• 한국컴퓨터정보학회논문지
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• 제26권8호
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• pp.209-220
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• 2021

지방제외체질량(lean mass) 및 지방량(fat mass)과 같은 체성분이 골밀도에 미치는 영향은 매우 복잡하고 다양하게 나타나는 것으로 알려져 있다. 본 연구에서는 전국민을 대상으로 한 표본조사로부터 얻은 질병관리본부의 국민건강영양조사 2008-2011년 자료를 이용하여 50세 이상 남성(N=2,139) 및 폐경후여성(N=2,193)에서 체성분과 골밀도와의 관련성에 대해 조사하고자 하였다. 골다공증약물을 사용한 경우 및 골밀도에 영향을 미치는 질환 및 악성질환 등이 있는 대상은 제외하였다. 신체계측, 설문조사, 혈액검사 등과 함께 이중에너지흡수방사선을 이용하여 요추 및 대퇴골에서 골밀도를 측정하였고, 총지방제외체질량(TLM; total lean mass), 총지방량(TFM; total fat mass), 몸통지방량(TrFM; truncal fat mass) 등을 측정하였다. 체성분 지표들과 요추 및 대퇴골 골밀도는 유의한 양의 상관관계를 보였다. 연령, 체질량지수, 월 가구수입, 교육수준, 신체활동, 1일 칼슘섭취량, 혈중 비타민 D 농도를 포함하는 다중회귀분석을 시행한 결과 남녀 모두에서 TLM이 증가할수록 요추 및 대퇴골 골밀도가 유의하게 증가하였다. TLM의 가장 낮은 사분위수에 해당하는 군에서 요추 및 대퇴골 골밀도는 남녀 모두에서 다른 사분위수에 해당하는 군에 비해 유의하게 낮았다. TrFM은 위의 교란요인들을 보정한 이후 남성에서는 대퇴골전체 골밀도와 여성에서는 대퇴골경부 골밀도와 음의 상관관계를 보였다. 결론적으로 TLM은 50세 이상 남성 및 폐경후여성에서 골밀도를 유지하는데 매우 중요한 인자임을 확인할 수 있었다.

• 생명과학회지
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• 제22권8호
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• pp.1085-1091
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• 2012

본 연구는 실내 외 운동 환경의 차이가 노년기 여성의 골밀도와 신체구성에 미치는 영향을 규명하는데 그 목적이 있다. 연구대상은 65세 이상 노년기 여성으로 실내운동집단 13명, 실외운동집단 13명 두 그룹으로 나누었으며, 20주간 운동프로그램을 실시하였다. 운동강도는 주3회, 1회 60분 동안 HRmax 50~70%, RPE 11~15로 점진적으로 증가시켰다. 결과는 다음과 같다. 첫째, 골밀도의 결과 집단 내 변화에서는 실외운동집단에서 유의하게 증가하였고, 집단 간 변화에서는 실외운동집단이 실내운동집단보다 유의하게 증가하였다. 둘째, 신체구성의 결과 집단 내 변화에서는 실내운동집단에서 체지방량이 유의하게 감소하였고, 실외운동집단에서 체중, 체질량지수, 체지방량이 유의하게 감소하였다. 집단 간의 변화에서는 체질량지수에서 실외운동집단이 실내운동집단보다 유의하게 감소하였다. 이와 같은 연구 결과들을 살펴볼 때 20주간 실외운동환경에서의 운동프로그램은 골밀도와 신체구성에 긍정적인 영향을 미친 것으로 나타났다.

• Journal of Nutrition and Health
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• 제29권7호
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• pp.806-820
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• 1996

The relationship between exercise and hone mineral density (BMD) was investigated in 153 healthy women. The BMD of lumbar spine, femur(neck, ward's triangle, trochanter) and total body was determined by dual energy X-ray absorptiometry in a group subjects(65) aged 19-59 years who had been exercising(swimming or aerobic dancing) regularly for at least 2 years as well as in a similar group of nonexercising control subjects(88). Weight, height, total lean body mass(=weight-total fat body mass-bone mineral content), animal and meat Ca, Ca index, energy expenditure, BMD, PYD/Cr were significantly higher in the exercisers than the controls. There were significantly negative correlations between age, ALP and osteocalcin and BMD, but significantly positive correlations between weight, BMI, total fat body mass and total lean body mass and BMD. Stepwise multiple regression analysis revealed that total lean body mass may be a better independent predictor to BMD than total fat body mass. The nutrient intakes were more closely related to BMD in the exercisers than the controls, but energy expenditure was more closely related to BMD in the controls than the exercisers Stepwise multiple regression analysis revealed that BMD was closely related to menopause, osteocalcin, age, weight in both groups but energy intake in the exercisers alone, energy expenditure in control alone. In premenopausal women, the exercisers had significantly greater BMD than the controls. But, in postmenopausal women, no significant difference between two groups was detected. When compared to BMD of the subjects with same age range to minimize the effect of age, aerobic dancing appears to be capable of exerting a positive effect on BMD in a group of subjects aged 19-44. However, no relationship of the swimming to BMD could be identified in a group of subjects aged 37-59. The results of this study suggest that the usefulness of exercisng appears to be significantly greater in preemenopausal women than postmenoparusal women and weight bearing activity, aerobic dancing is associated with increasing BMD at the weight bearing sites and could be beneficial in the prevention of bone loss. But the usefulness of swimming on bone should be further investgated.

