Relationship among Life Style, Body Composition, and Bone Mineral Density in Community Dwelling Korean Adults

지역사회 거주 일반 성인의 생활양식, 체성분 및 골밀도간의 관계

  • Received : 2010.08.30
  • Accepted : 2010.10.13
  • Published : 2010.12.31

Abstract

Purpose: The purpose of this study was to analyze the relationship among life style, body composition and Bone Mineral Density (BMD) in community dwelling Korean adults. Methods: Data were collected from 140 adults who participated in a health check-up program at community health departments in D city, Choong-chung providence. Subjects' life style was assessed with a structured interview survey. Body composition analyses were performed by the bioimpedence method and BMD was measured by peripheral dual energy X-ray absorptionmetry. Results: Among the subjects, 39.3% showed normal BMD values, 50.7% were osteopenic and 10% were assessed as osteoporotic. BMD was significantly different by gender, age, education, economic status and BMI. Subjects who had three or more meals/day had higher BMD then who had less than three meals (t=-2.273, p=.026). BMD was not influenced by regular exercise, alcohol consumption, or smoking. In terms of body composition, there was a significant relationship between fat free mass and BMD (r=.172, p=.043). Conclusion: Implementing an osteoporosis prevention program would be warrented considering the significant proportion of osteopenic or osteoporotic subjects. Regular eating habit with three meals for adequate nutrition need to be emphasized to prevent further bone loss in this population. Among the body composition, fat free mass seem to be the mostly predicting factor for BMD.

