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Effect of Body Composition and Osteoporosis Self-efficacy on Bone Mineral Density of Female Nursing Students

간호대학생의 신체조성과 골다공증 자기효능감이 골밀도에 미치는 영향

  • Received : 2013.06.18
  • Accepted : 2013.08.05
  • Published : 2013.08.31

Abstract

Purpose: This study was done to identify the relationship among bone mineral density (BMD), body composition and osteoporosis self-efficacy and to identify predictors of BMD in female nursing students. Method: Participants were 154 nursing students. Osteoporosis self-efficacy was determined by a self-report questionnaire. BMD was measured by ultrasound bone densitometry and body composition by a body composition analyzer. Data were collected between April 1 and 27, 2013 and analyzed using descriptive statistics, ANOVA, Scheff$\acute{e}$ test, Pearson correlation coefficient, and multiple regression with SPSS 18.0. Results: Mean BMD at the calcaneus site was $0.58{\pm}1.31$ (T-score). Incidence of osteopenia was 11.7%. Percentage of body fat (PBF)-defined obesity had higher prevalence than body mass index (BMI)-defined obesity. BMD had significant positive correlations with skeletal muscle mass (r=.226, p=.005) and fat free mass (r=.225, p=.005). The factor predicting BMD was skeletal muscle mass with 4.7% of explained variance. Conclusion: Study results indicate that of body composition components, skeletal muscle mass is the prime predicting factor for BMD. Thus to promote healthy bones, it is important to strengthen the muscles using a program, based on balanced development of all muscles.

