• Journal of Preventive Medicine and Public Health
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• v.54 no.4
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• pp.284-292
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• 2021

Objectives: Low bone density (LBD) in the postmenopausal period has long been a pervasive public health concern; however, the association between parity and LBD has yet to be fully elucidated. Thus, we investigated the association between parity and LBD in postmenopausal Korean women. Methods: This study used baseline data from 1287 Korean postmenopausal women aged 40 years or older enrolled in the Cardiovascular and Metabolic Diseases Etiology Research Center community-based cohort study conducted in Korea from 2013 to 2017. The main exposure was parity (nullipara, 1, 2, 3+). The main outcome was LBD, including osteopenia and osteoporosis, based on bone mineral density measured using quantitative computed tomography of the lumbar spine (L1-2). Results: The mean age of participants was 57.1 years, and the median parity was 2. Of the 1287 participants, 594 (46.2%) had osteopenia and 147 (11.4%) had osteoporosis. No significant difference in the prevalence of LBD was found between nullipara and parous women, whereas higher parity was associated with a higher risk of LBD among parous women; the adjusted odds ratio (95% confidence interval) for the presence of LBD was 1.40 (0.97 to 2.02) for a parity of 2 and 1.95 (1.23 to 3.09) for a parity of 3 relative to a parity of 1. Conclusions: Women who have given birth multiple times may be at greater risk of bone loss after menopause; therefore, they should be a major target population for osteoporosis prevention.

• Hip & pelvis
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• v.34 no.4
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• pp.191-202
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• 2022

The aim of this study was to provide helpful information for use in selection of an appropriate medication after osteoporotic fractures through conduct of a literature review. In addition, a review of the recommendations of several societies for prevention of subsequent fractures was performed and the appropriate choice of medication for treatment of atypical femur fractures was examined. Clinical perspective was obtained and an updated search of literature was conducted across PubMed and MEDLINE and relevant articles were selected. The articles were selected manually according to relevance, and the references for identified articles and reviews were also evaluated for relevance. The following areas are reviewed: Commonly prescribed osteoporosis medications: BPs (bisphosphonates), denosumab, and SERMs (selective estrogen receptor modulators) in antiresorptive medications and recombinant human parathyroid hormone teriparatide, recently approved Romosuzumab in anabolic agents, clinical practice guidelines for the management of osteoporosis, osteoporotic fracture, and atypical femur fracture. Most medications for treatment of osteoporosis do not delay fracture healing and the positive effect of teriparatide on fracture healing has been confirmed. In cases where an osteoporotic fracture is diagnosed, risk assessment should be performed for selection of very high-risk patients in order to prevent subsequent fractures, and administration of anabolic agents is recommended.

• Journal of Korean society of Dental Hygiene
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• v.12 no.5
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• pp.943-952
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• 2012

Objectives : The purpose of this study was to examine the impact of the systemic osteoporosis of Korean adults on their periodontal diseases and CPI index based on the data of their systemic osteoporosis. Methods : The third-year raw data of the 4th 2009 National Health & Nutrition Survey that turned out to be representative and reliable were utilized. The subjects in this study were 7,285 adults who were over the age of 19 and got both of health and dental checkups. As for data analysis, the statistical packages PASW 19.0 and SAS 9.0 were employed. Results : The most periodontal diseases were found in those who had osteoporosis in the entire parts, entire femur, femoral neck and spiral bone, but there was no significant relationship between periodontal diseases and osteoporosis. As for the connections between peridontal diseases and osteoporosis, the adults who had femoral neck osteoporosis had a 2.057-fold less bone mass than those who had a normal bone density in this part, and the former's periodontal diseases increased in proportion to that. There was consequently a statistically significant relationship between the two(p<0.05). Among the prevalence factors of osteoporosis, a lower entire femur bone mineral density led to a lower CPI index(p<0.01), and a lower femoral neck bone mineral density led to a higher CPI index(p<0.05). Thus, there was a significant relationship between osteoporosis and the oral health indicator. Conclusions : The above-mentioned findings confirmed that in terms of the relationship among the periodontal diseases, CPI index and osteoporosis of Korean adults, a higher risk of osteoporosis affected the increase of chronic periodontal diseases.

