DOI QR코드

DOI QR Code

The Relationship between Bone Mineral Density and Body Composition, Life Styles of Female College Students

여대생의 골밀도와 신체조성 및 생활습관과의 관계 연구

  • Received : 2011.11.22
  • Accepted : 2011.12.14
  • Published : 2011.12.31

Abstract

The purpose of this study was to investigate the relationship between bone mineral density(BMD), body composition and life styles of female college students. The subjects were 334 students with a mean age of 21.0 years. BMDs of forearm and calcaneus were measured by dual energy X-ray absorptiometry, and body composition was measured by bioelectrical impedence analysis. The means for weight, height, and body mass index(BMI) of the subjects were 55.7 kg, 161.0 cm, 21.5 kg/$m^2$, respectively. Grouping by the BMI, 13.2% of the subjects were classified as overweight, and 11.1% of the subjects as obese group. BMD in the forearm and calcaneus were 0.390 g/$cm^2$, 0.514 g/$cm^2$. In the forearm, 58.1% and 9.6% of the subjects were classified as osteopenia and osteoporosis, respectively, and in the calcaneus, 12.0% and 0.3% of the subjects were classified as osteopenia and osteoporosis, respectively. Body weight, skeletal muscle mass, lean body mass, fat mass and BMI were positively correlated with BMDs in the forearm and calcaneus($r$=0.180~0.495, $p$ <0.01~0.001), and height, % body fat and waist-hip ratio(WHR) were positively correlated with BMDs in the calcaneus($r$=0.213~0.239, $p$ <0.001), but not in the forearm. The factors such as beginning age of cigarette smoking and alcohol drinking and exercise had significant influence on BMD($p$ <0.05; p<0.001), whereas sleeping hours, activity level, frequency of exercise, meal times, frequency of snack and fried food intake, breakfast skipping and amount of meal had not significant influence on BMD. Therefore, the acquisition of balanced body composition is necessary through the increase of fat free mass and muscle mass, not through the increase of fat mass among female college students.

