DOI QR코드

DOI QR Code

Prevalence of Osteopenia/Osteoporosis and Related Risk Factors of Men Aged 50 Years and Older: Korea National Health and Nutrition Examination Survey 2010~2011 Data

우리나라 50세 이상 남성의 골감소증·골다공증 유병률과 관련 요인: 2010~2011 국민건강영양조사 자료

  • Lee, Hye-Sang (Dept. of Food & Nutrition, Andong National University)
  • Received : 2016.02.16
  • Accepted : 2016.03.15
  • Published : 2016.05.04

Abstract

Osteoporosis is a major health problem that can lead to mortality. This study was conducted to estimate the prevalence of osteopenia and osteoporosis separately and to assess the risk factors associated with osteopenia/osteoporosis in Korean men aged 50 years and over. A total of 1,136 subjects were analyzed among the participants of the Korea National Health and Nutrition Examination Survey (KNHANES) 2010~2011 by using SPSS statistics complex samples (windows ver. 23.0). The prevalence rates of osteopenia and osteoporosis were 46.3% and 7.3%, respectively, and the mean ages of both osteopenia and osteoporosis risk groups were significantly higher than that of the normal group. The mean values for lifetime tallest height and bone mineral density in whole body, total femur, femoral neck, and lumbar spine were significantly lower in the risk group(osteopenia/osteoporosis) than in the normal group, whereas the mean values for height, body weight, BMI, waist circumference, alkaline phosphatase, parathyroid hormone, fasting blood glucose, total cholesterol, HDL-cholesterol, LDL-cholesterol, and triglycerides of the two groups showed no significant differences. The intakes of energy and carbohydrates were significantly higher in the risk group than in the normal group. The results of multiple logistic regression showed that being underweight and having hypercholesterolemia were significantly related with the prevalence of osteopenia/osteoporosis, whereas health habits such as smoking and exercise, chronic diseases such as obesity and hypertension, and nutrient intakes were not. These findings suggest the need for further studies to examine osteopenia/osteoporosis risk factors and outcomes specificly focused on Korean men.

