Bone Density and Related Factors of Vegetarian and Non-vegetarian University Students in Seoul Area

서울지역 채식.비채식 대학생의 골밀도에 미치는 영향요인에 관한 연구

  • Published : 2006.02.28


This study was conducted to investigate factors affecting bone density of food and nutrition vegetarian and non-vegetarian university students in Seoul area. Data for food habits, dietary and health-related behaviors were obtained by self administered questionnaires. BQI(bone quality index) of the subjects was measured by an Quantitative Ultrasound (QUS). The results are summarized as follows: The average height, weight, BMI and osteopenia percentage of the vegetarian and non-vegetarian male and female student were 172.61cm, 62.42kg, 20.98 and 24.2%; 175.38cm, 72.52kg, 23.71 and 16.7%; 160.47cm, 55.76kg, 21.66 and 55.9%; 161.77cm, 56.34kg, 21.53 and 37.6%, respectively. The BQI of the subjects were 101.73 and 107.43 in male student group, and 84.15, 89.64 in female student group, respectively. The BQI, Z-score value of bone density was significantly different in female group. Weight and BMI were positively related with BQI in male and female group. BQI was positively affected by nutrition supplement and negatively affected by seafood in vegetarian male student group. In vegetarian female student group, amount of meal was positively related with BQI and meal regularity was negatively related BQI. The result of this study revealed that the desirable food habits, dietary behaviors and health-related lifestyles may have a beneficial effect on bone density. They should have practically and systematically organized nutritional education on optimum body weight, good eating habits, weight bearing exercise and intakes of good quality nutrient for higher bone density level.


bone density;BQI;osteopenia;food habits


  1. Newhall KM, Rodnick KJ van der Meulen MC, Carter KR, Marcus RT. Effects of voluntary exercise on bone mineral-aged rats. J Bone Miner Res 6: 289-296,1991
  2. Heaney RP, Gallagher JC, Johnston CC, Neer R, Parfitt AM, Bchir MB, Whedon GD. Calcium nutrition and bone health in the elderly. Am J Clin Nutr 36: 986-1013, 1982
  3. Lim SK, Jung HC, Lee MK, Kim HM, Lee HC, Huh GB, Kim MH, Park BM. Risk factors for osteoporosis in Korean women. Kor J Intern Med 34(4): 444-452, 1988
  4. John JB Anderson. Symposium :Nutritional advances in human bone metabolism. Introduction. J Nutr 126: 1150s-1152s, 1996
  5. Heaney RP, Recker RR, Saville PD. Calcium balance and calcium requirements in middle-aged women. Am J Clin Nutr 30: 1603, 1977
  6. Melton III LJ, Chrischilles EA, Cooper C. How many women have osteoporosis? J Bone Mineral Research 7(9): 1005-1010, 1992
  7. RDA Recommended Dietary Allowances for Koreans. The Korean Nutrition Society, 7th Revision, Seoul. 2000
  8. Rho JO, Woo KJ. A comparison of dietary behavior and health-related lifestyles of food and nutrition major and non-major university students in Inchon Area. J East Asian Soc. Dietary Life 13(3): 155-166, 2003
  9. Chung NY, Choi SN. Bone density and related factors of food and nutrition major and non-major university students in Seoul area. J East Asian Soc Dietary Life 13(5): 391-407, 2003
  10. Song YJ, Paik HY. Effect of dietary, biochemical and other factors on bone mineral density change for 2 years in Korean college women. Korean J Nutr 36(2): 175-182, 2003
  11. Song YJ, Paik HY. Effect of dietary factors on bone mineral density in Korean college women. Korean J Nutr 35(4): 464-472, 2002
  12. Lee JS, Yu CH. Some factors affecting bone mineral density of Korean rural women. Korean J Nutr 32(8): 935-945, 1999