Keywords

References

  1. Bailey CA, Brooke-wavell K. 2010. Optimum frequency of exercise for bone health: Randomised controlled trial of a highimpact unilataral intervention. Bone 46:1043-1049 https://doi.org/10.1016/j.bone.2009.12.001
  2. Baron JA, La Vecchia C, LeviF. 1990. The antiestrogenic effect of cigarette smoking in women. Am J Obstet-Gynocol 162: 502-544 https://doi.org/10.1016/0002-9378(90)90420-C
  3. Chang YK, Byun KW, Lee BK, Lee JH, Lee HN, Cho YY. 2011. Medical Nutrition Therapy. pp.386-388. Hyoilbooks
  4. Chang YK, Seo HJ, Jin YW, Joeng MS, Sung SH, Park DY. 2006. The prevalence and risk factors of osteopenia and osteoporosis in 40-59 year-old male workers. Korean J Occupational & Environmental Medicine 18:130-137
  5. Choi JH, Kim SK. 2008. Comparison of the dietary factors between normal and osteopenia groups by bone mineral density in Korean female college students. J Korean Soc Food Sci Nutr 37:869-878 https://doi.org/10.3746/jkfn.2008.37.7.869
  6. Chung JE, Hwang SJ, Kim MJ, Song JY, Cho HH, Kwon DJ, Lew YO, Lim YT, Kim EJ, Kim JH, Kim JH, Kim MR. 2010. Relationship between body composition and bone mineral density in pre- and post-menopausal women. J Korean Soc Menopause 16:29-38
  7. Chung NY, Choi SM. 2006. Bone density and related factors of vegetarian and non-vegetarian university students in Seoul area. Korean J Food Culture 21:86-98.
  8. Dargent-Molina P, Poitiers F, Breart G, Group E. 2000. In elderly women weight is the best predictor of a very low bone mineral density: evidence from the EPIDOS study. Osteoporosis Int 11:881-888 https://doi.org/10.1007/s001980070048
  9. Diamond T, Stiel D, Lunzer M, Wilkinson M, Posen S. 1989. Ethanol reduced bone formation and may cause osteoporosis. Am J Med 86:282-288 https://doi.org/10.1016/0002-9343(89)90297-0
  10. Douchi T, Tamamoto S, Kuwahata R, Oki T, Tamasaki H, Nagata Y. 2000. Effect of non-weight-bearing body fat on bone mineral density before and after menopause. Obstet Gynecol 96:13-17 https://doi.org/10.1016/S0029-7844(00)00814-0
  11. Fogelholm GM, Sievanen HT, Kukkonen-Harjula TK, Pasanen ME. 2001. Bone mineral density during reduction, maintenance and regain of body weight in premenopausal obese women. Osteoporos Int 12:199-206 https://doi.org/10.1007/s001980170130
  12. Fuchs RK, Bauer JJ, Snow CM. 2001. Jumping improves hip and lumbar spine bone mineral mass in prepubescent children: a randomized controlled trial. J Bone Miner Res 16:148-156 https://doi.org/10.1359/jbmr.2001.16.1.148
  13. Gillette-Guyonnet S, Nourhashemi F, Lauque S, Grandjean H, Vellas B. 2000. Body composition and osteoporosis in elderly women. Gerontology 46:189-193 https://doi.org/10.1159/000022158
  14. Grainge MJ, Coupland CA, Cliffe SJ, Chilvers CE, Hosking DJ. 1998. Cigarette smoking, alcohol and caffeine consumption, and bone mineral density in postmenopausal women. Osteoporosis Int 8:355-363 https://doi.org/10.1007/s001980050075
  15. Gray DS. 1989. Diagnosis and prevalence of obesity. Medical Clinics of North America 73:1-13 https://doi.org/10.1016/S0025-7125(16)30688-5
  16. Harris SS, Dawson-Hughes B. 1994. Caffeine and bone loss in healthy postmenopausal women. Am J Clin Nutr 60:573-578 https://doi.org/10.1093/ajcn/60.4.573
  17. Hemάndez-Prado B, Lazcano-Ponce E, Cruz-Valdez A, Diaz R, Tamayo J, Hemάndez-Avila M. 2002. Validity of bone mineral density measurements in distal sites as an indicator of total bone mineral density in a group of pre-adolescent and adolescent women. Arch Med Res 33:33-39 https://doi.org/10.1016/S0188-4409(01)00348-4
  18. Jankowska EA, Rogucka E, Medras M. 2001. Are general obesity and visceral adiposity in men linked to reduced bone mineral content resulting from normal ageing? A populationbased study. Andrologia 33:384-389 https://doi.org/10.1046/j.1439-0272.2001.00469.x
  19. Kang HY. 2009. Relationship among life style, body composition, and bone mineral density(BMD) in female college students. J Korean Acad Fundam Nurs 16:325-332
  20. Kanis JK, Melton III LJ, Christiansen C, Johnston CC, Khaltaer N. 1994. The diagnosis of osteoporosis. J Bone Miner Res 9:1137-1141
  21. Kerstetter JE, Mitnick ME, Gundberg CM, Caseria DM, Ellison AF, Carpenter TO, Insogna KL. 1999. Changes in bone turnover in young women consuming different levels of dietary protein. J Clin Endocrinol Metab 84:1052-1055 https://doi.org/10.1210/jc.84.3.1052
