• Title/Summary/Keyword: 골다공증 예방 프로그램

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폐경 후 여성의 골다공증 예방 프로그램이 골밀도 및 건강신념에 미치는 효과

  • Sin, Yong-Ae
    • 대한근관절건강학회:학술대회논문집
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    • 2002.11a
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    • pp.238-246
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    • 2002
  • 최근 경제의 발전과 의학의 발달로 인하여 인간의 수명은 점차 연장됨에 따라, 노인인구도 급격히 증가하고 있다. 40세 이상 여성 인구도 8.998천명으로 전체 여성의 38%를 차지하며 이는 매년 증가할 것이다. 그리하여 전체 인구에 대한 폐경 여성의 점유율도 급격히 증가하고 있다. 폐경 이후 $5{\sim}10$년 동안 매년 $2{\sim}4%$씩 골농도가 감소하고 있기 때문에 폐경기 여성을 위협하는 주요 질환 중 하나가 골다공증이다. 하지만 골다공증은 뚜렷한 자각증상이 없어 골 기형 및 골절이 발생하기 전에는 조기발견이 어렵다. 골다공증은 모든 중년 여성의 건강문제이므로 지역사회에서 골절 발생 위험율을 줄일 수 있도록 골다공증 예방을 위한 건강관리가 필요하다. 본 연구의 목적은 지역사회에서 적용할 수 있는 골다공증 예방 프로그램을 개발하여 그 효과를 검정한 후 지역사회 중년 여성 건강증진 프로그램으로 활용코저 함에 있다. 골다공증 예방 프로그램은 운동과 교육으로 구성하였으며, 12주 동안 점핑 동작 위주의 에어로빅과 스텝퍼 운동과 근력강화운동(최대 심박수의 $70%{\sim}80%$, $70{\sim}80$분, 3회/주)을 병행하여 실시하였고, 교육은 운동과 칼슘 섭취의 중요성을 건강 신념 이론에 근거하여 자기 효능감을 증대시키는 교육을 하여 지속적인 운동 실천과 칼슘식이 섭취를 하도록 하였다. 대상자는 서울시 일개 보건소에서 골감소증으로 진단받은 폐경 여성으로 실험군 19명과 대조군 19명이었다. 골다공증 예방 프로그램의 효과는 골밀도, DPD ratio, osteocalcin, 일일 평균 칼슘섭취량, 일일 열량 소모량, 배근력, 최대 산소 섭취량, 제지방량과 건강신념 변수로 측정하였다. 수집된 자료는 PC SPSS 8.0 프로그램을 이용하여 대상자의 일반적 특성은 실수와 백분율로 실험군과 대조군의 동질성 검사는 t-test, $x^2-test$ 및 Fisher exact test를 이용하였고, 두 집단 간 결과변수들의 중재 전후의 차이는 t-test로 분석하였다. 연구 결과는 다음과 같다. 1) $L_{2-4}$ 골밀도는 실험군이 대조군에 비하여 유의하게 높았다. 2) DPD ratio와 osteocalcin은 두 집단간 유의한 차이가 없었다. 3) 배근력은 실험군에서 대조군보다 유의하게 증가하였으나, 제지방량과 최대 산소 섭취량은 유의한 차이가 없었다.

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Factors Influencing Knowledge and Prevention Behavior of Osteoporosis in Low-income Middle-aged Women (저소득층 중년 여성의 골다공증 지식과 골다공증 예방행위에 영향을 미치는 요인)