• Women's Health Nursing
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• v.15 no.4
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• pp.344-352
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• 2009

Purpose: The study was to identify influencing factors on fear of falling in postmenopausal women. Methods: With a correlational survey design, 125 postmenopausal women were recruited at the D metropolitan city by a convenience sampling. Fracture risk status was assessed by bone mineral densities (BMD) at lumbar and femur with DEXA method. A structured study questionnaire was used to measure demographic variables, osteoporosis self-efficacy, and fear of falling. Results: Mean age of the subjects was 59 years old and duration since menopause was 9.55 years. Twenty six percent of the subjects belonged to osteoporotic group in fracture risk status. Mean score for fear of falling was 16.10 (SD=5.18) indicating low level, and osteoporosis self-efficacy for exercise and diet was 44.76 (SD=7.41), indicating mid-range level. Factors influencing the fear of falling was longer time since menopause ($\beta=.30$), lower score of osteoporosis self-efficacy for exercise ($\beta=-.26$), poor health perception status ($\beta=-.16$), and presence of chronic disease ($\beta=.16$), and the explained variance was 20%. Conclusion: Although the level of fear of falling was yet low in postmenopausal women, women who had lower self-efficacy of osteoporosis for exercise and poorer health perception felt greater fear of falling. Therefore, an educational program specific to improve osteoporosis self-efficacy and reduce the fear of falling is needed for improving postmenopausal women's psychosocial well-being.

• Journal of Korea Entertainment Industry Association
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• v.14 no.2
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• pp.225-235
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• 2020

Purpose: This study is a descriptive and secondary analytical study that uses panel data to analysis of unmet healthcare needs and risk factors for improving life care of osteoporosis patients. Methods: The subjects of this study were 941 patients who were diagnosed with osteoporosis using Korea Medical Panel 2015 data(β-version 1.0). Data analysis was performed using Chi-Square and logistic regression using SPSS/win 22.0. Results: The unmet healthcare needs of osteoporosis patients were 22.6%. The factors of unmet healthcare needs were education level and age in Model I of demographic factors, and eating problems, memory problems, activity limitation, and disability in Model II. In Model III, which added socio-psychological factors, eating problems, memory problems, Total family income, and pain/Discomfort were identified. Conclusion: Based on the results of this study, it should be considered in the planning of medical policies to improve the life care of osteoporosis patients, and it is necessary to improve access to medical services and to prevent and mediate realistically to reduce unmet healthcare needs.

• Journal of Yeungnam Medical Science
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• v.41 no.1
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• pp.39-44
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• 2024

Background: Medication-related osteonecrosis of the jaw (MRONJ) is a significant concern, particularly among patients taking bisphosphonates (BPs), denosumab, and selective estrogen receptor modulators (SERMs) for osteoporosis. Despite the known risks, large-scale cohort studies examining the incidence and severity of MRONJ are lacking. We aimed to ascertain the incidence and risk of MRONJ among these patients, whom we stratified by age groups, medication types, and duration of use. Methods: We utilized data from the National Health Insurance Service's sample cohort database, focusing on patients aged 40 years and above diagnosed with osteoporosis. The patients were divided into three groups: those prescribed BPs only, those prescribed SERMs only, and those prescribed both. Results: The overall incidence rate of MRONJ was 0.17%. A significantly higher incidence rate was observed among those taking osteoporosis medications, particularly among females with a relative risk of 4.99 (95% confidence interval, 3.21-7.74). The SERM group also had an incidence rate comparable to that of the BP group. Severity was assessed based on the invasiveness of the treatment methods, with 71.3% undergoing invasive treatment in the medication group. Conclusion: This study provides valuable insights into the incidence and severity of MRONJ among a large cohort of patients with osteoporosis. It underscores the need for comprehensive guidance on MRONJ risks across different medication groups and sets the stage for future research focusing on specific populations and treatment outcomes.