Keywords

References

  1. Bailey DA, McKay HA, Mirwald RL, Crocker PR, Faulkner RA (1999): A six-year longitudinal study of the relationship of physical activity to bone mineral accrual in growing children: the university of Saskatchewan bone mineral accrual study. J Bone Miner Res 14(10):1672-1679 https://doi.org/10.1359/jbmr.1999.14.10.1672
  2. Barengolts EI, Berman M, Kukreja SC, Kouznetsova T, Lin C, Chomka EV (1998): Osteoporosis and coronary atherosclerosis in asymptomatic postmenopausal women. Calcif Tissue Int 62(3):209-213 https://doi.org/10.1007/s002239900419
  3. Bolton KL, Egerton T, Wark J, Wee E, Matthews B, Kelly A, Craven R, Kantor S, Bennell KL (2012): Effects of exercise on bone density and falls risk factors in post-menopausal women with osteopenia: a randomised controlled trial. J Sci Med Sport 15(2):102-109 https://doi.org/10.1016/j.jsams.2011.08.007
  4. Campion JM, Maricic MJ (2003): Osteoporosis in men. Am Fam Physician 67(7):1521-1526
  5. Choi H, Kim JH, Kim CI, Chang KJ, Min H, Yim KS, Byun K, Lee H, Kim KW, Kim HS, Kim HA (2011): Essentials of nutrition. 3rd ed. Kyomunsa. Paju. pp.280
  6. Choi SN, Jho KH, Chung NY (2014a): Association of anthropometric and biochemical factors bone mineral density in Korean adult men : data from fourth (2008-2009) and fifth (2010-2011) Korea National Health and Nutrition Examination Surveys (KNHANES IV & V). J East Asian Soc Dietary Life 24(6):710-722 https://doi.org/10.17495/easdl.2014.12.24.6.710
  7. Choi SN, Jho KH, Chung NY (2014b): Association of anthropometric and biochemical factors with bone mineral density in korean adult women data from the fourth (2008-2009) and fifth (2010-2011) Korea National Health and Nutrition Examination Surveys (KNHANES IV & V). J Korean Diet Assoc 20(3):157-173 https://doi.org/10.14373/JKDA.2014.20.3.157
  8. Gates BJ, Das S (2011): Management of osteoporosis in elderly men. Maturitas 69(2):113-119 https://doi.org/10.1016/j.maturitas.2011.03.009
  9. Hong H, Kim EK, Lee JS (2013): Effects of calcium intake, milk and dairy product intake, and blood vitamin D level on osteoporosis risk in Korean adults: analysis of the 2008 and 2009 Korea National Health and Nutrition Examination Survey. Nutr Res Pract 7(5):409-417 https://doi.org/10.4162/nrp.2013.7.5.409
  10. Hwang YC, Ahn HY, Jeong IK, Ahn KJ, Chung HY (2013): Optimal serum concentration of 25-hydroxyvitamin D for bone health in older Korean adults. Calcif Tissue Int 92(1):68-74 https://doi.org/10.1007/s00223-012-9669-3
  11. Iwamoto J, Takeda T, Ichimura S (2001): Effect of exercise training and detraining on bone mineral density in postmenopausal women with osteoporosis. J Orthop Sci 6(2):128-132 https://doi.org/10.1007/s007760100059
  12. Jin MR, Kim JM, Kim H, Chang N (2009): Association of lifestyle behaviors, dietary habits and bone mineral density in men aged 50 years and older. Korean J Nutr 42(1):59-67
  13. Jung SE, Yoon YS, Lee NW, Kim T, Kim HJ, Lee KW, Kim SH (2006): Estimated prevalence of osteoporosis in Ansan, Korea. Osteoporosis 4(1):41-48
  14. Kaufman JM, Lapauw B, Goemaere S (2014): Current and future treatments of osteoporosis in men. Best Pract Res Clin Endocrinol Metab 28(6):871-884 https://doi.org/10.1016/j.beem.2014.09.002
  15. Kim JM, Jin MR, Kim HW, Chang N (2011): Association between daily food and nutrient intake and bone mineral density in men aged 50 years and older. Korean J Nutr 44(5):394-405 https://doi.org/10.4163/kjn.2011.44.5.394
  16. Kim YR, Lee TY, Lee JH (2014): Age-related bone mineral density, accumulated bone loss rate at multiple skeletal sites in Korean men. J Korean Acad Ind Cooperation Soc 15(6):3781-3788 https://doi.org/10.5762/KAIS.2014.15.6.3781
  17. Koo JO (2013): Association of bone mineral density and blood pressure, calcium intake among adult women in Seoul, Kyunggi area: Based on 2011 KNHANES. Korean J Community Nutr 18(3):269-282 https://doi.org/10.5720/kjcn.2013.18.3.269
  18. Korea Centers for Disease Control and Prevention. Guidebook for using the 5th Korean National Health and Nutrition Examination Survey (KNHANES V). Available from: http://knhanes.cdc.go.kr/. Accessed December 14, 2015
  19. Korpi-Steiner N, Milhorn D, Hammett-Stabler C (2014): Osteoporosis in men. Clin Biochem 47(10-11):950-959 https://doi.org/10.1016/j.clinbiochem.2014.03.026
  20. Laurent M, Gielen E, Claessens F, Boonen S, Vanderschueren D (2013): Osteoporosis in older men: recent advances in pathophysiology and treatment. Best Pract Res Clin Endocrinol Metab 27(4):527-539 https://doi.org/10.1016/j.beem.2013.04.010
  21. Lee DH, Lee EN (2011): Influencing factors of bone mineral density in men. J Muscle Joint Health 18(1):5-15 https://doi.org/10.5953/JMJH.2011.18.1.005
  22. Lee HS (2015): Food Insecurity and related risk factors in the elderly: Korea National Health and Nutrition Examination Survey 2013 Data. J Korean Diet Assoc 21(4):308-319 https://doi.org/10.14373/JKDA.2015.21.4.308
  23. Lim YS, Lee SW, Tserendejid Z, Jeong SY, Go G, Park HR (2015): Prevalence of osteoporosis according to nutrient and food group intake levels in Korean postmenopausal women: using the 2010 Korea National Health and Nutrition Examination Survey Data. Nutr Res Pract 9(5):539-546 https://doi.org/10.4162/nrp.2015.9.5.539
  24. Looker AC, Melton LJ 3rd, Harris TB, Borrud LG, Shepherd JA (2010): Prevalence and trends in low femur bone density among older US adults: NHANES 2005-2006 compared with NHANES III. J Bone Miner Res 25(1):64-71 https://doi.org/10.1359/jbmr.090706
  25. Mun SO, Kim J, Yang YJ (2013): 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. Korean J Community Nutr 18(2):177-186 https://doi.org/10.5720/kjcn.2013.18.2.177
  26. Oh SI, Lee HS, Lee MS, Kim CI, Kwon IS, Park SC (2002): Some factors affecting bone mineral status of postmenopausal women. Korean J Community Nutr 7(1):121-129
  27. Oh SW (2011): Obesity and metabolic syndrome in Korea. Diabetes Metab J 35(6):561-566 https://doi.org/10.4093/dmj.2011.35.6.561
  28. The Korean Nutrition Society (2010): Dietary reference intakes for Koreans. The Korean Nutrition Society. Seoul. pp.578-583
  29. The Statistics Korea. Life table 2014. Available from: http://kostat.go.kr/. Accessed December 30, 2015
  30. The Study Group of Menopause (2008): Relationship between osteoporosis and cardiovascular disease in postmenopausal women. J Menopausal Med 14(3):238-245
  31. Yeon JY, Sung CJ (2011): A study on dietary mineral intakes, urinary mineral excretions, and bone mineral density in Korean postmenopausal women. Korean J Community Nutr 16(5):569-579 https://doi.org/10.5720/kjcn.2011.16.5.569

Cited by

  1. The Factors Influencing the Bone Mineral Density in Korean Adult Men : Based on Korea National Health and Nutrition Examination Survey 2010~2011 Data vol.22, pp.2, 2017, https://doi.org/10.5720/kjcn.2017.22.2.136