• 제목/요약/키워드: Bone Mineral Density (BMD)

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Vitamin D Sufficiency: How Should it be Defined and what are its Functional Indicators?

  • Hollis Broce W.
    • Nutritional Sciences
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    • 제8권2호
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    • pp.111-117
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    • 2005
  • It has been more than three decades since the first assay assessing circulating 25 (OH)D in human subjects was performed That publication as well as several that followed it defined 'normal' nutritional vitamin D status in human populations. Recently, the wisdom by which 'normal' circulating 25 (OH)D levels in human subjects were assigned in the past has come under question. It appears that sampling human subjects, who appear to be free from disease, and assessing 'normal' circulating 25 (OH)D levels by plotting a Gaussian distribution is grossly inaccurate. There are many reasons why this method is inaccurate, including race, lifestyle habits, sunscreen usage, age, latitude, and inappropriately low dietary recommendations for vitamin D. For instance, a 400 IU/day. AI for vitamin D is insignificant when one considers that a 10-15 minute whole body exposure to peak summer sun will generate and release up to 20,000 IU vitamin $D_3$ into the circulation. Recent studies, which orally administered up to 10,000 IU/day vitamin $D_3$ to human subjects for several months, have successfully elevated circulating 25 (OH)D levels to those observed in individuals from sun-rich environments. Further, we are now able to accurately assess sufficient circulating 25 (OH)D levels utilizing specific biomarkers instead of guessing what an adequate level is. These biomarkers include intact parathyroid hormone (PTH), calcium absorption, bone mineral density (BMD), insulin resistance and pancreatic beta cell function. Using the data from these biomarkers, vitamin D deficiency should be defined as circulating levels of 25 (OH)D$\leq$30 ng/mL. In certain cases, such as pregnancy and lactation, significantly higher circulating 25 (OH)D levels would almost certainly be beneficial to both the mother and recipient fetus/infant.

여성 운동 선수들의 골밀도 및 영양섭취실태에 대한 연구 (A Study of Dietary Intake and Bone Mineral Density in Competitive Female Athletes)

  • 홍희옥;이옥희;정동춘;소재무;나까또미료이찌;최의창;황금희;안의환
    • Journal of Nutrition and Health
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    • 제34권6호
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    • pp.645-655
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    • 2001
  • The purpose of this study is to investigate the dietary intake and bone mineral density(BMDs) in college women(n = 10), female swimmers(n = 10), and female weight lifters(n = 10). BMDs of lumbar spine(L2-L4), femoral neck, ward's triangle, and trochanter were measured with dual-energy X-ray absorptiometry. The results are summarized as follows. In swimmers and weight lifters, mean daily intakes of energy, protein, and fat were higher than those of college women and the intake of carbohydrate was significantly high in weight lifters. Also in swimmers and weight litters, mean daily intakes of animal flood, phosphorus, vitamin A, vitamin B$_1$, vitamin B$_2$, niacin, vitamin C, and cholesterol were found higher than those of college women but there was difference among the types of exercise. According to correlation analysis between nutrient intake and BMDs, intakes of energy, protein, carbohydrate, and vitamin B$_1$ were positively associated with BMDs of lumbar spines. According to stepwise multiple recession analysis, BMDs of lumbar spines were affected by intakes of protein, Fe, phosphorus, and vitamin B$_2$, also BMDs of femur were affected by each of vegetable protein, dietary fiber, and fe. from the above explanation, the nutrient intakes can be independent factor besides exercise. In conclusion, the weight lifting, resistant exercise, resulted in increase of both BMDs of lumbar spines and femur specially in growing and adult period of female. Whereas swimming lead to increase of BMDs of lumbar spine and decrease of BMDs of femur in female.

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Vitamin D Sufficiency: How should it be defined and what are its functional indicators?

  • Hollis Bruce W.
    • 한국영양학회:학술대회논문집
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    • 한국영양학회 2004년도 추계학술대회
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    • pp.22-33
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    • 2004
  • It has been more than three decades since the first assay assessing circulating 25(OH)D in human subjects was performed. That publication as well as several that followed it defined 'normal' nutritional vitamin D status in human populations. Recently, the wisdom by which 'normal' circulating 25(OH)D levels in human subjects were assigned in the past has come under question. It appears that sampling human subjects, who appear to be free from disease, and assessing 'normal' circulating 25(OH)D levels by plotting a Gaussian distribution is grossly inaccurate. There are many reasons why this method is inaccurate, including race, lifestyle habits, sunscreen usage, age, latitude, and inappropriately low dietary recommendations for vitamin D. For instance, a 400IU/day. AI for vitamin D is insignificant when one considers that a 10-15 minute whole body exposure to peak summer sun will generate and release up to 20,000 IU vitamin $D_3$ into the circulation. Recent studies, which orally administered up to 10,000 IU/day vitamin $D_3$ to human subjects for several months, have successfully elevated circulating 25(OH)D levels to those observed in individuals from sun-rich environments. Further, we are now able to accurately assess sufficient circulating 25(OH)D levels utilizing specific biomarkers instead of guessing what an adequate level is. These biomarkers include intact parathyroid hormone (PTH), calcium absorption, bone mineral density (BMD), insulin resistance and pancreatic beta cell function. Using the data from these biomarkers, vitamin D deficiency should be defined as circulating levels of $25(OH)D{\leq}30ng/mL$. In certain cases, such as pregnancy and lactation, significantly higher circulating 25(OH)D levels would almost certainly be beneficial to both the mother and recipient fetus/infant.

