Browse > Article
http://dx.doi.org/10.5762/KAIS.2019.20.4.320

Analysis of Bone Mineral Density Status in Korean Mother : In the Center of One Obstetric Hospital  

Kim, Young-Ran (Woori Women's Hospital)
Kim, Hye-Jin (Department of Nursing Science, Kyungsung University)
Choi, So-Young (College of Nursing, Gyeongsang National University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.20, no.4, 2019 , pp. 320-328 More about this Journal
Abstract
This study was conducted to provide basic data for prevention of osteoporosis by examining the factors affecting bone mineral density in pregnant mothers. This investigation was a descriptive research study that analyzed a total of 137 medical records. Differences in T-score between general and obstetric characteristics were assessed by independent t-tests and one way ANOVA followed by Scheffe's post-hoc test. The mean age of the subjects was 32.4 years and the mean T-score was 0.34. The BMI measured at 4 weeks after delivery was significantly higher in the underweight group than in the normal group and the overweight group (F=11.935, p<.001). The BMD was significantly higher in subjects with sufficient vitamin D than in subjects with insufficient vitamin D, in subjects with insufficient vitamin D than in subjects with deficiency vitamin D (F=4.906, P=0.009). BMD was significantly higher in cases without experience of abortion than those with more than one experience of abortion (t=4.264, p<.001), and the normal delivery was significantly higher than that of cesarean section (t= 2.019, p=.046). Based on the results of this study, it is necessary to actively prevent the factors affecting BMD during pregnancy and delivery. The findings presented herein can be used as basic data for the management of osteoporosis.
Keywords
Pregnant Women; Bone density; Osteoporosis; Body Mass Index; Vitamin D;
Citations & Related Records
Times Cited By KSCI : 7  (Citation Analysis)
연도 인용수 순위
1 National Health Insurance, Quiet Thief[Osteoporosis], "1 out of 10 women in their 60s or older is sick", www.nhic.or.kr, 2016.
2 M. H. Seong, S, H. Kwon, H. Y. Kim, J. S. Park, S. H. Lee, S. Y. choi & J. Y. Ha, "Maternal newborn nursing & women's health II", Soomoonsa, p.14, 2018.
3 World Health Organization, "Assessment of fracture risk and its application to screening for postmenopausal osteoporosis", WHO Technical Report Series, Geneva, p.843, 1994.
4 J. S. Moon & K. C. Won. "The diagnosis and treatment of osteoporosis", Yeungnam University, Journal of Medication, 25(1), p.19-30, 2008.   DOI
5 Y. W. Moon, "The diagnosis of osteoporosis", Journal of the Korean Hip Society, 18(4), p.397-404, 2006.
6 National Institutes of Health, "Consensus development panel on osteoporosis prevention, diagnosis, and therapy",The Journal American Medical Association, 94(6), p.785-795, 2001.
7 JP. Devogelaer, S. Goemaere, S. Boonen, JJ. Body, JM. Kaufman, JY. Reginster, S. Rozenberg & Y. Boutsen, "Evidence-based guidelines for the prevention and treatment of glucocorticoid-induced osteoporosis: a consensus document of the Belgian bone club, Osteoporos Int., 17, p.8-19, 2006. DOI: https://doi.org/10.1007/s00198-005-2032-z   DOI
8 E. J. Han, J. H. Yang, S. Y. Park, C. H. Lim, S. H. Kim, H. G. Yoon, Y. J. Han, S. W. Lee, H. M. Ryu & B. G. Park, "Vitamin D awareness and serum 25 (OH) D and serum TSH levels in pregnant women in Korea", The Korean Association of Internal Medicine, p.210, 2013.
9 D. Liel, N. Atar & N. Ohana, "Pregnancy-associated osteoporosis: preliminary densitometric evidence of extremely rapid recovery of bone mineral density", South Med Journal, 91(1), p.33-35, 1998.   DOI
10 The Korean Society of Bone Metabolism, "Physician's guide for diagnosis and treatment of osteoporosis", Seoul: Author, 2008.
