• Journal of muscle and joint health
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• v.16 no.2
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• pp.105-115
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• 2009

Purpose: The purpose of this study was to investigate whether college women would change their exercise and milk intake behavior after the bone mineral density (BMD) test, and to understand the influencing factors in the exercise & milk intake behavioral change. Method: A questionnaire survey which assesses the exercise and m ilk intake behavior was carried out to the 194 college women from June, 2007 to August, 2007, then they had BMD test in the distal radius site. One year later, 146 women have done a similar questionnaire including osteoporosis know ledge, osteoporosis self efficacy, exercise and milk efficacy, and their health belief. Results: The group that had begun regular exercises after the BMD test showed the lowest level of BMD and exercise barrier. And the other group that had been taking exercises before the test, showed the highest osteoporosis self efficacy, exercise efficacy and osteoporosis sensitivity. As for the behavioral change related to milk intake, only the group that had started to intake a cup of milk a day showed the lowest BMD. Conclusion: This study shows that the BMD testing can induce the behavioral change of exercise and milk intake in college women.

• Journal of radiological science and technology
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• v.23 no.2
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• pp.13-19
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• 2000

There were some controversies about direct cause of hip fracture. We attempted to look at 40 osteoporotic proximal femur fractures in women over 50 years between March in 1999 and Febuary in 2000. The bone density of the fracture group and the healthy 85 control group was measured by Dual Energy X-ray absorptiometry(DEXA). The result was compared using age matched paired T test. The results were as follows ; 1. The femoral neck fractures were 14 cases and the trochanteric fractures were 26 cases. Mean age at a fracture was 67.1 years in neck fracture group and 76.5 years in trochanteric fracture. 2. In the control group, the bone density of both side of the proximal femur was measured and it showed statistically no difference between both sides in same person. 3. The bone density of neck, Ward's triangle, trochanter(P<0.05) and lumbar spine(P<0.001) was significantly reduced in the proximal femoral fracture group comparing with the control group. 4. The bone density of neck, Ward's triangle, trochanter(P<0.05) was significantly reduced in the proximal femoral neck fracture group comparing with the control group, but there was no statistical difference in lumbar spine comparing with the control group. 5. The bone density of neck, Ward's triangle, trochanter and lumbar spine(P<0.001) was significantly reduced in the proximal femoral neck fracture group comparing with the control group. We concluded that the bone mineral densities(BMD) of proximal femur and lumbar spine had decreased in hip fractures but that the bone mineral density and T-score % of the proximal femur were statistically lower than that of the lumbar spine. We suggest that measuring the bone mineral density of the proximal femur may reflect the weakness of the proximal femur more precisely than measuring the bone mineral density of the lumbar spine.

• Journal of Korean society of Dental Hygiene
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• v.15 no.1
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• pp.63-71
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• 2015

Objectives: The purpose of the study is to investigate the relationship between bone mineral density and remaining teeth in Korean adults. Methods: Using National Health and Nutrition Examination Survey(KNHANES) 5th Year 1(2010), 1,985 adults over 50 years old having bone mineral density test were selected. Male adults were 883, and female adults were 1,102. The raw data consisted of general characteristics of the subjects, bone density data, and oral examination data. The questionnaire consisted of general health survey, laboratory examination study, and nutrition study. Data were analyzed using SPSS 18.0 program for multiple regression analysis, ANOVA, t-test. The variables included general characteristics of the subjects, health behavior, diet habit, and oral health behavior. General characteristics consisted of gender, age, residence area, education level, marital status, monthly income, and vocation. Health behavior consisted of smoking, alcohol drinking, body mass index(BMI), physical activity, and mental health. Diet habit consisted of frequency of meal, milk, coffee, and calcium ingestion. Oral health behavior consisted of frequency of tooth brushing, use of oral health care devices, and oral examination. Systemic diseases were measured by the questionnaire for hypertension, diabetes mellitus, and hyperlipidemia. Bone density was measured in T-score of femoral bone, neck of femur, and lumbar vertebrae. Bone density was classified into normal($T-score{\geq}-1.0$), osteopenia(-2.5 < T-score < -1.0), and osteoporosis ($T-score{\leq}-2.5$). The remaining teeth were measured by the differences between normal teeth and missing teeth. Results: Smoking and age are the most influencing factors on the number of remaining teeth and bone density(p<0.01)(p<0.05). Those who had higher bone density, younger age, and nonsmoker significantly had more remaining teeth. Those who were men, diabetic, lowly educated women, and low birth weighted persons tended to have less number of teeth(p<0.01). Conclusions: The study suggested that there were significant differences between men and women according to the oral health management behavior and systemic disease control. Proper management of the oral health and good quality of bone mineral density can reserve the remaining teeth through the whole life.