  • Eun-Jeong Jeon
    • Journal of the Korean Applied Science and Technology
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    • v.40 no.3
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    • pp.392-401
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    • 2023
  • This study was to identify the association between osteoporosis knowledge and performance of osteoporosis preventive behaviors among low-income middle-aged women, and to determine the impact of these variables on osteoporosis preventive behaviors. The subjects were 317 middle-aged women from low-income who visited three general hospitals in P city, and data were collected from February 1, 2021 to December 30, 2022 using structured questionnaires. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation, and Stepwise multiple linear regression using SPSS/WIN 27.0 program. As a result of the study, the osteoporosis knowledge of the subjects was low at 11.97±6.89 points, which showed a difference in the case of osteoporosis prevention education, fracture experience. The osteoporosis prevention behavior was low at 41.03±7.63 points, which showed a difference according to religion, comorbidity, osteoporosis prevention education and fracture experience, and subjective health status. There was a statistically positive correlation between osteoporosis knowledge and osteoporosis prevention behavior(r=.527, p<.001), and the factors affecting osteoporosis prevention behavior were fracture experience(𝛽=.415, p<.001), osteoporosis prevention education(𝛽=.359, p<.001), and self-rated health(𝛽=.186, p<.001). Therefore, it is necessary to develop a program that can promote osteoporosis prevention behavior of middle-aged women in low-income and to prepare measures to encourage participation.

Knowledge and Prevention Activity of Osteoporosis among Care Providers in Nursing Home (노인요양시설 간호제공자의 골다공증 관련 지식과 골다공증 예방활동)

  • Shim, Haeun;Park, Miwha;Park, Myungsook
    • Journal of Convergence for Information Technology
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    • v.9 no.12
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    • pp.71-80
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    • 2019
  • This study is a descriptive research study to identify osteoporosis knowledge and osteoporosis prevention activities among care providers in nursing home. The subjects were 142 care providers in S and Y city. The Data were collected from July 1 to July 20, 2019, and analyzed SPSS 24.0 Version. The result showed that the osteoporosis knowledge of among care providers was moderate. It showed differences in educational status, osteoporosis management training experience, residents number and importance awareness of elderly bone health. And prevention activities differed according to osteoporosis management training experience and importance awareness of elderly bone health. There was a positive correlation between knowledge and prevention activities of osteoporosis. Therefore, it is necessary to develop education programs for the management of elderly osteoporosis and to raise importance awareness of elderly bone health among care providers in nursing home. Further studies are needed to evaluate the effects of the program.

A Study on the Effect of Osteoporosis Knowledge, Osteoporosis Preventive Behaviors and Self-Efficacy of Middle Aged Women on Health-Related Quality of Life (중년기 여성의 골다공증 지식 및 예방행위, 자기효능감이 건강관련 삶의 질에 미치는 영향)

  • Jeong, Yun Ju;Kim, Yun Ah;Kwon, Young Chae
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.2
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    • pp.107-116
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    • 2021
  • Purpose : To examine the relationship among osteoporosis knowledge, osteoporosis preventive behaviors, self-efficacy and health-related quality of life of middle aged women and to find out factors which influence health-related quality of life. Methods : For study subjects, female patients aged 40 to 64 and hospitalized at the surgical wards of two general hospitals in G city were conveniently sampled. The data have been collected from January 11 to March 10, 2018. Data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, and multiple regression. Results : The average score of osteoporosis knowledge was 12.50±3.47, the average score of osteoporosis preventive behaviors was 44.96±8.16 and the average score of osteoporosis self-efficacy was 40.38±8.07. The factors influencing EQ-5D Index in health-related quality of life were comorbidity, osteoporosis preventive behaviors, osteoporosis knowledge and average monthly income, which could account for health-related quality of life at 18.0%. The factors influencing EQ-5D VAS were osteoporosis preventive behaviors, self-efficacy, osteoporosis knowledge and age of menarche, which could account for health-related : Higher osteoporosis knowledge, osteoporosis preventive behaviors and self-efficacy, the better the subjects health-related quality of life. Therefore, as a way to promote health-related quality of life of middle aged women, the constant development and the application of a program which may promote osteoporosis knowledge, osteoporosis preventive behaviors and self-efficacy are needed.