• Research in Community and Public Health Nursing
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• v.14 no.4
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• pp.629-638
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• 2003

Purpose: This study investigated the effects of knowledge and health belief on osteoporosis preventive health behaviors. Methods: The subjects of this study were 266 middle-aged women. Data were collected using a self-reporting questionnaire with 101 questions. The period of data collection was from the 3rd of January to the 28th of February 2003. Data were analyzed using SPSS 10.0 PC+ program. Results: The results were summarized as follows: 1. The average score of knowledge about osteoporosis was 16.93 out of 27. Particularly, middle-aged women had knowledge more about osteoporosis prevention measures than about risk factors. 2. Knowledge, self efficacy and barriers were significantly correlated with osteoporosis preventive health behaviors. 3. As for the relationship between subjects' general characteristics and their health preventive behaviors, the size of living district, economic status, BMI. family history of osteoporosis and perception of health status were found to have significant effects on health preventive behaviors. Conclusions: According to the results presented above, preventive health behaviors may be promoted by increasing knowledge and perceived self-efficacy as well as decreasing individuals' perceived barriers through health education.

• Journal of Korean Academy of Nursing
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• v.41 no.6
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• pp.758-767
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• 2011

Purpose: This study was done to examine the threshold value of estimated height loss at which the risk of osteoporosis increases and to verify its discriminative ability in the detection of osteoporosis. Methods: It was conducted based on epidemiological descriptive methods on 732 Korean women at a public healthcare center in Seoul between July and November 2010. ANOVA, Pearson correlation, logistic regression analysis and receiver operating characteristics (ROC) curve were used for data analysis. Results: There was an age-related correlation between bone mineral density (lumbar spine: F=37.88, p<.001; femur: F=54.27, p<.001) and estimated height loss (F=27.68, p<.001). Estimated height loss increased significantly with decreasing bone mineral density (lumbar spine: r=-.23, p<.001; femur: r=-.34, p<.001). The odds ratio for the point at which the estimated height loss affects the occurrence of osteoporosis was found to increase at a cut-off value of 2 cm and the area under ROC curve was .71 and .82 in lumbar spine and femur, respectively. Conclusion: The optimal cut-off value of the estimated height loss for detection of osteoporosis was 2 cm. Height loss is therefore a useful indicator for the self-assessment and prognosis of osteoporosis.

• Journal of muscle and joint health
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• v.9 no.1
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• pp.53-67
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• 2002

Osteoporosis is a age-related metabolic disorder. Currently there is no cure, but there are measures that can prevent or deter the development of osteoporosis. Futhermore lifestyle among risk factors of osteoporosis may be modifiable. Osteoporotic preventive health promotion behavior may be more effective at early adult when make formation of peak bone mass. The purpose of this study was to identify of relation between the demographic variable, osteoporosis-related lifestyles and the health promotion behavior of University and College Female Students. The results were followed: 1. Demographic variables according to the health promotion behavior were significantly difference with age, body height, religion and income. 2. Osteoporosis-related lifestyles according to the health promotion behavior were significantly difference with element school milk intake, current milk intake, exercise and caffeine intake. 3. Health promotion behavior was positively correlation with age, body weight, height income, element school and current milk intake and exercise.

• Korean Journal of Health Education and Promotion
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• v.31 no.1
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• pp.13-26
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• 2014

Objectives: This study aimed to assess whether metabolic syndrome (MS) is related to osteoporosis and investigate the association between the MS components and bone mineral density (BMD). Methods: We conducted a cross-sectional study for 4,365 women aged over 50 years who completed health examination from 2008 to 2012 in Korea Association of Health Promotion Gangwon Branch. Height, body weight, waist circumference, blood pressure, fasting plasma glucose, serum lipid profiles, and BMD were measured. Results: Obesity measured as body mass index (BMI) was detrimental to all of the MS components but positively correlated with BMD at three skeletal sites (lumbar spine, femoral neck, and total hip). There were no significant differences in the MS prevalence between women without osteoporosis and those with osteoporosis. In age-adjusted analysis, women with MS had significantly higher BMD at three sites when compared to those without MS. After adjusting for BMI and age, these significances disappeared, such that MS was not associated with higher BMD. Conclusions: Our findings indicate that obesity increases the risk of MS whereas underweight increases that of osteoporosis. The association between MS and higher BMD was explained by the higher BMI in those with MS. MS may not be associated with osteoporosis.