대한지역사회영양학회지 (Korean Journal of Community Nutrition)

대한지역사회영양학회 (The Korean Society of Community Nutrition)
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50세 이상 폐경 후 여성의 골밀도와 연관성을 보이는 요인: 2008-2010년 국민건강영양조사 자료를 이용하여

Factors Associated with Bone Mineral Density in Korean Postmenopausal Women Aged 50 Years and Above: Using 2008-2010 Korean National Health and Nutrition Examination Survey

  • 문선옥 (동덕여자대학교 비만관리학과) ;
  • 김지혜 (동덕여자대학교 임상영양학과) ;
  • 양윤정 (동덕여자대학교 식품영양학과)
  • Mun, Son-Ok (Department of Obesity Management, Dongduk Women's University) ;
  • Kim, Jihye (Department of Clinical Nutrition, Dongduk Women's University) ;
  • Yang, Yoon Jung (Department of Food & Nutrition, Dongduk Women's University)
  • 투고 : 2013.01.16
  • 심사 : 2013.03.28
  • 발행 : 2013.04.30
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초록

The purpose of this study was to investigate factors associated with Bone Mineral Density (BMD) in Korean postmenopausal women. The data from 2008-2010 Korean National Health and Nutrition Examination Survey (KNHANES) were used for data analysis. Subjects were 2,701 postmenopausal women aged ${\geq}50$ years. BMDs at whole body, total femur, femoral neck, and lumbar spine were measured by Dual-energy X-ray absorptiometry (DXA). Dietary data from 24-hour dietary recall and a food frequency questionnaire containing 63 food items were used. The proportions of osteopenia at total femur, femoral neck, and lumbar spine were 37.4%, 54.5%, and 45.4%, respectively. The proportions of osteoporosis at total femur, femoral neck, and lumbar spine were 6.2%, 25.6%, and 34.3%, respectively. Age, anthropometric index including height, weight, and Body Mass Index (BMI), parathyroid hormone, and physical activity were related to BMD, but the relationships were site specific. Total femur BMD was explained by age, weight, parathyroid hormone and intakes of carbohydrate and fruits. Femoral neck BMD was related to age, weight, parathyroid hormone and intakes of riboflavin and fruits. Lumbar spine BMD was associated with age, weight, milk and dairy products, calcium intake, and exercise. These results indicated that adequate intakes of milk and dairy products, fruits, carbohydrate, calcium, riboflavin and exercise as well as weight maintenance might play an important role in maintaining optimum bone health in Korean postmenopausal women.

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