• 대한한방부인과학회지
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• 제19권2호
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• pp.107-126
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• 2006

Purpose : This study was peformed to evaluate the effect of Kamijoaguiem(JGE) on the bone mass and its related factors. Methods : We used ovariectomized rat as an estrogen-deficient animal model. The model rats of osteoporosis showed a significant decrease in bone density, bone ash density, calcium content of femur bone. At the 7th day after operating ovariectomy, rats were administered with JGE per orally, and continued for 10 weeks. And osteoporosis related parameters were determined to investigate the effect of JGE. Results : Bone density, bone ash density, bone calcium, magnesium and phosphorus was decreased in osteoporotic rats. JGE improved the decreased bone density, bone ash density and the decreased bone magnesium, but JGE didn't improve the decreased bone calcium and phosphorus in osteoporotic rats. Osteocalcin in serum and hydroxy-proline excretion in urine were increased in osteoporotic rats. Their levels were decreased when JGE was administered. ALP activity in serum was increased in osteoporotic rats. JGE didn't induce any significant changes. JGE showed significant increase in serum calcium level, total protein level, albumin level, BUN level, serum LDH activity. JGE didn't show significant increase in serum T-cholesterol density, triglyceride density, HDL-cholesterol density. JGE didn't show significant increase in RBC number, hemoglobin level, platelet number, hematocrit level. JGE showed inhibitory effect on the degradation of bone-matrix in osteoporotic rats, in histological examination to Hematoxylin-eosin stain. Conclusion : JGE might improve bone density due to inhibition of bone resolution in osteoporotic rats. It suggest that JGE may be useful prescription in osteoporosis.

• Nutritional Sciences
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• 제8권1호
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• pp.71-76
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• 2005

The purpose of this study was to investigate the relationship between nutritional status of iron and bone minernl density in premenopausal women. In the study, we classified the subjects into osteopenia (-2.5-I, n=29) groups according to their lumbar spine bone mineral density. Anthropometric measurements, dietary intake analysis and blood biochemistry measurements were performed on the subjects. The average ages of those in the osteopenia and normal groups were 22.2 yrs and 23.0 yrs, respectively, with no significant difference. The average body mass index (p<0.05) of those in the osteopenia group (19.6) was significantly lower than that of the normal group (21.3). The mean protein intake of those in the osteopenia group was significantly lower than that (p<0.05) the subjects in the normal group. The osteopenia group consumed a significantly lower amount of iron (p<0.05) and non-heme iron (p<0.05) compared to the normal group. The intakes of total food, vegetables and milk of those in the osteopenia group were significantly lower than those of the subjects in the normal group. The serum ferritin (p<0.001) level of those in the osteopenia group was significantly lower than those of the subjects in the normal group. In conclusion, a balance of iron status may be helpful in the prevention of bone mass loss in premenopausal young women.

• 대한지역사회영양학회지
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• 제13권1호
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• pp.125-133
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• 2008

This study was carried out to compare bone density risk factors affecting women's BMD, and to examine the relationship age, lifestyle and dietary habits for bone health by physical measurement and questionnaires. The subjects of this study were 194 women living in the Seoul area. When the subjects were divided into normal and risk groups, BMD, height, weight, BMI, total body water, soft lean mass, fat free mass, protein, mineral, body-fat of normal group were much higher than those of the risk group. The breakfast eating rate of the normal group was much higher than that of the risk group, walking time was significantly longer and exercise was more (p < 0.05). The normal group had more frequent intakes of tunas, squid, radishes, the green parts of radish, cucumbers, carrots and Iucchinis, tomatoes, and grapes than the risk group (p < 0.01 or p < 0.05). In conclusion, breakfast eating, exercise, intakes of some foods such as anchovies, radishes, carrots, zucchinis and tomatoes were significantly important factor to prevent bone density risk.

• Journal of Acupuncture Research
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• 제26권5호
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• pp.1-10
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• 2009

Objectives : This study was conducted to investigate how Bone Mineral Density(BMD) and bone mass index(BMI) differ according to classification of blood pressure which JNC 7(The seventh report of the joint national committee on prevention, detection, evaluation and treatment of high blood pressure) indicated. Methods : We measured BMD and BMI of lumbar spine($L_2-L_4$) and femoral neck of 9816 people, and then we analyzed them according to classification of blood pressure. Results : The number of prehypertension group was the most, and Stage 2 hypertension group was the least. As the hypertension was increasing, BMD of lumbar and femoral neck were decreasing, and BMI was increasing. In men, as the blood pressure was increasing, BMI was increasing. But the BMD was irrelevant. In women, the distribution was similar to the total. Conclusions : As the hypertension was increasing, BMI was increasing and BMD was decreasing. And it was more remarkable in women.