• Journal of muscle and joint health
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• v.8 no.2
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• pp.278-286
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• 2001

With the aging of society a great deal of interest is being placed on the value of longitudinal data in evaluating physiological losses. We present data on test-one/test-two reliability and reproducibility for measures of training, bone density from a longitudinal study of master athletes. Fifty-two males (mean age at test $1=58.2{\pm}9.8\;years$) and thirty-two females ($54.4{\pm}8.8\;years$) were selected from the study population. Bone mineral density was determined using DEXA (Hologic 1500). The characteristics of the subjects are presented below as $means\;{\pm}\;S.D$. The data was imported into the Statistical Package for the Social Science (SPSS 9.0, Chicago, IL). Paired t-tests were performed between visit 1 and visit 2 in subjects. Pearson correlations were performed. The results of this study indicate the measures of training history, body mass and bone density are reasonably stable and reproducible. We conclude that body composition and bone density parameters are stable and reproducible over time in active older subjects. Physiologic measures in master athletes are fairly stable, and reproducible over time Longitudinal studies investigating age-related changes in master athletes need to be conducted on a time schedule of greater than two years.

• Imaging Science in Dentistry
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• v.32 no.3
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• pp.135-139
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• 2002

Purpose: To determine the proper reference step wedge for digital Cu-Equivalent Image analyzing systems for measurement of bone density. Meterials and Methods : Radiograms of lumbar vertebrae phantom (1g/㎠) with 3 test copper step wedges of 0.03, 0.05 and, 0.1 mm thickness unit were taken and analyzed using NIH image software on a Macintosh personal computer. Measured densities of the lumbar areas in the Cu-Equivalent images made by utilizing 3 different copper stepwedges were compared with a known bone density. Results: The values of r2 for all copper equivalent images were over 0.99. The mean Cu-Eq value of lumbar in copper equivalent image made by a 0.1 mm copper stepwedge was 0.22 ± 0.06 mm and converted to hydroxyapatite density of 1.03 g/㎠. The stepwedges of 0.03 and 0.05 mm produced results having higher values than the actual known bone density. They did not show the blue and green color level that appeared in lumbar on color enhanced image. Conclusion : A copper stepwedge of adequate thickness and range of steps which can express the range of density of bone being measured should be used.

• The Korean Journal of Health Service Management
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• v.11 no.4
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• pp.145-155
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• 2017

Objectives : To investigate the factors affecting bone mineral density in across stratified postmenopausal ages. Methods : Data from 1,698 subjects who completed the 2010-2011 National Health and Nutrition Survey were analyzed using SPSS Statistics 21.0 The $x^2$ test and one way (ANOVA) were used to verify the relationship between general characteristics and health behaviors and the prevalence of osteoporosis. Logistic regression analysis was used to verify the factors Influencing bone mineral density. Results : The bone mineral density distribution was the highest among those with osteopenia, with proportions of 21.8% in healthy subjects, 58.1% in osteopenia, and 20.0% in those with osteoporosis. The distribution of osteoporosis by age group was 5.2% among subjects in their 50s, 15.4% among those in their 60s, and 42.4% among those in their 70s. In multivariate logistic regression analysis, the prevalence of osteoporosis according to ages was significantly correlated with age, educational level, body mass index(BMI), and parity 4 of more than 1-2 babies. Conclusions : Although age is an uncontrollable factor in the prevention of osteoporosis, educational level and BMI are correctable factors to maintain bone mineral density. There is a need to maintain healthy BMI and expand osteoporosis prevention education.