  13. Arnold JS. Amount and quality of trabecular bone in osteoporotic vertebral fractures. Clin Endocrinol Metab 2: 221-238,1973
  14. Hong YJ. A study on the relation of eating behavior and food intake to obesity index of adolescents. Korean J Dietary Culture 14(5): 535-554,1999
  15. Kim IS, Yu HH, Han HS. Effects of nutrition knowledge, dietary attitude, dietary habits and life style on the health of college students in the Chungnam area. Korean J Comm Nutr 7(1): 45-57, 2002
  16. Kim HS, Suh ES, Shin MK. A study on the food behaviors of college students in Chonbuk area. J of the East Asian of Dietary Life 6(2): 153-166,1996
  17. Moon SJ, Kim JY. A study of value evaluation for foods among college students. Korean J Dietary Culture 7(1): 25-34,1992
  18. Cheong SH, Kwon WJ, Chang KJ. A comparative study on the dietary attitudes, dietary behaviors and diet qualities of food and nutrition major and non-major female university students. Korean J Commu Nutr 7(3): 293-303, 2002
  19. Oh HS, Min SH. A study on dietary attitudes of college students in Wonju areas. Korean J Food Culture 16(3): 215-224, 2001
  20. Lee SW, Lee SH, Kweon YR, Lee HJ. Factors relating to bone mineral density of adult men in Korea. J Korean Acad Fam Med 24: 158-165, 2003
  21. Kim WY. Osteoporosis and dietary factors. Korean J Nutr 27(6): 629-645,1994
  22. Harris SS, Dawson-Hugher B. Caffeine and bone loss in healthy postmenopausal women. Am J Clin Nutr 60: 573-578,1994
  23. Lee HJ. The relationship of exercise to bone mineral density of Korean women in Taegu. Korean J Nutr Soc 29(7): 806-820,1996
  24. Iwamoto J, Yeh JK, Alolia JF. Differential effect of treadmill exercise on three cancellous bone sites in the young growing rat. Bone 24(3): 163-169,1999
  25. Moon SJ, Choi EJ, Lee MH, Lim SK, Huh GB. A study on the correlation between nutrients intake, physical activity and bone mineral density in postmenopausal women. Yonsei J on Living Science Research 7: 27-37, 1993
  26. Han MJ, Cho HA. Dietary habit and perceived stress of college students in Seoul area. Korean J Dietary Culture 13(4): 317-325,1998
  27. Hirota T, Nara M, Ohguri M, Manago E, Hirota K. Effect of diet and lifestyle on bone mass in Asian young women. Am J Clin Nutr 55: 1168-1173, 1992
  28. Raisz LG. Local and systemic factors in the pathogenesis of osteoporosis. N Engl J Med 318: 818-828, 1988
  29. Mosekilde I, Danielsen CC, Songaard CH, Thorling E. The effect of long term exercise on vertebral and femoral bone mass, dimensions and strength-assessed in a rat model. Bone 15: 293-301,1994
  30. Yano K, Heilbrun LK, Wasnich RD, Hankin JH, Vogel JM. The relationship between diet and bone mineral content of multiple skeletal sites in elderly Japanese-American men and women living in Hawaii. Am J Clin Nutr 42: 877-888, 1985
  31. Cho KJ, Kang HJ. A study on the food habits and dietary intakes of university students in Busan area. Korean J Food Culture 19(1): 70-82, 2004
  32. National Institute of Health Consensus. Development panel on optimal calcium intake. J Am Med Assoc 272: 1942-1948, 1994
  33. Yu CH, Lee JS, Lee LH, Kim SH, Lee SS, Jung IK. Nutritional factors related to bone mineral density in the different age groups of Korean women. Korean J Nutr 35(7): 779-790, 2002
  34. Lee HJ, Choi MJ, Lee IK. The effect of anthropometric measurement and body composition on bone mineral density of Korean women in Taegu. Korean J Nutr 29(7): 778-787,1996
  35. Lee MS, Lee JW, Woo MK. Study on the factors influencing food consumption by food frequency questionnaire of university students in Taejon. Korean J Commu Nutr 6(2): 172-181, 2001
