Korean J Women Health Nurs.  2013 Mar;19(1):57-65. 10.4069/kjwhn.2013.19.1.57.

Effects of Body Weight Control Behaviors on Bone Mineral Density in Korean Young Adult Women

• Chung CW
• Lee SJ

• KMID: 2307965
• DOI: http://doi.org/10.4069/kjwhn.2013.19.1.57

Abstract

PURPOSE
This study identified the effects of body weight control behaviors on bone mineral density (BMD) in Korean women aged 20 to 39 years.
METHODS
A secondary analysis of the 5th Korean National Health and Nutrition Examination Survey was conducted. Asian-Pacific criteria of BMI (Body Mass Index) and BMD were calculated for 1,026 women selected. The effects of body weight control behaviors were assessed using binary multiple logistic regression analysis while controlling for BMI.
RESULTS
Osteopenia and osteoporosis rates were 32.8% and 2.0%, respectively. About 69% of women performed weight control behaviors, and a combination of diet/exercise (22.7%) and drug added methods (10.9%) for weight control. Women who performed both diet control and exercise had a lower possibility to have abnormal BMD than those who did not try weight control (OR=0.67, CI=0.45~0.98, p=.039). Further weight control behaviors did not influence abnormal BMD.
CONCLUSION
Body weight control should include proper diet and exercise in accordance with each woman's BMI level.

Keyword

Health behavior; Body weight; Bone mineral density; Osteoporosis; Women

MeSH Terms

Aged
Body Weight
Bone Density
Bone Diseases, Metabolic
Diet
Female
Health Behavior
Humans
Logistic Models
Nutrition Surveys
Osteoporosis
Young Adult

Figure

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  Figure 1 Sampling of the study.

Reference

1. Ahn HS, Kim SH, Lee SS. A study of factors affecting bone mineral density in Korean adolescents: Anthropometric measurements, lifestyle, and other environmental factors. Korean J Nutr. 2005. 38:242–250.

2. Ahn S, Kim H, So H, Song R. Factors influencing fear of falling in postmenopausal women. Korean J Women Health Nurs. 2009. 15:344–352. http://dx.doi.org/10.4069/kjwhn.2009.15.4.344.

3. Barrera G, Bunout D, Gattas V, de la Maza MP, Leiva L, Hirsch S. A high body mass index protects against femoral neck osteoporosis in healthy elderly subjects. Nutrition. 2004. 20:769–771. http://dx.doi.org/10.1016/j.nut.2004.05.014.

4. Cho DS, Lee JY. Bone mineral density and factors affecting in female college students. Korean J Women Health Nurs. 2008. 14:297–305. http://dx.doi.org/10.4069/kjwhn.2008.14.4.297.

5. Cho SJ, Kim CK. The effect of female students' obese level and weight control behavior and attitudes on stress. J Korean Soc Health Educ. 1997. 14:1–16.

6. Choi HS, Oh HJ, Choi H, Choi WH, Kim JG, Kim KM, Kim KJ, et al. Vitamin D insufficiency in Korea-A greater threat to younger generation: The Korea national health and nutrition examination survey 2008. J Clin Endocrinol Metab. 2011. 96:643–651. http://dx.doi.org/10.1210/jc.2010-2133.

7. Eisman J, Clapham S, Kehoe L. Osteoporosis prevalence and levels of treatment in primary care: The Australian bonecare study. J Bone Miner Res. 2004. 19:1969–1975.

8. Hong MS, Pak HO, Sohn CY. Comparative study of food behaviors and nutrients intake according to the bone mineral density of female university students. Korean J Food Nutr. 2012. 25:156–162.

9. Jung DJ. Influence of weight control behavior, body image, self-esteem, health promotion behavior and mental health promotion behavior in university female students by BMI. Exerc Sci. 2006. 15:365–376.

10. Kim KH, Lee K, Ko YJ, Kim SJ, Oh SI, Durrance DY, et al. Prevalence, awareness, and treatment of osteoporosis among Korean women: The fourth Korea national health and nutrition examination survey. Bone. 2012. 50:1039–1047.

11. Kim MS, Koo JO. Analysis of factors affecting bone mineral density with different age among adult women in Seoul area. Korean J Community Nutr. 2007. 12:559–568.

12. Kim MS, Koo JO. Comparative analysis of food habits and bone density risk factors between normal and risk women living in the Seoul area. Korean J Community Nutr. 2008. 13:125–133.

13. Korea Centers for Disease Control and Prevention. A guidebook of the fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1). 2010. Seoul: Author.

14. Lee JK, Kim EJ, Suk MH, Kim EY, Hwang RI. Factors influencing osteoporosis. J Korean Community Nurs. 2003. 14:253–262.

15. Lee MS, Kang PS, Lee KS. Factors affecting bone mineral density in premenopausal women. Yeungnam Univ J Med. 2007. 24:330–339.

16. Meyer HE, Tverdal A, Selmer R. Weight variability, weight change and the incidence of hip fracture: A prospective study of 39,000 middle-aged Norwegians. Osteoporos Int. 1998. 8:373–378.

17. Min HJ, Oh HY. A study on osteoporosis knowledge, health beliefs and health behaviors among female college students. J Korean Acad Community Health Nurs. 2011. 22:111–120.

18. Nguyen TV, Sambrook PN, Eisman JA. Bone loss, physical activity, and weight change in elderly women: The Dubbo osteoporosis epidemiology study. J Bone Miner Res. 1998. 13:1458–1467.

19. Salamone LM, Cauley JA, Black DM, Simkin-Silverman L, Lang W, Gregg E, et al. Effect of a lifestyle intervention on bone mineral density in premenopausal women: A randomized trial. Am J Clin Nutr. 1999. 70:97–103.

20. Shapses SA, Riedt CS. Bone, body weight, and weight reduction: What are the concerns? J Nutr. 2006. 136:1453–1456.

21. Tang BM, Eslick GD, Nowson C, Smith C, Bensoussan A. Use of calcium or calcium in combination with vitamin D supplementation to prevent fractures and bone loss in people aged 50 years and older: A meta-analysis. Lancet. 2007. 370:657–666. http://dx.doi.org/10.1016/S0140-6736(07)61342-7.

22. Teegarden D, Proulx WR, Martin BR, Zhao J, McCabe GP, Lyle RM, et al. Peak bone mass in young women. J Bone Miner Res. 1995. 10:711–715.

23. WHO/IASO/IOTF. The Asia-Pacific perspective: Redefining obesity and its treatment. 2000. Retrieved January 10, 2010. from http://www.idi.org.au/obesity_report.htm.

24. Wing RR, Hill JO. Successful weight loss maintenance. Annu Rev Nutr. 2001. 21:323–341.