Keywords

References

  1. Byeon, Y. S. (2006). Difference of bone density and risk factors related to osteopenia of young women in their twenties. Journal of Korean Academy of Adult Nursing, 18 (5), 790-797.
  2. Chung, J. E., Hwang, S. J., Kim, M. J., Song, J. Y., Cho, H. H., Kwon, D. J., et al. (2010). Relationship between body composition and bone mineral density in pre-and postmenopausal women. The Journal of Korean Society of Menopause, 16 (1), 29-38.
  3. Dargent-Molina, P., Poitiers, F., Breart, G., & EPIDOS Group (2000). In elderly women weight is the best predictor of a very low bone mineral density: Evidence from the EPIDOS study. Osteoporosis International, 11 (10), 881-888. https://doi.org/10.1007/s001980070048
  4. Joo, N. S., Kong, M. H., Kim, B. T., Park, S. B., Lee, T. Y., & Kim, K. M. (2006). Impact of smoking and alcohol intake on bone mineral density. Journal of the Korean Academy of Family Medicine, 27 (11), 911-916.
  5. Kang, H. Y. (2009). Relationship among life style, body composition, and bone mineral density(BMD) in female college students. Journal of Korean Academy of Fundamental Nursing, 15 (3), 325-332.
  6. Kim, M. H., Kim, J. S., & Kim, Y. M. (2002). The relationship between bone mineral density and physical, obstetric characteristics in middle-aged women. Journal of Korean Academy of Adult Nursing, 14 (4), 532-542
  7. Kim, M. R., Park, H. J., Yu, H. J., Chae, B. A., Kim, M. J., Jo, H. H., et al. (2006). Body composition and bone mineral density in middle-aged women. Korean Journal of Bone Metabolism, 13 (2), 149-155.
  8. Kim, Y. M., & Kim, M. H. (2001). Level of concern about osteoporosis-related factors, life-style and dietary intake of university and college female students. The Journal of Rheumatology Health, 8 (2), 287-301.
  9. Kim, C. J., Rhee, E. J., Kim, H. M., Kim, H. S., Lee, E. A., & Kim, Y. S., et al. (2008). Relationship between body composition and metabolic bone disease in Korean male adults. Korean Journal of Bone Metabolism, 15 (1), 25-32.
  10. Kuo, C. W., Chang, T. H., Chi, W. L., & Chu, T. C. (2008). Effect of cigarette smoking on bone mineral density in healthy Taiwanese middle-aged men. Journal of Clinical Densitometry, 11 (4), 518-524. https://doi.org/10.1016/j.jocd.2008.07.005
  11. Lee, E. N., & Son, H. M. (2007). Discriminating factors of stages of change in bone mass promoting behaviors after bone mineral densitometry. Journal of Korean Academy of Adult Nursing, 19 (3), 389-400.
  12. Lee, H. Y., & Park, W. S. (2009). The risk factors of osteoporosis in korean postmenopausal women. Journal of Korean Academy of Adult Nursing, 21 (3), 303-313.
  13. Lee, J. H., Song, C. H., Yum, K. S., Kim, K. S., Nam, S. W., Han, J. Y., et al. (2003). Age associated changes in body mass index and body fat distribution. Journal of the Korean Academy of Family Medicine, 24 (11), 1010-1016.
  14. Lima, R. M., Bezerra, L. M., Rabelo, H. T., Silva, M. A., Silva, A. J., Bottaro, M., et al. (2009). Fat-free mass, strength, and sarcopenia are related to bone mineral density in older women. Journal of Clinical Densitometry, 12 (1), 35-41. https://doi.org/10.1016/j.jocd.2008.10.003
  15. Ministry of Health & Welfare (2010, May). Annual increase of osteoporosis patients' clinical visit by 13% in recent 4 years. Retrieved August 10, 2010. from Web site: http:// www. mw.go.kr
  16. National Osteoporosis Foundation (2010, January). NOF's clinician's guide to prevention and treatment of osteoporosis. Retrieved August 10, 2010. from Web site: http:// www.nof.org/professionals/pdfs/NOF_ClinicianGuide20 09_v7.pdf
  17. Park, E. J. (2006). Relation among nutrition intakes, dietary habits, lifestyle and bone mineral density of elderly woman in the Daegu area. Unpublished master's thesis, Keimyung University, Daegu.
  18. Park, H. A., Kim, H. J., Kim, T. J., Park, J. J., & Park, J. K. (2009). Weight and bone mineral density-the summary of epidemiological evidence. Journal of the Korean Academy of Family Medicine, 30 (3), 167-174 https://doi.org/10.4082/kjfm.2009.30.3.167
  19. Park, J. S., Jin, W., Park, S. Y., Bae, M. S., Kim, D. Y., Choe, B. K., et al. (2010). Feasibility of peripheral bone densitometry for the assessment of bone density: Comparison with dual energy X-ray absorptionmetry of the axial skeleton. Journal of the Korean Radiological Society, 62, 555-561.
  20. Pouilles, J. M., Tremollieres, F. A., Martinez, S., Delsol, M., & Ribot, C. (2001). Ability of peripheral DXA measurement of the forearms to predict low axial bone mineral density at menopause. Osteoporosis International, 12, 71-76. https://doi.org/10.1007/s001980170160
  21. Riedt, C. S., Cifuentes, M., Stahl, T., Chowdhury, H. A., Schlissel, Y., & Shapes, S. A. (2005). Overweight menopausal women lose bone with moderate weight reduction and 1 g/day calcium intake. Journal of Bone and Mineral Research, 20, 455-464.
  22. Riggs, B. L., & Melton, L. J. (1992). The prevention & treatment of osteoporosis. The New England Journal of Medicine, 327 (9), 620-625. https://doi.org/10.1056/NEJM199208273270908
  23. Shin, A., Choi, J. Y., Chung, H. W., Park, S. K., Shin, C. S., Choi, Y. H., et al. (2004). Prevalence and risk factors of distal radius and calcaneus bone mineral density in Korean population. Osteoporosis Int, 15, 639-644.
  24. Tamaki, J., Iki, M., Sato, Y., Kajita, E., Kagamimori, S., Kagawa, Y., et al. (2010). Smoking among premenopausal women is associated with increased risk of low bone status: The JPOS study. Journal of Bone and Mineral Metabolism, 28 (3), 320-327. https://doi.org/10.1007/s00774-009-0129-8
  25. The Korean Society of Bone Metabolism (2000). Osteoporosis. Seoul: The Korean Society of Bone Metabolism.
  26. The Korean Society of Bone Metabolism (2007, November). Physician's guideline for osteoporosis. Retrieved August 10, 2010. from Web site: http://www.ksbmr.org/html/member/sub3/img/down.pdf
  27. Tucker, K. L., Jugdaohsingh, R., Powell, J. J., Qiao, N., Hannan, M. T., Sripanyakorn, S., et al. (2009). Effects of beer, wine, and liquor intakes on bone mineral density in older men and women. The American Journal of Clinical Nutrition, 89 (4), 1188-1196. https://doi.org/10.3945/ajcn.2008.26765
  28. Venkat, K. K., Arora, M. M., Singh, P., Desai, M., & Khatkhatay, I. (2009). Effect of alcohol consumption on bone mineral density and hormonal parameters in physically active male soldiers. Bone, 45 (3), 449-454. https://doi.org/10.1016/j.bone.2009.05.005
  29. World health Organization Expert Consultation (2004). Appropriate body-mass index for asian populations and its implications for policy and intervention strategies. Lancet, 363 (9403), 157-163. https://doi.org/10.1016/S0140-6736(03)15268-3
  30. Zhao, L. J., Liu, Y. J., Liu, P. Y., Hamilton, J., Recker, R. R., & Deng, H. W. (2007). Relationship of obesity with osteoporosis. The Journal of Clinical Endocrinology and Metabolism, 92 (5), 1640-1646. https://doi.org/10.1210/jc.2006-0572