  22. Kim JM. 2005. An analysis of related factors and nutrients intake affecting bone mineral density of college women in Daegue area. J Korean Diet Assoc 11:86-94
  23. Kim MH, Bae YJ, Youn JY, Chung YS, Sung CJ. 2005. The study of life styles, dietary habits and nutrient intakes of Korean male college students related to the bone mineral density. Korean J Nutr 38:570-577
  24. Kim MH, Kim JS. 2003. The relationship between body composition and bone mineral density in college women. J Korean Acad Nurs 33:312-320 https://doi.org/10.4040/jkan.2003.33.3.312
  25. Kim MS, Koo JO. 2008. Compatative analysis of food habits and bone density risk factors between normal and risk women living in the Seoul area. Korean J Comm Nutr 13:125-133
  26. Kinjo M, Setoguchi S, Solomon DH. 2007. Bone mineral density in adults with the metabolic syndrome: Analysis in a populationbased U.S. sample. J Clin Endocrinol Metab 92:4161-4164 https://doi.org/10.1210/jc.2007-0757
  27. Ko MS. 2007. The comparison in daily intake of nutrients and dietary habits of college students in Busan. Korean J Comm Nutr 12:259-271
  28. Koo JO, Ahn HS, Yoo SY. 2008. Study of bone mineral density, body composition and dietary habits of 20-30 years women. Korean J Comm Nutr 13:489-498
  29. Korean Society for the Study of Obesity. 2003. Contemporary diagnosis and management of obesity. pp.7-9. Haneohak
  30. Lim JH, Bae HS, Lee SM, Ahn HS. 2008. Dietary and nondietary factors related to bone mineral density in female college students. Korean J Comm Nutr 13:418-425
  31. Madsen KL, Adams WC, Van Loan MD. 1998. Effects of physical activity, body weight and composition, and muscular strength on bone density in young women. Med Sci Sports Exerc 30:114-120
  32. Matkovic V, Fontana D, Tominac C, Goel, Chesnut CH. 1990. Factors that influence peak bone mass formation: A study of calcium balance and the inheritance of bone mass in adolescent females. Am J Clin Nutr 52:878-888 https://doi.org/10.1093/ajcn/52.5.878
  33. McKay HA, Petit MA, Khan KM, Schutz RW. 2000. Lifestyle determinants of bone mineral: A comparison between prepubertal Asian- and Canadian boys and girls. Calcif Tissue Int 66:320-324 https://doi.org/10.1007/s002230010067
  34. Ministry of Health and Welfare. 2010. Korea Health Statistics, 2009 : Korea National Health and Nutrition Examination Survey(KNHANES IV-3)
  35. Muhlen D, Safii S, Jassal SK, Svartberg J, Barrett-Connor E. 2007. Associations between the metabolic syndrome and bone health in older men and women: The rancho bernardo study. Osteoporosis Int 18:1337-1344 https://doi.org/10.1007/s00198-007-0385-1
  36. Munger RG, Cerhan JR, Chiu BC. 1999. Prospective study of dietary protein intake and risk of hip fracture in postmenopausal women. Am J Clin Nutr 69:147-152 https://doi.org/10.1093/ajcn/69.1.147
  37. Sambrook P, Cooper C. 2006. Osteoporosis. Lancet 367:2010- 2018 https://doi.org/10.1016/S0140-6736(06)68891-0
  38. Song YJ, Paik HY. 2002. Effect of dietary factors on bone mineral density in Korean college women. Korean J Nutr 35:36-45
  39. Song YJ, Paik HY. 2003. Effect of dietary, biochemical and other factors on bone mineral density change for 2 years in Korean college women. Korean J Nutr 36:175-182
  40. Venkat KK, Arora MM, Singh P, Desai M, Khatkhatay I. 2009. Effect of alcohol consumption on bone mineral density and hormonal parameters in physically active male soldiers. Bone 45:449-454 https://doi.org/10.1016/j.bone.2009.05.005
  41. Yeon JY, Bae YJ, Kim MH, Jo HK, Kim EY, Lee JS, Kim MH. 2009. Evaluation of nutrient intake and bone status of female college students according to the calorie consumption from coffee containing beverage. Korean J Food & Nutr 22:430-442
  42. Yoo JH, Park EK, Yoo KW. 2011. A study of bone mass & health related physical fitness induced exercise & drinking habits on pre & post-menopause of female. Exercise Science 20:27-34 https://doi.org/10.15857/ksep.2011.20.1.27
  43. Zhao LJ, Liu YJ, Liu PY, Hamilton J, Recker RR, Deng HW. 2007. Relationship of obesity with osteoporosis. J Clin Endocrinol Metab 92:1640-1646 https://doi.org/10.1210/jc.2006-0572

Cited by

  1. Association between Bone Mineral Density and Sleep Duration in the Korean Elderly Population vol.35, pp.2, 2014, https://doi.org/10.4082/kjfm.2014.35.2.90
  2. Health behaviors of Korean female nursing students in relation to obesity and osteoporosis vol.63, pp.4, 2015, https://doi.org/10.1016/j.outlook.2015.02.001