Bone Mineral Density and Risk Factors of Osteoporosis in Healthy Men and Women (건강한 성인 남녀의 골밀도와 골다공증 위험요인)

  • Shin, Su-Jin;Shin, Kyung-Rim;Shin, Chol;Park, Sun-Young
    • Korean Journal of Health Education and Promotion
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    • v.25 no.5
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    • pp.53-64
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    • 2008
  • Aims. The aims of this study were to identify the prevalence of osteoporosis and confirm the priority for health promotion program on the osteoporosis. Methods. 1,269 adults aged 18-84 years participated in this study from the Ansan Health Study sample. A questionnaire was used to evaluate the risk factors, and a Dual Energy X-ray Absorptiometry was used to measure the bone mineral density in the anteroposterior lumbar spine and femur. Collected data were analyzed using the SPSS 12.0 program. Results. BMD was decreased rapidly in females in their 50s and 60s and the overall incidence of osteoporosis based on the femur and the lumbar spine was 0.8% and 6.3% for males and 0.9% and 7.1% for females. Osteoporosis knowledge was significantly correlated with BMD. Conclusions. The results of this study can be applied to provide effective and practical implementation guidelines for osteoporosis prevention program.

A Study of Prevalence and Related Risk Factors of Osteoporosis for Employees (직장 근로자의 골다공증 유병실태와 관련요인 연구)

  • Hong, Sun-An;You, Si-Young
    • The Journal of the Korea institute of electronic communication sciences
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    • v.8 no.4
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    • pp.631-637
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    • 2013
  • Background and Objectives: The study was performed to investigate the status of osteoporosis for S electronics workers in H hospital of G city form April 21 to May 31 2008. Material and Method: The result of this research is following. Results: As results of osteoporosis analysis based on general characteristic, for men, something of 21 was the most frequent and osteoporosis of 13 was the second most frequent, and for women, good of 12 was the most frequent and care was the second most. The results concludes that men have more problems with osteoporosis that women have. In age of 40 years or more, care level of 24(88.9%) was the most frequent and good level of 15 people was the second most. This result concludes that age of 40 year is target subjects for care. In position, senior has 14 people who have care level(42.4%) and 8 people(24.2%)of osteoporosis level. The result concludes than the senior has more osteoporosis than the employ has. Conclusion: In conclusion, the age, position, weight are related to osteoporosis.

가임기 여성을 대상으로 영양교육 프로그램의 타당성 검증에 대한 연구

  • 유혜은;이지현;오은주;오세영
    • Proceedings of the KSCN Conference
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    • 2004.05a
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    • pp.427.2-428
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    • 2004
  • 본 연구는 가임여성을 위한 영양중재의 방안으로 사회인지론과 행동변화단계모형에 근거하여 영양교육 프로그램을 개발하여 그 타당성을 검증하였다. 영양교육은 올바른 식생활, 골다공증 예방, 변비예방, 영양표시에 대해 실시하였다. 주제별로 프로그램은 인식전환, 식행동 수정, 바른 식행동 유지에 대한 내용을 포함하였으며 이 중 식행동 수정단계가 상대적으로 많은 부분을 차지하였다. 교육대상자는 총 108명으로 여고생 59명 (2 집단)과 여대생 51명 (1 집단)을 포함하였다.(중략)

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Development and Effect of Exercise Program to Prevent Osteoporosis in Working Women (직장여성의 골다공증 예방 운동프로그램 개발 및 효과)