11 S. Guven, C. Kart, E.H. Comert, H. Sal & E.S. Guvendag Guven, "Elective repeat caesarean delivery may affect bone mineral density compared with normal vaginal delivery", Journal of Obstetrics & Gynecology and Reproductive Biology, 219, p.131-136, 2017. DOI: https://doi.org/10.1016/j.ejoqrb.2017.10.005   DOI
12 S. Christopher & Kovacs, "Calcium and bone metabolism in pregnancy and lactation", The Journal of Clinical Endocrinology & Metabolism, 86(6), p.2344-2348, 2001.   DOI
13 S. P. Jung & K. M. Lee, "Factors affecting to bone mineral density in postmenopausal women, The Yeungnam University Medication Journal, 13(2), p.261-269, 1996.   DOI
14 H. J. Jeon, "Comparison of the nutritional status and life style by bone mineral density in postmenopausal women", Korean Society for Wellness, 9(4), p.239-250, 2014.
15 Y. R. Kim, Y. S. Min, U. S. Jang, M. H. Nam, C. M. Chun, J. H. Chun & H. S. Sohn, "Improvements of behavior and attitude of pregnant women trained by a maternity-oriented antenatal education program : Assessment of Korean Gentle Birth (KGB) program", Journal Korean Society Maternal Child Health, 16(2), p.227-237, 2012.   DOI
16 C. H. Yu, J. S. Lee, L. H. Lee, S. H. Kim, S. S. Lee, & I. K. Jung, "National factors related to bone mineral density in the different age groups of Korean women", The Korean Nutrition Society, 35, p.779-790, 2004.
17 E. Y. Lee, "Lifestyle behaviors affecting bone mineral density in peri-menopausal women", Master's thesis, Ewha Womans University, Seoul, 2003.
18 G. H. Kim, J. H. Lee & J. D. Yeo, "The bone mineral density impact factors of adult women before the menopause - based on the national health and nutrition examination survey", Journal of the Korean Society of Radiology, 9(3), p.147-168, 2015.   DOI
19 HJ. Kalkwarf & BL. Specker, "Bone mineral changes during pregnancy and lactation", Endocrine, 17(1), p.49-53, 2002. DOI: http://doi.org/10.1385/ENDO:17:1:49   DOI
20 A. J. Black, J. Topping, B. Durham, R.G. Farquharson, & W.D. Fraser, "A detailed assessment of alterations in bone turnover, calcium homeostasis, and bone density in normal pregnancy", Journal of Bone and Mineral Research, 15(3), p.557-563 2000. DOI: https://doi.org/10.1359/jbmr.2000.15.3.557   DOI
21 E. G. Kim, D. S. Hwang, J. M. Lee, C. H. Lee, J. B. Jang & K. S. Lee, "Investigation of clinical research of acupuncture treatment on hyperemesis gravidarum in medline", The Journal of Oriental Obstetrics and Gynecology, 25(4), p. 66-80, 2012. DOI: https://doi.org/10.15204/jkobgy.2012.25.4.066
22 H. J. Kang, Y. J. Kim, S. Y. Lee, J. G. Lee, Y. H. Yi, D. W. Jeong, Y. H. Cho, E. J. Choi, Y. J. Tak, H. R. Hwang, A. R. Jo, S. H. Lee, J. S. Jeon & J. H. Shin, "The association of bone mineral density and total duration of breastfeeding in postmenopausal women : The Korean National Health and Nutrition Examination Survey 2011", Korean Journal of Family Practice, 3(2), p.330-335, 2015.
23 Y. K. Choi, N. Y. Kim, J. M. Kim, M. S. Cho, B. S. Kang & Y. R. Kim, "Studies of nutrient composition of transitional human milk and estimated intake of nutrients by breast-fed infants in Korean mothers", Journal of Nutrition and Health, 48(6), p.476-487, 2015. DOI: http://dx.doi.org/10.4163/jnh.2015.48.6.476   DOI
24 The Korean Society of Bone Metabolism, Committee for Practice Guidelines, "Physician's guide for diagnosis and treatment of osteoporosis", Seoul: The Korean Society of Bone Metabolism, 2010.
25 N. M. Chun, H. J. Chae, "Problems with bone health and the Influencing factors of bone mineral density in women across the life cycle", Korean Journal Women Health Nursing, 21(1), p.43-54, 2015. DOI: http://dx.doi.org/10.4069/kjwhn   DOI
26 P. C. Jerilynn, A. K. Susan, J. Lawrence, K. Nancy, M. M. Timothy, A. H. David, D. A. Jonathan, M. V. Yvette, Claudie Berger, Lucie Blondeau, A. J. Stuart & Alan Tenenhouse, "Oral contraceptive use and bone mineral density in premenopausal women: cross-sectional, population-based data from the Canadian Multicentre Osteoporosis Study", Canadian Medical Association Journal, 165(8), p.1023-1029, 2001.