• Journal of Biomedical Engineering Research
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• v.26 no.2
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• pp.117-122
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• 2005

The elastic modulus and the apparent density of the trabecular bone were evaluated from spherical indentation tests and Computed Tomography (CT) and their relationship was quantified. The femurs were prepared for trabecular bone analysis. Embedded with respect to their anatomical orientation, the transverse planes of the trabecular bone specimens were scanned at 1㎜ intervals using a CT scanner. The metaphyseal regions of femurs were sectioned with a diamond-blade saw, producing 8㎜ cubes. Using a specially made spherical indentation tester, the cubes were mechanically tested in the anterior-posterior (AP), medial-lateral (ML), and inferior-superior (IS) directions. After determination of modulus from the mechanical testing, the apparent densities of the specimens were measured. The results showed that the IS modulus was significantly greater than both the AP and ML moduli with the AP modulus greater than the ML modulus. This demonstrated that orthogonality was a structural characteristic of the trabecular bone. The power relationship between the modulus and the apparent density was also found to be statistically significant.

• Journal of the Korean Society for Precision Engineering
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• v.21 no.11
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• pp.200-208
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• 2004

In ultrasonic bone densitometry, the positioning of measurement site is decisive in precision and reproducibility. In this study, automatic Region of Interest (ROI) detection algorithm is suggested and adopted the method using the local minimum value by ultrasonic image. The preprocess before the local minimum method extracts out the bone area and calculates the geometrical information of bone. The developed ROI detection algorithm was applied to the clinical test for the subject of 305 female patients in the range of 22-88 years old. As the results, the accuracy of the algorithm was shown to be 98.3％. It was also found that bone density parameter was significantly correlated with age(r=0.85, p<0.0001).

• The Journal of Advanced Prosthodontics
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• v.7 no.1
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• pp.51-55
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• 2015

PURPOSE. Bone density at implant placement site is a key factor to obtain the primary stability of the fixture, which, in turn, is a prognostic factor for osseointegration and long-term success of an implant supported rehabilitation. Recently, an implant motor with a bone density measurement probe has been introduced. The aim of the present study was to test the objectiveness of the bone densities registered by the implant motor regardless of the operator performing them. MATERIALS AND METHODS. A total of 3704 bone density measurements, performed by means of the implant motor, were registered by 39 operators at different implant sites during routine activity. Bone density measurements were grouped according to their distribution across the jaws. Specifically, four different areas were distinguished: a pre-antral (between teeth from first right maxillary premolar to first left maxillary premolar) and a sub-antral (more distally) zone in the maxilla, and an interforaminal (between and including teeth from first left mandibular premolar to first right mandibular premolar) and a retroforaminal (more distally) zone in the lower one. A statistical comparison was performed to check the inter-operators variability of the collected data. RESULTS. The device produced consistent and operator-independent bone density values at each tooth position, showing a reliable bone-density measurement. CONCLUSION. The implant motor demonstrated to be a helpful tool to properly plan implant placement and loading irrespective of the operator using it.

• Journal of radiological science and technology
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• v.35 no.1
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• pp.1-7
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• 2012

Dual Energy X-ray Absorptiometry(DEXA) is commonly used to diagnose Osteoporosis. The errors of DEXA bone density operation are caused by operator, bone mineral density meter, blood testing, patient. We focus on operator error then study about how much influence operator's region of intest(ROI) in bone testing result. During from March to July in 2011. 50 patients ware selected respectively from 30, 40, 50, 60, and 70 age groups who came to Korea University Medical Center(KUMC) for their Osteoporosis treatment. A-test was performed with usually ROI and B-test was performed with most widely ROI. Then, We compare A-test and B-test for find maximum difference of T-score error which occurred operator ROI controlling. Standard deviation of T-score of B-test showed 0.1 higher then A-test in femur neck. Standard deviation of B-test showed 0.2 higher then A-test in Ward's area which in Greater trocanter and Inter trocanter. Standard deviation of B-test showed 0,1 lower then A-test in L-1. Bone density testing about Two hundred patients results are as follow. When operator ROI was changed wider than normal ROI, bone density of femur was measured more higher but bone density of L-spine was measured more lower then normal bone density. That means, sometime DEXA bone density testing result is dependent by operator ROI controlling. This is relevant with the patient's medicine and health insurance, thus, tester always keep the size of ROI for to prevent any problem in the patient.