DOI QR코드

DOI QR Code

Maternal and lifestyle effect on bone mineral density in Korean children and adolescents aged 8-19

어머니의 골밀도와 생활습관이 소아청소년의 골밀도에 미치는 영향

  • 이병국 (대한산업보건협회) ;
  • 이용현 (호서대학교 자연과학대학 기초과학연구소 식품영양학과) ;
  • 이혜림 (호서대학교 자연과학대학 기초과학연구소 식품영양학과) ;
  • 박선민 (호서대학교 자연과학대학 기초과학연구소 식품영양학과)
  • Received : 2012.12.31
  • Accepted : 2013.01.31
  • Published : 2013.04.30

Abstract

Higher bone mineral density (BMD) at a young age, calcium intake, and exercise are important for prevention of osteoporosis later in life. We examined familial effects of BMD between mothers and children and adolescents aged 8-19 in Cheonan, Korea and the relationships between BMD and lifestyle parameters, including: food and nutrient intake and exercise. For daughters and sons, significant differences in BMD were observed at the three bone sites (total femur, femur neck, and lumbar spine) according to age, gender, body mass index, exercise, and milk consumption, compared to the reference value for each classification category. Mean differences in children's BMD were observed according to maternal BMD. Energy and calcium intake were lower in both children and mothers in comparison to the estimated daily energy requirement; however, their protein intake was much greater than the daily recommended intake. After adjusting for age and gender and for mother's age, body mass index, and total calorie intake, results of the food frequency test showed an association of a higher intake of meat, meat products, milk and milk products with greater BMD of total femur, femur neck, and lumbar spine of children. In addition, exercise was positively associated with higher BMD. Regression analysis showed a positive association of BMD with age, male gender, exercise, and mother's BMD. In conclusion, after adjustment for environmental parameters, maternal BMD had a positive influence on BMD in daughters and sons. This finding suggests that parents need to check their BMD in order to determine whether their children are at increased risk of low BMD.