  36. Metz JA, Anderson JB, Gallagher PN. Intakes of calcium, phosphorus, and protein, and physical activity level are related to radial bone mass in young adult women. Am J Clin Nutr 58: 537-542, 1993
  37. Lee YN, Choi HM. A study on the relationship between body mass index and the food habits of college students. Korean J Dietary Culture 9(1): 1-10, 1994
  38. Hong HH, Lee OH, Jeong DC, So JM, Nagatome R, Choi EC, Hwang GH, Ahn EH. A study of dietary intake and bone mineral density in competitive female athletes. Korean J Nutr 34(6): 645-655, 2001
  39. Park SW. The effect of eating habits and lifestyle on the food intake of university students in Daejeon. J East Asian Soc Dietary Life 14(1): 11-19, 2004
  40. Matkovie V, Fontana D, Tominac D, Goel P, Chesnut CH. Factors the influence peak bone mass fonmation: A study of calcium balance and the inheritance of bone mass in adolescent females. Am J Clin Nutr 52: 878-888, 1990
  41. Lee KA. A comparison of eating and general health practices to the degree of health consciousness in Pusan college students. J Korean Soc Food Sci Nutr 28(3): 732-746,1999
  42. Yong SJ, Lim SK, Huh KB, Park BM, Kim NH. Bone mineral density of normal Korean adult. J Korean Med Assoc 31(12): 1350-1358,1988
  43. Chung NY, Yoon ME, Choi SN. A study on the dietary behavior and the food habits of university freshman according to body mass index. Korean J Dietary Culture 17(4): 387-398, 2002
  44. Ministry of Health & Welfare, National Health and Nutrition Survey, 1999
  45. Lee GS, Rhie SG. Study for relations among the dietary behavior, physical status, and the degree of study achievement of the secondary school students. Korean J Dietary Culture 12(2): 137-148,1997
  46. Daniell HW. Osteoporosis of the slender smoker. Arch intern Med 136: 298-304,1976
  47. Kim KH. A study on the factors influencing body mass index of university students in the Gwangju area. Korean J Food Culture 18(3): 244-260, 2003
  48. You YS, Chang KJ. A study on nutrition education and eating behavior of college students. Korean Home Eco Assoc 33(6): 61-72,1995
  49. Kim KR, Kim KH, Lee EK, Lee SS. A study on the factors affecting bone mineral density in adult women-based on the mothers of elementary school students-. Korean J Nutr 33(3): 241-249, 2000
  50. Baek SK, Sung CJ. A study of soy isoflavone supplementation effect on bone mineral density and bone metabolism markers in female college saidents with low bone mass. Korean J Nutr 36(2): 154-166,2003
  51. Sadler MJ, Strain JJ, Caballero B. Encyclopedia of human nutrition. Academic Press, 1999
  52. Son SM, Chun YN. Association of bone densities with anthropometric indices and lifestyles in elderly people. Korean J Commu Nutr 7(3): 327-335, 2002
  53. Holbrook TL, Barrett-Connor E. The association of lifetime weight and weight control patterns with mineral density in an adult Community. Bone & Mineral 20: 141-149, 1993
  54. Park KA. Food preference and dietary habits of university students in Kyungbuk province. J East Asian Soc Dietary Life 13(6): 527-541, 2003
  55. Kim JH, Lee WS, Mun JS, Kim KW. A study on dietary intakes and nutritional status in college women smokers-I. Anthropometric measurements and nutrient intakes. Korean J Comm Nutr 2(1): 33-43, 1997
  56. Heaney RP. Effect of nitrogen phosphorus and caffeine on calcium balance in women. J Lab Clin Med 99: 46-55, 1982
  57. Choi SN, Chung NY, Yoon ME. A study on the food habits and the dietary behaviors of university student in Seoul. Korean J Dietary Culture 17(1): 57-63, 2002
  58. Lee JS, Lee KH. A saidy on the dietary attitude of college freshmen by nutrition knowledge, purpose value of meal and residence. J Korean Soc Food Sci Nutr 27(5): 1000-1006, 1998