• Journal of Nutrition and Health
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• 제36권2호
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• pp.154-166
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• 2003

To investigate the effects of isoflavone supplementation on both bone mineral density and hormone variation in premenopausal women who had decreased bone mass, the 24 subjects were divided into two groups: one was the underweight group, consisting of 13 subjects, and the other was the normal weight group consisting of 11 subjects. For each group, we investigated the effects of isoflavone supplementation of 90 mg/day on both bone mineral density and hormone variation during 3 menstrual cycles. Anthropometric measurements, dietary recall, and analyses of blood and urine were assessed from baseline to post-treatment. The results were as follows: The average age of the underweight group was 21.8 years old and that of the normal weight group was 23.2 years old. The comparative results for the two groups at baseline were as follows: Onset of menarche, menstrual cycle, and menstrual length were not significantly different between the groups. Serum protein, total, HDL-, LDL-cholesterol, triglyceride, Ca, P, Mg, Cu, and Zn level were not significantly different between the groups. Serum estradiol, SHBG, LH, and FSH level were also not significantly different between the groups. Lumbar spine BMD by T scores of the underweight group was significantly lower than that of the normal weight group. Serum osteocalcin, urinary DPD, and urinary pH were not significantly different between the groups. The comparative results for the two groups at post-treatment were as follows: From baseline to post-treatment, the intake of energy, nutrients and isoflavone in food did not significantly change in either group. Serum protein, total cholesterol, HDL-, LDL-cholesterol, and triglyceride levels did not significantly change in either group. Serum Ca, Cu, and Zn levels were significantly lower in both groups and serum Mg level significantly decreased only in the underweight group. Serum estradiol levels were significantly lower in both groups, but serum SHBG, LH, and FSH levels did not significantly change in either group. Lumbar spine BMD by T score of the underweight group significantly increased to 15%, but that of the normal weight group did not significantly change. Serum osteocalcin of the underweight group significantly increased to 28%, while that of the normal weight group significantly increased to 40%. Urinary DPD of the normal weight group significantly increased to 12%. The results show that the BMD of the underweight group was lower than that of the normal weight group. Therefore, the underweight group had a disadvantage in obtaining maximum bone mineral density. The results also show that isoflavone supplementation during 3 menstrual cycles was effective in increasing the bone mineral density of the lumbar spine and affected bone metabolism markers in premenopausal underweight women. Therefore, it can be concluded that sufficient intake of isoflavone could be helpful in preventing decreases in bone mass among premenopausal women, especially underweight women.

• 성인간호학회지
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• 제17권1호
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• pp.23-33
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• 2005

Purpose: To evaluate physical characteristics, lifestyle related to bone-health, and bone mineral density (BMD) in mothers and their daughters and to determine the predictors of BMD. Method: BMDs at the forearm, lumbar spine, and femur were measured in 101 healthy, mother-daughter pairs by dual energy X-ray absorptiometry. Mother-daughter differences between general characteristics, means for BMDs were assessed by ${\chi}^2$-test, t-tests. Multiple regression analyses were used to identify predictors of BMD in each group. Results: Mothers had significantly higher BMD than their daughters at forearm, lumbar spine, and femur. The predictors of mothers' BMDs were body weight, body mass index (BMI) and percentage body fat, explaining 5.1~31.6% of the variation in BMDs. BMI, percentage body fat and their mother's BMD of the corresponding site bone were predictors in daughters, explaining 17.5~31.6% of the variations in BMDs. Conclusion: These results indicate the importance of weight on bone that the BMDs seems to be related to fat free mass both in young-adult daughters and in middle aged mothers. These also suggest the importance ofintervention for the development of BMD in daughter of mother with low BMD.

• 한국약용작물학회지
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• 제20권1호
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• pp.42-46
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• 2012

Soy isoflavones have been suggested to improve bone loss and lipid profile in postmenopausal women and ovariectomized rats. In present study, we investigated the hypothesis that consumption of soybean, mung bean, cowpea and azuki bean has a beneficial effect on lipid profile which associates with bone mass in ovariectomized rats. Forty two female Sprague-Dawley rats were either sham-operated (Sham) or surgically ovariectomized (OVX). Sham and OVX groups were fed a regular AIN-93M diet, but ovariectomized rats with soybean (OS), mung bean (OM), cowpea (OC) or adzuki bean (OA) were fed AIN-93M diet replacing 35% of corn starch with powdered OS, OM, OC or OA for 10 weeks. Total- and LDL-cholesterol concentrations were significantly lower in Sham and OC groups than other OVX groups. There was significant negative association between total cholesterol concentration and bone mineral density (BMD) of tibia in only OC group. In conclusion, total-cholesterol concentration was significantly and negatively correlated with BMD in rats consumed cowpea, suggesting that the reduced cholesterol concentration may have a beneficial effect on bone mass.