27 J. O. Koo, H. S. Ahn, S. Y. Yoo, "Study of bone mineral density, body composition and dietary habits of 20-30 years women", Korean Journal Community Nutrition, 13(4), p.489-498, 2008.
28 S. K. Kang, "Intake amount by food group and blood cadmium concentrations and bone mineral density in adults of age 30 years and above: The 5th National Health and Nutrition Survey (2010-2011)", Master's thesis, Keimoung University, Daegu, 2015.
29 Statistics Korea, Population Trend Survey(1993-2014). DOI: http://kostat.go.kr/wnsearch/search.jsp
30 H. Y. Min & G. H. Jeong, "Advanced aged women's needs for pregnancy and childbirth care", Korean Journal Women Health Nursing, 21(4), p.332-341, 2015. DOI: http://dx.doi.org/10.4069/kjwhn.2015.21.4.332   DOI
31 A. S. Laura, E. C. Mary, S. S. Kelly, P. Geraldine, F. Cynthia, B. P. Cheryl, M. Y. Stella & R. Deborah, "Prepregenancy body mass index and pregnancy weight gain: Association with preterm delivery", Obstestics & Gynecology, 96(2), p.194-200, 2000. DOI: https://doi.org/10.1016/S0029-7844(00)00883-8
32 E. Althuizen, MN. van Poppel, JC. Seidell, W, van Mechelon, "Correlates of absolute and excessive weight gain during pregnancy", Journal Womens Health, 18(10), p.1559-1566, 2009. DOI: https://doi.org/10.1089/jwh.2008.1275   DOI
33 S. H. Kim & M. J. Park, "Management of childhood obesity", Journal of the Korean Medical Association, 60(3), p.233-241, 2017. DOI: https://doi.org/10.5124/jkma.2017.60.3.233   DOI
34 J. S. Oh & M. S. Cho, "Comparison of eating habits based on weight gain during pregnancy: Centered on recommended standards of the institute of medicine, Journal Korean Diet Association, 17(2), p.99-117, 2011.   DOI
35 CM. Olson, "Achieving a healthy weight gain during pregnancy", Annual Review of Nutrition, 28, p.411-423, 2008. DOI: https://doi.org/10.1146/annurev.nutr.28.061807.155322   DOI
36 G. J. Jang & S. H. Kim, "Effects of breast-feeding education and support services on breast-feeding rates and infant's growth", Journal Korean Academy Nursing, 40(2), p.277-286, 2010. DOI: https://doi.org/10.4040/jkan.2010.40.2.277   DOI
37 Y. H. Oh, "Association between hemoglobin level and bone mineral density in Korean adults", Master's thesis, Seoul National University College of Medicine, Seoul, 2014.
38 H. Y. Kim & Y. R. Heo, "Biochemical bone turnover markers, bone mineral density, and general characteristics in Korean women, Journal Korean Society Food Science Nutrition, 42(2), p.195-202, 2013. DOI: http://dx.doi.org/10.3746/jkfn.2013.42.2.195   DOI
39 E. T. Choi & S. J. Lee, "The effect of postmenopausal program of osteoporosis protection exercise on the density of bone and the improvement of physical fitness of middle-age women", The Korean Journal of Physical Education, 42(5), p.727-734, 2003.
40 Dargent-Molina, Poitiers, & Breart, "In elderly women weight is the best predictor of a very low bone mineral density: evidence from the EPIDOS study", Osteoporosis International, 11(10), p.881-888, 2000.   DOI
41 S. G. Kim, D. C. Kweon & C. H. Oh, "A comparative study of Influencing BMD factors in postpartum and general women in their twenties and thirties", Journal of Radiological Science and Technology, 30(1), p.25-32, 2007.
42 S. J. Jang, Y. M. Park, Y. E. Choi & K. H. Cho, "The correlation of bone mineral density and anemia in Korean older population", Korean Journal Clinical Geriatrics, 14(2), p.53-59, 2013.
43 AC. Looker & ME. Mussolino, "Serum 25-hydroxyvitamin D and hip fracture risk in older U.S. white adults", Journal of Bone and Mineral Research, 23(1), p.143-150, 2008 DOI: http://doi.org/10.1359/JBMR.071003   DOI
44 TL. Lash & AK. Fink, "Semi-automated sensitivity analysis to assess systematic errors in observational data", Epidemiology, 14(4), p.451-458, 2003.   DOI