  59. Chung NY, Choi SN. Body mass index and food habits of female university students in Seoul. Korean J Soc Food Cookery Sci 18(5): 505-515, 2002
  60. Choi SH, Sung CJ, Kim MH, Lee SY, Song SJ. Comparison of nutrient intakes, bone metabolism and risk factors of chronic diseases between postmenopausal lacto-ovo-vegetarian and omnivore in Kyunggi-Do. Korean J Commu Nutr 4(3): 412-420,1999
  61. Lee GY. Prediction of bone mineral density and physical performance. Korean J Sport Med 13(2): 191-198,1995
  62. Kim BR, Im YS. A study on the food habits of college students by body mass index. Korean J Commu Nutr 3(1): 44-52,1998
  63. Lee LH, Yu CH, Kim SH, Lee SS, Lee YS. Baseline stydy on establishing calcium and phosphorus recommended allowance for Korea-Ca & P balance study in human and bone metabolism. Health and Med Tech Project Report, 1999
  64. Lee HJ, Lee IK. Bone mineral density of Korean mother-daughter pairs: relations to anthropometric measurement, body composition, bone markers, nutrient intakes and energy expenditure. Korean J Nutr 29(9): 991-1002,1996
  65. Moon SJ, Kim JH. The effects of vitamin D staais on bone mineral density of Korean adults. Korean J Nutr 31(1): 46-61,1998
  66. Bess DH. Calcium supplementation and bone loss: A review of controled clinical trials. Am J Clin Nutr 54: 274s-280s, 1991
  67. Fehily AM, Coles RJ, Evans WD, Elwood P. Factors affecting bone density in young adults. Am J Clin Nutr 56: 579-586,1992
  68. New SA, Bolton-smith Caroline, Grubb DA, Reid D. Nutritional influences on bone mineral density: a corss-sectional study in premenopausal women. Am J Clin Nutr 65:1831-1839,1997
  69. Hedlund LR, Gallagher JC. The effect of age and menopause on bone mineral density of the proximal femur. J Bone Min Res 4: 639-642,1989
  70. Kim HA, Lee KH, Cho YJ. An assessment of obesity and dietary habits of college students taking the course health and diet. Korean J Commu Nutr 4(2): 166-174,1999
  71. Kerstetter JE, Allen LH. Protein intake and calcium homeostasis. Adv Nutr Res 9:167-181,1994
  72. Riggs BL, Melton LJ. Involutional osteoporosis. N Engl J Med 314:1676-1686,1986
  73. ORBD-NRC. Asian American Women and osteoporosis. Office of Minority Health resource Center, 1998
  74. Lee HS, Lee JA, Paik JJ. A study of food habits, physical status and related factors of college students in Chuncheon. Korean J Commu Nutr 3(1): 34-43, 1998
  75. Bess DH. Calcium and vitamin D nutritional needs of elderly women. J Nutr 126: 1165s-1167s, 1996
  76. Mackovic V, Kostial K, Simonovic I, Buzina R, Brodarec A, Nordin BEC. Bone status and fracture rates in two reigones of Yugoslavia. Am J Clin Nutr 32: 540-549, 1979
  77. Kim HY, Choi SH, Ju SE. A survey of the behaviors on fast food restaurants. Korean J Dietary Culture 11(1): 71-82, 1996
  78. Park YS, Lee YW, Choi K. Objectivity of self-evaluated obesity and attitude toward weight control among college students. Korean J Dietary Culture 10(5): 367-375, 1995
  79. Abila MH, Stampfer Mj. Caffeine and other predictor of bone density among pre-and peri-menopausal women. Epidemiology 4: 128-134,1993
  80. Kim YS, Jun TW, Park ST, Kang HJ, Chung JW, Seo HG. The effects of bone mineral density and hormones related bone mineral density in practicing Taekwondo. Korean J Sport Sci 14(1): 25-35, 2003
  81. Riggs BL, Melton LJ. The prevention and treatment of osteoporosis, N Engl J Med 327: 620-627,1992
  82. Yu CH, Lee YS, Lee JS. Some factors affecting bone density of Korean college women. Korean J Nutr 31(1): 36-45, 1998