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전북지역 일부 남녀교사의 체지방률에 의한 비만도와 연령에 따른 영양소 섭취와 혈중지질 및 골밀도에 관한 연구 (A Study of Nutrient Intakes, Blood Lipids and Bone Mineral Density according to Obesity Degree by Percentage of Body Fat and Age between Male and Female Teacher in Jeonbuk Province, Korea)

  • 장혜순
    • 대한지역사회영양학회지
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    • 제17권1호
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    • pp.49-68
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    • 2012
  • The purpose of this study was to compare nutrient intakes, blood lipids and bone mineral density of male (n = 59) and female (n = 172) teachers according to the obesity index by percentage of body fat and age. The energy intakes of obesity group were higher than normal group in male (p < 0.05), but were not significant in female. The protein intake ratio among three energy nutrients for male was higher than female (p < 0.001), and lipid intake ratio of obesity group in female was a little higher than male that was not significant. TC, LDL, TC/HDL, risk of coronary heart disease, blood glucose and blood pressure of obesity group were higher than normal group in female (p < 0.01 ~ p < 0.001), but were little significance in male. Risk of coronary heart disease was affected by gender (p < 0.001), obesity degree (p < 0.01), age (p < 0.001), and interaction of gender and age (p < 0.001). Blood glucose was affected by obesity degree (p < 0.05), but was not affected by age. T-scores of forearm for female (= -1.42) were lower than that of male = -0.95), and T-scores of obesity group in male (= 0.12) were higher than that of normal group (= -0.33) but were not significant in female. The T-scores of forearm for female were affected by age (p < 0.05) and gender (p < 0.01), but calcaneus was not affected by gender. These results suggest lipid intake ratio should be balanced for obesity group in female. Nutritional education for treatment obesity to prevent hyperlipidemia and arteriosclerosis is necessary for obesity group and older age groups. T-scores of forearm were lower than calcaneus, so arm exercise would be especially required to prevent osteoporosis for older age women groups.

일 지역 갱년기 여성의 골 밀도와 건강증진행위, 자기효능감 정도에 관한 연구 (Bone Mineral Density, Health-promoting Behaviors, and Self-efficacy in Middle-aged Women)

  • 정금희;양순옥;이광옥;표옥정;이미라;백성희;김경원
    • 여성건강간호학회지
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    • 제9권2호
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    • pp.170-178
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    • 2003
  • To identify osteoporosis and examine the relationship between health behavior and the self-efficacy of middle-aged women, a descriptive survey was conducted. The subjects were 465 healthy female residents of Kyunggido, Korea, who underwent ultrasound measurement and a health examination at the Kangmeung-Ci Health Center between July and August 2000. They were 40 to 60 years old, with a mean age of 46.7 years. The subjects completed a self-reported questionnaire that consisted of seven items concerning health behavior and twelve items concerning self-efficacy related to osteoporosis. Bone density was evaluated from ultrasound measurements of the right heel. All the data were analyzed using the program SAS-PC. The study found that the mean T score related to bone density was -1.30, and ranged from -3.52 to 3.06. Based on the T score, 74.8% of the subjects were normal, 12.9% had osteopenia, and 12.3% had osteoporosis. The mean osteoporosis self-efficacy score was 41.17 and ranged from 12 to 60. Osteoporosis self-efficacy differed significantly with health behavior related to health supplementary food (t=5.63, p=.018), exercise (t=6.65, p=.010), alcohol drinking(t=10.80, p=.001), and smoking (t=10.23, p=.001). A community-based health promotion program should be developed to prevent osteoporosis in middle-aged women.

