DOI QR코드

DOI QR Code

Correlations Between Bone Mineral Density Changes in Postmenopausal Women Using Dual Energy X-ray Absorptiometry

이중 에너지 X선 흡수계측법을 이용하여 폐경기간에 따른 골밀도 변화의 상관관계 연구

  • 정승훈 (원주의료원 영상의학과) ;
  • 이태희 (원주의료원 영상의학과) ;
  • 김동우 (원주의료원 영상의학과)
  • Received : 2018.01.10
  • Accepted : 2018.02.21
  • Published : 2018.02.28

Abstract

To evaluate the applicability of osteoporosis management by statistical analysis of the correlation between bone mineral density (BMD) changes after menopause by dividing the T-score of bone mineral density measured by dual energy X-ray absorptiometry do. Between January 1, 2016 and July 31, 2017, women who visited the medical center of W Medical Center were enrolled in this study. The postmenopausal period was divided into 5 groups, There were 18 patients within 5 years, 44 patients in 6~10 years, 134 patients in 11~15 years, 109 patients in 16~20 years and 21 patients in 21 years or older. And postmenopausal women. Bone mineral density (BMD) of the lumbar spine and femur was measured using a dual energy X-ray absorptiometry. The lowest value among lumbar spine 1, 2, 3 and 4 and the lowest value among the femoral neck, greater trochanter, total femur, and ward Values were measured. The statistical significance was analyzed by using bivariate correlation coefficient method and one - way ANOVA. In 326 patients who underwent BMD, the correlation between bone mineral density and postmenopausal BMD showed a negative correlation (-.159, p<.01) with BMD of femur and BMD of lumbar spine The correlation between the menopausal period and negative (-.208, p<.01) was shown. There was a significant difference (p<.012) between the postmenopausal femur bone density and the mean value of the lumbar spine BMD (p<.000). The relationship between bone mineral density (BMD) and postmenopausal women's postmenopausal status can be estimated by estimating the bone mineral density and using it as a basic data for osteoporosis management.

Keywords

References

  1. http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=361305. 2017.
  2. H. M. Park, Y. S. Suh, M. Hur, The Distribution and Transition of Postmenopausal Population in Korea, J Korean Soc Menopause. 1998;1(4):61-71.
  3. H. Y. Chung, Osteoporosis diagnosis and treatment, JKES. 2008;2,(23):76-108.
  4. J. S. Jahng, K. S. Kang, H. W. Park, The assessment of bone mineral density in postmenopausal and senile osteoporosis using quantitative computed tomography, J Korean Orthop Assoc. 1990;25(1):262-269.
  5. M. R. Kim, B. M. Kang, B. K. Yoon, Rsk Factor of Osteoporosis in Korean Menopause Women. J of KSM. 2005;11(2):143-9.
  6. D. Y. Lee, S. Y. Ku, S. H. Kim, Isk Factor for Postmenopausal Osteoporosis in Korea, J of KAHP. 2004; 2(2):137-148.
  7. S. K. Lim, Nonsteroidal Treatment Osteoporosis, The Journal of the Korean Medical Association. 2000;5 (43):419-426.
  8. J. R. Cameron, J. A. Sorenson, Measurement of bone mineral in vivo. An improvement method, Science. 1963;142(3589):230-232.
  9. R. Mazess, B. Collik, J. Trempe, Performance evaluation of a dual-energy X-ray bone densitometer, Calig Tissue Int.. 1989;44(3):228-232. https://doi.org/10.1007/BF02556569
  10. R. Pacific, R. Rupich, M. Griffin, Dual energy radiography versus quantitative computer tomography for the diagnosis of osteoporosis, J Clin Endocrinal and Metab. 1990;70(3):705-710. https://doi.org/10.1210/jcem-70-3-705
  11. K. E. Bainbridge, M. F. Sowers, M. Crutchfield, Natural History of Bone Loss over 6 Years among Premenopausal and Early Postmenopausal Women. Am J Epidemiol. 2002;156(5):410-417. https://doi.org/10.1093/aje/kwf049
  12. S. Ortolani, C. Trevisan, M. L. Bianchi, Spinal and forearm bone mass in relation to ageing and menopause in healthy Italian women, Eur J Clin Invest. 1991;21(1):33-39. https://doi.org/10.1111/j.1365-2362.1991.tb01355.x
  13. M. A. Hansen, K. Overgaard, B. J. Riis, Potential risk factor for development of postmenopausal osteoporosis-Examined over a 12-year period, Osteoporosis Int. 1991; 1(2):95-102. https://doi.org/10.1007/BF01880450
  14. J. S. Lee, J. S. Beak, E. S. Ku, A Study for Osteoporosis of Postmenopause Women, J of Korae Acad Farm Med. 1994;15(2-3):113-120.
  15. http://users.ipfw.edu/blumenth/Aging/AgingWebSite/NOFFactOsteoporosis.pdf, 2006.