  • Lee, Ho-Yeon;Wang, Mi-Suk;Lim, Nan-Young
    • Journal of muscle and joint health
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    • v.16 no.2
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    • pp.135-144
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    • 2009
  • Purpose: The purpose of this study was to develop an exercise program to prevent osteoporosis in working women and to examine its effects on bone mineral density (BMD). Method: The subjects of the study were 55 working women. The experimental group participated three times per week for twelve weeks in this exercise program. T-test and ANOVA, Pearson's correlation coefficients were used to analyze the data. Results: The BMD of the experimental group prior to participating in the exercise program was 0.9301 $(\pm08620)g/cm^2$. However, after the exercise program, the BMD increased to 0.9415 $(\pm1117)g/cm^2$ (t=-2.338, p=.026). Moreover, in relations to BMD and physiological variables, there were significant correlations between BMD and physical activity (r=.294, p=.030), as well as between BMI and physical activity (r=.267, p=.049). Conclusion: In this study, BMD in the experimental group had significantly increased after their participation, while the control group had decreased. Thus, this study showed that the exercise program developed for working women is effective in maintaining BMD and consequently preventing osteoporosis.

Development of the Education Program and It Effect on Osteoporosis and Life Style among Women (여성의 생활양식 변화를 통한 골다공증 예방 교육프로그램의 개발 및 효과)

  • 변영순;김옥수
    • Journal of Korean Academy of Nursing
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    • v.30 no.3
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    • pp.764-775
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    • 2000
  • The purpose of this study was to develop the educational program based on the self-efficacy theory of Bandura(1986) and to identify the effect of the program among women. For this purpose a non-equivalent control group, and a pretest- posttest design was used between the experimental and the control group. The subjects in this study were female and were over the age 40, 37 in the experimental group and 46 in the control group. In this study, the educational program was developed to increase the level of osteoporosis self efficacy and to prevent osteoporosis. The program consisted of watching, videotapes, telephone contact, lectures, and small group discussions. This study was conducted to determine whether the 6 month educational program would increase osteoporosis self- efficacy, thus modifying life styles related to osteoporosis increas BMD. The instruments utilized in this study were the Lifestyle Questionnaire, and the Osteoporosis Self-Efficacy Scale. Also, bone marrow density (BMD) on the left wrist was measured by DTX-200. The findings are as follows: 1. A significant decrease in BMD was observed in the control group. By contrast, no significant change in BMD was observed in the experimental group. 2. The Osteoporosis Self-Efficacy was not significantly changed in both the experimental and control groups. 3. In the experimental group, the number of exercise participants and their exercise times were significantly increased. Also the amount of caffeine intake was significantly decreased.

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Long-term Combined Exercise has Effect on Regional Bone Mineral Density and Cardiovascular Disease Risk Factors of the Elderly with Osteoporosis (장기간의 복합운동이 골다공증 노인의 신체부위별 골밀도와 심혈관질환 위험요인에 미치는 영향)

  • Choi, Pil-Byung
    • 한국노년학
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    • v.31 no.2
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    • pp.355-369
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    • 2011
  • The purpose of this study was to find the effects of long-term combined exercise on regional bone mineral density(BMD) and cardiovascular disease(CVD) risk factors in the elderly with osteoporosis(OP). For the purpose, the subjects of this study were separated by two groups with thirty-one elderly women, who the first group was combined exercise group(CEG, n=16) and second group was non exercise group(CON, n=15). The combined exercise program was made up of warm-up (10min), work-out (aerobic; 30~45min/HRR 40~60%, resistance; 1RM * 50-70%, 8-10 * 2set ~ 10-15 * 1set), and cool-down (10min). Exercise group of the inspection have been trained 5 times a week for 1years. The results : At first, the variables of regional BMD were significantly different to pelvis, spine, trunk and T-score in two groups. At second, the variables of CVD risk factors were significantly different to SBP and DBP as well as TC, TG, LDL-C and HDL-C in two groups. As results of these conclusion, this study have positively effect shown that CEG was superior to CON in regional BMD(pelvis, spine, trunk and T-score), blood pressure(SBP, DBP) and plasma lipids(TC, TG, and LDL-C). Especially, the long-term combined exercise was provides a striking overall health quality of life with improving BMD and reduced CVD risk factors in the elderly with OP. In the future, other researches should deal with specific measures that reduction in mortality due to chronic disease and improvement quality of life for the development of programs in multiple researches of osteoporosis and chronic diseases.