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$20{\sim}30$대 여성의 골밀도 영향 인자에 대한 출산 후 여성과 일반여성과의 비교 연구 (A Comparative Study of Influencing BMD Factors in Postpartum and General Women in Their Twenties and Thirties)

  • 김순근;오찬호;권대철
    • 대한방사선기술학회지:방사선기술과학
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    • 제30권1호
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    • pp.25-32
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    • 2007
  • 20대와 30대의 출산 후 여성과 일반 여성들을 대상으로 골밀도에 영향을 주는 요인을 알아보기 위해 신장, 체중, 체질량지수, 헤모글로빈과 골밀도를 비교하였다. 2006년 1월부터 7월까지 출산 후 산모 159명과 일반여성 180명이었다. 산모군 대퇴경부 골밀도 평균 -0.187, 요추 골밀도 -0.076이었다. 일반군 대퇴경부 골밀도 평균 -0.029, 요추 골밀도 -0.169이었다. 체질량지수 23 기준에서 일반군 23 이상 군과 23 이하 군 간에 대퇴경부와 요추에서 유의한 차이가 있었으나(p<0.05), 산모군 에서는 요추에서만 두 군간 차이가 있었다. 헤모글로빈수치 11을 기준으로 한 집단 간 분류에서는 산모군과 일반군 모두에서 유의한 차이가 없었다. 산모군과 일반군 모두에서 대퇴경부 및 요추의 골밀도는 체중, 신장, 체질량지수와 매우 유의한 상관관계가 있었다(p<0.01). 산모군에서 골밀도 대퇴경부 및 요추에서 매우 유의한 상관관계를 보였으나, 일반군의 골밀도 대퇴경부 및 요추에서 헤모글로빈과 상관관계가 없었다. 산모군은 일반군과 마찬가지로 체중, 신장, BMI가 BMD와 유의한 상관관계가 있으며(p<0.01), 일반군에서 골밀도는 헤모글로빈과 상관관계가 없었으나, 산모군에서는 BMD와 유의한 상관관계를 보였다(p<0.01).

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장기간의 생식 섭취가 성장기 흰쥐의 성장, 골밀도 및 혈중 IGF-1의 농도에 미치는 영향 (Effects of Long-Term Administration of Saengshik on Growth Increment, BMD and Blood IGF-1 Concentration in Growing Rats)

  • 김중학;홍성길;김화영;정지상;황성주;목철균;박미현;이주연
    • 한국식품영양과학회지
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    • 제36권4호
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    • pp.439-446
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    • 2007
  • 생식의 섭취가 실험동물의 길이성장 및 균형성장에 미치는 효능을 평가하기 위하여 12주간 생식을 1g/kg/day(1xJS), 2g/kg/day(2xJS) 및 4g/kg/day/(4xJS)의 용량으로 경구투여한 후 처치시점 4주, 8주 및 12주에 각각 희생시켜 성장에 관련된 요인들을 측정하였다 실험동물의 식이섭취량, 체중증가량 및 장기무게는 생식을 경구투여한 실험군과 대조군 간에 유의적인 차이가 없었으며, 공복 시 혈중 AST와 ALT의 농도 역시 군 간에 유의적인 차이를 보이지 않았고 모두 정상수치를 기록하였다. 실험동물의 신장 및 대퇴골 길이의 변화는 12주간의 실험기간 중 생식을 경구투여한 실험군이 대조군에 비하여 평균적으로 증가하였으며 특히, 처치시점 12주에서는 신장과 대퇴골 길이의 변화가 생식을 경구투여한 모든 실험군이 대조군에 비하여 유의하게 증가한 것으로 관찰되었다. BMD와 BMC의 결과에서도 BMD의 경우 4xJS군, BMC의 경우 1xJS군과 4xJS군이 대조군에 대하여 유의한 증가를 나타내었으나, 생식 투여량에 대한 농도의존적인 경향은 나타나지 않았다. 또한, 성장인자의 하나인 혈중 IGF-1의 경우 처치시점 4주에서 생식을 경구투여 한 모든 실험군이 유의적인 증가를 나타내었으며, 8주 이상에서는 4xJS군에서만 유의적인 증가가 나타났다. 이상의 결과에서 성장기에 장기적인 생식의 보충 섭취는 실험동물의 골성장을 통한 성장 발육에 도움을 준 수 있을 것으로 사료된다.