Keywords

References

  1. The Korean Society for Bone and Mineral Research. Physician's guide for diagnosis & treatment of osteoporosis. Seoul: The Korean Society for Bone and Mineral Research; 2008
  2. Kelly PJ, Eisman JA. Osteoporosis: genetic effects on bone turnover and bone density. Ann Med 1993; 25(2): 99-101 https://doi.org/10.3109/07853899309164150
  3. Krall EA, Dawson-Hughes B. Heritable and life-style determinants of bone mineral density. J Bone Miner Res 1993; 8(1): 1-9
  4. Sandhu SK, Hampson G. The pathogenesis, diagnosis, investigation and management of osteoporosis. J Clin Pathol 2011; 64(12): 1042-1050 https://doi.org/10.1136/jcp.2010.077842
  5. Ferry B, Duclos M, Burt L, Therre P, Le Gall F, Jaffré C, Courteix D. Bone geometry and strength adaptations to physical constraints inherent in different sports: comparison between elite female soccer players and swimmers. J Bone Miner Metab 2011; 29(3): 342-351 https://doi.org/10.1007/s00774-010-0226-8
  6. Lee BK, Park S, Kim Y. Age- and gender-specific associations between low serum 25-hydroxyvitamin D level and type 2 diabetes in the Korean general population: analysis of 2008-2009 Korean National Health and Nutrition Examination Survey data. Asia Pac J Clin Nutr 2012; 21(4): 536-546
  7. Cadogan J, Blumsohn A, Barker ME, Eastell R. A longitudinal study of bone gain in pubertal girls: anthropometric and biochemical correlates. J Bone Miner Res 1998; 13(10): 1602-1612
  8. Rizzoli R, Bonjour JP. Determinants of peak bone mass and mechanisms of bone loss. Osteoporos Int 1999; 9 Suppl 2: S17- S23 https://doi.org/10.1007/PL00004155
  9. Bonjour JP, Theintz G, Buchs B, Slosman D, Rizzoli R. Critical years and stages of puberty for spinal and femoral bone mass accumulation during adolescence. J Clin Endocrinol Metab 1991; 73 (3): 555-563 https://doi.org/10.1210/jcem-73-3-555
  10. Miller LE, Nickols-Richardson SM, Wootten DF, Ramp WK, Herbert WG. Relationships among bone mineral density, body composition, and isokinetic strength in young women. Calcif Tissue Int 2004; 74(3): 229-235 https://doi.org/10.1007/s00223-003-0060-2
  11. Ahn HS, Kim SH, Lee SS. A study of factors affecting bone mineral density in Korean adolescents: anthropometric measurements, life style, and other environmental factors. Korean J Nutr 2005; 38(3): 242-250
  12. Cvijetic S, Colic Baric I, Satalic Z. Influence of heredity and environment on peak bone density: a parent-offspring study. J Clin Densitom 2010; 13(3): 301-306 https://doi.org/10.1016/j.jocd.2010.03.003
  13. Korean Endocrine Society; Korean Society for the Study of Obesity. Management of obesity, 2010 recommendation. Endocrinol Metab 2010; 25(4): 301-304 https://doi.org/10.3803/EnM.2010.25.4.301
  14. Korea Centers for Disease Control and Prevention, Ministry of Health and Welfare. Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey. Cheongwon: Korea Centers for Disease Control and Prevention; 2010
  15. Lee EY, Kim D, Kim KM, Kim KJ, Choi HS, Rhee Y, Lim SK. Agerelated bone mineral density patterns in Koreans (KNHANES IV). J Clin Endocrinol Metab 2012; 97(9): 3310-3318 https://doi.org/10.1210/jc.2012-1488
  16. Drake MT, Murad MH, Mauck KF, Lane MA, Undavalli C, Elraiyah T, Stuart LM, Prasad C, Shahrour A, Mullan RJ, Hazem A, Erwin PJ, Montori VM. Clinical review. Risk factors for low bone mass-related fractures in men: a systematic review and meta-analysis. J Clin Endocrinol Metab 2012; 97(6): 1861-1870 https://doi.org/10.1210/jc.2011-3058
  17. Moro M, van der Meulen MC, Kiratli BJ, Marcus R, Bachrach LK, Carter DR. Body mass is the primary determinant of midfemoral bone acquisition during adolescent growth. Bone 1996; 19 (5): 519-526 https://doi.org/10.1016/S8756-3282(96)00263-3
  18. Ducy P, Amling M, Takeda S, Priemel M, Schilling AF, Beil FT, Shen J, Vinson C, Rueger JM, Karsenty G. Leptin inhibits bone formation through a hypothalamic relay: a central control of bone mass. Cell 2000; 100(2): 197-207 https://doi.org/10.1016/S0092-8674(00)81558-5
  19. Nam SY, Lee EJ, Kim KR, Lee HC, Nam MS, Cho JH, Huh KB. Long-term administration of acipimox potentiates growth hormone response to growth hormone-releasing hormone by decreasing serum free fatty acid in obesity. Metabolism 1996; 45(5): 594-597 https://doi.org/10.1016/S0026-0495(96)90029-3
  20. Chang KY, Yang HJ, Shin YK, Park SH, Lee KH, Lee KY. The influences of obesity on bone mineral density in children. J Korean Soc Pediatr Endocrinol 2001; 6(2): 129-136
  21. Ellis KJ, Shypailo RJ, Wong WW, Abrams SA. Bone mineral mass in overweight and obese children: diminished or enhanced? Acta Diabetol 2003; 40 Suppl 1: S274-S277 https://doi.org/10.1007/s00592-003-0085-z
  22. Leonard MB, Shults J, Wilson BA, Tershakovec AM, Zemel BS. Obesity during childhood and adolescence augments bone mass and bone dimensions. Am J Clin Nutr 2004; 80(2): 514-523 https://doi.org/10.1093/ajcn/80.2.514
  23. Hunt JR, Johnson LK, Fariba Roughead ZK. Dietary protein and calcium interact to influence calcium retention: a controlled feeding study. Am J Clin Nutr 2009; 89(5): 1357-1365 https://doi.org/10.3945/ajcn.2008.27238
  24. Barzel US, Massey LK. Excess dietary protein can adversely affect bone. J Nutr 1998; 128(6): 1051-1053 https://doi.org/10.1093/jn/128.6.1051
  25. Fenton TR, Eliasziw M, Lyon AW, Tough SC, Hanley DA. Metaanalysis of the quantity of calcium excretion associated with the net acid excretion of the modern diet under the acid-ash diet hypothesis. Am J Clin Nutr 2008; 88(4): 1159-1166 https://doi.org/10.1093/ajcn/88.4.1159
  26. Remer T. Influence of diet on acid-base balance. Semin Dial 2000; 13(4): 221-226
  27. Zhang Q, Ma G, Greenfield H, Zhu K, Du X, Foo LH, Hu X, Fraser DR. The association between dietary protein intake and bone mass accretion in pubertal girls with low calcium intakes. Br J Nutr 2010; 103(5): 714-723 https://doi.org/10.1017/S0007114509992303
  28. Zou ZY, Lin XM, Xu XR, Xu R, Ma L, Li Y, Wang MF. Evaluation of milk basic protein supplementation on bone density and bone metabolism in Chinese young women. Eur J Nutr 2009; 48 (5): 301-306 https://doi.org/10.1007/s00394-009-0014-1
  29. Ballor DL, Keesey RE. A meta-analysis of the factors affecting exercise-induced changes in body mass, fat mass and fat-free mass in males and females. Int J Obes 1991; 15(11): 717-726
  30. Choi BH, Kim SM. Report on the crosstabulation analysis about bone mineral density test of workers. Korean J Orient Physiol Pathol 2009; 23(6): 1508-1512
  31. Yi KO, Lee YS. The differing effects of sports training and dietary habits on the menstrual cycle, body composition and bone mineral density, in elite Korean female athletes. Korean J Phys Educ 2002; 41(4): 529-539
  32. Gambert SR, Schultz BM, Hamdy RC. Osteoporosis. Clinical features, prevention, and treatment. Endocrinol Metab Clin North Am 1995; 24(2): 317-371
  33. Kelley G. Aerobic exercise and lumbar spine bone mineral density in postmenopausal women: a meta-analysis. J Am Geriatr Soc 1998; 46(2): 143-152 https://doi.org/10.1111/j.1532-5415.1998.tb02530.x
  34. Nordström P, Lorentzon R. Influence of heredity and environment on bone density in adolescent boys: a parent-offspring study. Osteoporos Int 1999; 10(4): 271-277 https://doi.org/10.1007/s001980050226
  35. Ohta H, Kuroda T, Onoe Y, Nakano C, Yoshikata R, Ishitani K, Hashimoto K, Kume M. Familial correlation of bone mineral density, birth data and lifestyle factors among adolescent daughters, mothers and grandmothers. J Bone Miner Metab 2010; 28 (6): 690-695 https://doi.org/10.1007/s00774-010-0180-5

Cited by

  1. The Combined Effects of Milk Intake and Physical Activity on Bone Mineral Density in Korean Adolescents vol.13, pp.3, 2013, https://doi.org/10.3390/nu13030731