Keywords

References

  1. Chang, E. Y., Kim, J. S., & Shin, S. J. (2009). Health promotion lifestyle according to self-perception of obesity and objective status measured by bioelectric impedance analysis in college women. Journal of Korean Academy Nursing, 39, 693-699. https://doi.org/10.4040/jkan.2009.39.5.693
  2. Chon, M. Y., Jeon, H. W., & Kim, M. H. (2012). Bone mineral density and factors infleuncing bone mineral density in college women. Korean Journal of Women Health Nursing, 18, 190-199. https://doi.org/10.4069/kjwhn.2012.18.3.190
  3. El Hage, R. P., Courteix, D., Benhamou, C. L., Jacob, C., & Jaffre, C. (2009). Relative importance of lean and fat mass on bone mineral density in a group of adolescent girls and boys. European Journal of Applied Physiology, 105, 759-764. https://doi.org/10.1007/s00421-008-0959-4
  4. Health Insurance Review & Assessment Service (2013). January 24 Report material. Retrieved June 7, 2013, from http://www.hira.or.kr/dummy.do?pgmid=HIRAA020041000000&cmsurl=/cms/notice/02/1316013_13390.html
  5. Heinonen, A., Oja, P., Kannus, P., Sievanen, H., Haapasalo, H., Manttari, A., et al. (1995). Bone mineral density in female athletes representing sports with different loading characteristics of the skeleton. Bone, 17, 197-203. https://doi.org/10.1016/8756-3282(95)00151-3
  6. Jang, E. H., & Park, Y. R. (2012). Body composition, blood pressure, blood lipids, and glucose according to obesity degree by body fat percentage in female university students. Journal of Korean Biological Nursing Science, 14, 231-238. https://doi.org/10.7586/jkbns.2012.14.4.231
  7. Kang, H. Y. (2009). Relationship among life style, body composition, and bone mineral density(BMD) in female college students. Journal of Korean Academy of Fundamentals of Nursing, 16, 325-332.
  8. Kang, Y. M. (1999). A study on the relationships between osteoporosis knowledge, health belief and self-efficacy of middle aged women. Unpublished master's thesis, Ewha Womans University, Seoul.
  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, 25-32.
  10. Kim, C. M., & Kim, E. M. (2010). Bone mineral density, bone mass index, stress, and health promotion lifestyle of female college students. Journal of Korean Academy of Community Health Nursing, 21, 333-340. https://doi.org/10.12799/jkachn.2010.21.3.333
  11. Kim, D. Y. (2004). Clinical application of bone mineral density measurement. Korean Journal of Nuclear Medicine, 39, 275-281.
  12. Kim, J. S. (2002). Effects of osteogenic stimulus exercise on bone metabolism in young women. Unpublished doctoral dissertation, Pusan National University, Pusan.
  13. Kim, J. S. (2003). Relationship of strength of hand grip, low back muscles and knee joint muscles, to bone mineral densities of these sites in young women. Journal of Korean Academy of Fundamentals of Nursing, 10, 30-36.
  14. Kim, K. K., Horan, M. L., & Gendler, P. (1991). Osteoporosis knowledge tests, osteoporosis health belief scale, and osteoporosis self-efficacy scale. Allendale MI: Grand Valley State University.
  15. 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, 149-155.
  16. Kim, M. S., & Koo, J. O. (2008). Comparative analysis of food habits and bone density risk factors between normal and risk women living in the Seoul area. Korean Journal ofCommunity Nutrition, 13, 125-133.
  17. Kjaerbye-Thygesen, A., Munk, C., Ottesen, B., & Kjaer, S. K. (2004). Why do slim women consider themselves too heavy? A characterization of adult women considering their body weight as too heavy. International Journal of Eating Disorders, 35, 275-285. https://doi.org/10.1002/eat.10274
  18. Korean Society for the Study of Obesity (2001). Clinical obesity. Seoul: Korea Medical Books.
  19. Lanyon, L., & Skerry, T. (2001). Postmenopausal osteoporosis as a failure of bone's adaptation to functional loading: A hypothesis. Journal of Bone and Mineral Research, 16, 1937-1947. https://doi.org/10.1359/jbmr.2001.16.11.1937
  20. Lu, Lee-Jane. W., Nayeem, F., .Anderson, K. E., Grady, J. J, & Nagamani, M. (2009). Lean body mass, not estrogen or progesterone, predicts peak bone mineral density in premenopausal women. Journal of Nutrition, 139, 250-256. https://doi.org/10.3945/jn.108.098954
  21. Min, H. J., & Oh, H. Y. (2011). A study on osteoporosis knowledge, health beliefs and health behaviors among female college students. Journal of Korean Academy of Community Health Nursing, 22, 111-120. https://doi.org/10.12799/jkachn.2011.22.2.111
  22. Ministry of Health & Welfare (2010). Korea Health Statistics 2009 : Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Seoul: Ministry of Health & Welfare.
  23. Ministry of Health & Welfare & Korea Center for Disease Control and Prevention (2009). 2008 National Health Statistics-The 4th Korea National Health and Nutrition Examination Survey. Seoul: Ministry of Health & Welfare & Korea Center for Disease Control and Prevention.
  24. National Osteoporosis Foundation (2013). What is osteoporosis? Retrieved June 7, 2013, from http://www.nof.org/articles/7.
  25. Park, C. Y. (2002). A study on the relationships between osteoporosis knowledge, health belief, self-efficacy, and bone mineral density of middle aged and elderly women in urban city. Unpublished master's thesis, Ewha Womans University, Seoul.
  26. Park, J. H., Song, Y. M., Sung, J. H., Lee, K. Y., Kim, Y. S., Kim, T H. et al. (2012). The association between fat and lean mass and bone mineral density: the healthy twin study. Bone, 50, 1006-1011. https://doi.org/10.1016/j.bone.2012.01.015
  27. Piekarski, K., & Munro, M. (1977). Transport mechanism operating between blood supply and osteocytes in long bones. Nature, 269, 80-82. https://doi.org/10.1038/269080a0
  28. Piaseu, N., Schepp, K., & Belza, B. (2002). Causal analysis of exercise and calcium intake behaviors for osteoporosis prevention among young women in Thailand. Health Care for Women International, 23, 364-376. https://doi.org/10.1080/0739933029008937
  29. Rhyu, M. J. (2011). The comparative study of bone mineral density related and factors of women college runners and women college students. Unpublished master's thesis, Kangwon National University, Chuncheon.
  30. Ziccardi, S. L., Sedlak, C. A., & Doheny, M. O. (2004). Knowledge and health beliefs of osteoporosis in college nursing students. Orthopaedic Nursing, 23, 128-133. https://doi.org/10.1097/00006416-200403000-00010