bone mineral density at the femoral neck and lumber spine: the osteoporotic fractures in men study(MrOS). JBMR, 25(9), pp. 1958-1971, 2010.   DOI
2 Hill DD, Cauley JA, Bunker CH, Carol EB, Patrick AL, Backles Gloria LA. Correlates of bone mineral desity among postmenopausal women of Africa Caribbean Ancestry: Tobago Women' Health Study. Bone, 43(1), pp. 156-161, 2008. DOI: http://dx.doi.org/10.1016/j.bone.2008.03.005   DOI   ScienceOn
3 Jung JS. Difference by sex in the association between body composition and bone mineral density in middle aged and elderly Korean. Seoul National University, Seoul Korea, 2010.
4 Lim Su. Body composition changes with age has different impact on the bone mineral density. Seoul National University, Seoul Korea, 2004.
5 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. Journal of Korean Society of Menopause, 16(1), pp. 29-38, 2010.
6 Blain H, Carriere I, Favier F, Jeandel C, Papoz L, EPIDOS study Group. Body weight change since menopause and Percent body fat mass are predictors of subsequent bone mineral density change of the proximal femur in women aged 75 years and older: results of a 5 year prospective study. Calcif Tissue Int, 75(1), pp. 32-39, 2004. DOI: http://dx.doi.org/10.1007/s00223-003-0192-4   DOI
7 Pluijm SM, Visser M, Smit JH, Popp-Snijders C, Roos JC, Lips P, Determinants of bone mineral density in older men and women: body composition as mediator, J Bone Miner Res, 16(11), pp. 2142-2151, 2001. DOI: http://dx.doi.org/10.1359/jbmr.2001.16.11.2142   DOI   ScienceOn
8 Shin CS, Choi HJ, Kim MJ, Kim JT, Yu SH, Koo BK. Prevalence and risk factors of osteoporosis in Korea: A community-based cohort study with lumbar spine and hip bone mineral density. Bone, 47(2), pp. 378-387, 2010. DOI: http://dx.doi.org/10.1016/j.bone.2010.03.017   DOI   ScienceOn
9 Han SH. The effects of several factors on bone mineral density in Korean postmenopausal women over 55 years old. In ha University, 2000.
10 Bjarnason K, Hassager C, Ravn P, Christiansen C. Early postmenopausal diminution of forearm and spinal bone mineral density : A cross-sectional study. Osteoporos Int. 5(1), pp. 35-38, 1995. DOI: http://dx.doi.org/10.1007/BF01623656   DOI
11 Writing group for the women's health initiative investigators. Risk and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the Women's Health Initiative randomized controlled trial. JAMA, 288, pp. 321-333, 2002. DOI: http://dx.doi.org/10.1001/jama.288.3.321   DOI   ScienceOn
12 Korean Journal of Bone Metabolism. Physicians Guide for Diagnosis & Treatment of Osteoporosis. 2008.
13 Statistics Korea. Http://sgis. kostat. go. kr/publicsmodel/, 2012.
14 Ministry for health welfare and family affairs, Korean center for disease control & preventive. Article 5 of the KNHANES year 1st(2010) report the results, 2010.
15 National Health Insurance. Http://www. nhic.or.kr/potal/site/main/menuitem.31f148, 2010.
16 Lee HY, Choi SM. Metabolic syndrome and bone mineral density among elderly korean women. J Korea Biol Nurs Sci, 13(2), pp. 134-141, 2011.
17 Chung JW, Lee YH, Lee EK, Jin YS. Relationships of bone mineral density, body composition and fitness in older persons. Journal of korean physical education association for girls and women. 22(1), pp. 123-136, 2008.
18 Oh HJ, Moon WN, Han IK, Effects of obestiy on bone mineral density in aged Korean women, J Korean Acad Fam Med, 12(21), pp. 1560-1567, 2000.
19 Cameron JR, Sorenson JA. Measurement of bone mineral in vivo; an improved method. Science, 142, pp. 230-232, 1963. DOI: http://dx.doi.org/10.1126/science.142.3589.230   DOI   ScienceOn