Effects of Dietary from Safflower Bud on the Osteoporosis in Ovariectomized Rats

  • Lim, Seul Ki;Kim, Dong Il;Park, Min Jung;Choi, Joo Hee;Kim, Young Kuk;Lee, An Chul;Choi, Mi Young;Park, Soo Hyun
    • 대한의생명과학회지
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    • 제20권3호
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    • pp.156-161
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    • 2014
  • It has been reported that safflower seeds have preventive effects against osteoporosis. Recently, safflower buds (SB) were found to have more useful functional ingredients than safflower seeds. In the current study, we evaluated the anti-osteoporosis effects of SB diet in ovariectomized (OVX) rats. The rats were divided into five groups; sham operated group, OVX alone group, OVX plus $17{\beta}$-estradiol ($E^2$ $10{\mu}g/kg$, i.p.) and OVX plus SB diet feeding group (0.3% or 1%). Feeding of SB diet (0.3% or 1%) to OVX rats markedly increased bone mineral density (BMD) of femurs, compared to the OVX group. The OVX rats exhibited a marked increase in trabecular separation (Tb.Sp) and this change was inhibited by the feeding of SB diet, similar to that seen with OVX+E2 group. Moreover, feeding of SB diet to OVX rats decreased the markers of bone turnover, including osteocalcin and alkaline phosphatase (ALP). These results suggest that SB extract has a bone sparing effect in OVX-induced trabecular bone loss and prevents deterioration of bone microarchitecture by suppressing the rate of bone turnover. Therefore, SB may be useful for preserving bone mass and structure in estrogen deficient women with a potential role in reducing postmenopausal osteoporosis.

Streptococcus mutans로부터 분리한 Mutan이 흰쥐의 골결손부 치유에 미치는 영향 (Effect of Mutan Isolated from Streptococcus mutans on the Healing of Bone Defect in Rat)

  • 권현정;김용현;한국일;정의길;한만덕
    • 치위생과학회지
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    • 제15권2호
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    • pp.98-105
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    • 2015
  • 본 연구는 외과적으로 형성된 흰쥐 하악골 결손부에 S.mutan에서 분리 정제된 mutan을 주사하고, ${\mu}CT$로 촬영하여 골결손부의 치유에 미치는 영향을 3차원 골 미세구조 지표로 평가하기 위하여 실시하였다. 흰쥐 치조골에 임계 크기 결손부인 1.5 mm 지름의 원형 결손부를 형성하여 대조군에는 동일량의 saline을 투여하고, 실험군으로 LPS와, mutan을 주사하여 골치유에 미치는 영향을 관찰하였다. 수술 후 4주에 희생하고 치유 결과를 3차원 미세구조의 형태 계측학적 지표값을 비교 분석하여 다음과 같은 결론을 얻었다. 실험동물의 체중변화는 총 12회 투여 기간 동안 일정한 증가를 나타냈다. 8회차부터 mutan 처리군은 대조군과 비교하여 유의한 차이를 보였으며(p<0.05), 9회차에는 mutan 처리군이 대조군과 LPS 처리군과 비교하여(p<0.05), 10~12회차에는 LPS 처리군과 비교하여 유의한 체중증가를 나타냈다(p<0.01). Mutan이 생체 내에서 하악의 골치유 효과를 알아보기 위해 ${\mu}CT$를 통해 형태계측학적 지표 분석 결과, 대조군에 비해 LPS 처리군에서 뚜렷한 골결손부 치유 지연 및 골흡수 양상을 보였으며, mutan 처리군 은 LPS의 작용보다 미약하지만 골치유를 지연시키는 것으로 확인되었다. ${\mu}CT$를 통해 골밀도 분석 결과, 대조군과 비교하여 LPS와 muatn 처리군에서 낮은 골밀도치를 나타냈고, mutan은 LPS 처리군보다 유의하게 높은 골밀도치를 보였다(p<0.01).

Chitin-fibroin-hydroxyapatite membrane for guided bone regeneration: micro-computed tomography evaluation in a rat model

  • Baek, Young-jae;Kim, Jung-Han;Song, Jae-Min;Yoon, Sang-Yong;Kim, Hong-Sung;Shin, Sang-Hun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제38권
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    • pp.14.1-14.6
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    • 2016
  • Background: In guided bone regeneration (GBR) technique, many materials have been used for improving biological effectiveness by adding on membranes. The new membrane which was constructed with chitin-fibroin-hydroxyapatite (CNF/HAP) was compared with a collagen membrane (Bio-$Gide^{(R)}$) by means of micro-computed tomography. Methods: Fifty-four rats were used in this study. A critical-sized (8 mm) bony defect was created in the calvaria with a trephine bur. The CNF/HAP membrane was prepared by thermally induced phase separation. In the experimental group (n = 18), the CNF/HAP membrane was used to cover the bony defect, and in the control group (n = 18), a resorbable collagen membrane (Bio-$Gide^{(R)}$) was used. In the negative control group (n = 18), no membrane was used. In each group, six animals were euthanized at 2, 4, and 8 weeks after surgery. The specimens were analyzed using micro-CT. Results: Bone volume (BV) and bone mineral density (BMD) of the new bone showed significant difference between the negative control group and membrane groups (P < 0.05). However, between two membranes, the difference was not significant. Conclusions: The CNF/HAP membrane has significant effect on the new bone formation and has the potential to be applied for guided bone regeneration.