Nutr Res Pract.  2015 Oct;9(5):539-546. 10.4162/nrp.2015.9.5.539.

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

Affiliations
  • 1Department of Food and Nutrition, Myongji University, 116 Myongji-ro, Cheoin-gu, Yongin, Gyeonggi 449-728, Korea. hrpark@mju.ac.kr

Abstract

BACKGROUND/OBJECTIVES
Women's bone health status is closely related with environmental factors and lifestyle factors. The purpose of this study is to evaluate the dietary risks of osteoporosis and osteopenia for Korean postmenopausal women.
SUBJECTS/METHODS
The data from 1,433 subjects from the 2010 KNHANES were used and divided into three groups: normal, osteopenia, and osteoporosis group using bone mineral density (BMD). Nutrient intakes and food intake frequency were evaluated. Logistic regression analysis was applied to determine the odds ratios for osteoporosis and osteopenia.
RESULTS
The RNI percentage of each nutrient and food intake frequency from 12 food groups decreased as bone mineral density status deteriorated. Risk for osteoporosis of low calcium (Ca) intake, under the EAR, showed an odds ratio of 2.13(95% CI; 1.26-3.61, P < 0.05). Higher intake frequency showed preventive effect from osteoporosis compared to lower intake frequency in such food group as dairy products (ORs 0.40, CI 0.21-0.75), beans (ORs 0.49, CI 0.29-0.83), seaweeds (ORs 0.55, CI 0.32-0.94), fish (ORs 0.56, CI 0.32-0.98), and fruits (ORs 0.42, CI 0.23-0.79) after adjusting for age.
CONCLUSION
To prevent osteoporosis in later life, sufficient Ca intake and more frequent intakes of foods containing Ca such as dairy products, beans, fish, seaweeds, and fruits, which help in Ca absorption, should be stressed for Korean postmenopausal women.

Keyword

Osteoporosis; odds ratio; KNHANES; postmenopausal women

MeSH Terms

Absorption
Bone Density
Bone Diseases, Metabolic
Calcium
Dairy Products
Ear
Eating
Fabaceae
Female
Fruit
Humans
Korea*
Life Style
Logistic Models
Nutrition Surveys*
Odds Ratio
Osteoporosis*
Prevalence*
Calcium

Cited by  3 articles

Comparison in Adherence to Osteoporosis Guidelines according to Bone Health Status in Korean Adult
Hee-Sook Lim, Soon-Kyung Kim, Hae-Hyeog Lee, Dong Won Byun, Yoon-Hyung Park, Tae-Hee Kim
J Bone Metab. 2016;23(3):143-148.    doi: 10.11005/jbm.2016.23.3.143.

Sex- and age group-specific associations between intakes of dairy foods and pulses and bone health in Koreans aged 50 years and older: Based on 2008~2011 Korea National Health and Nutrition Examination Survey
Hyun-Bi Seo, Young-Sun Choi
J Nutr Health. 2016;49(3):165-178.    doi: 10.4163/jnh.2016.49.3.165.

High dairy products intake reduces osteoporosis risk in Korean postmenopausal women: A 4 year follow-up study
Seon-Joo Park, Ji Hye Jung, Myung-Sunny Kim, Hae-Jeung Lee
Nutr Res Pract. 2018;12(5):436-442.    doi: 10.4162/nrp.2018.12.5.436.


Reference

1. Jang JY, Chung HY, Hwang YC, Jeong IK, Ahn KJ, Kwon MK, Chon S, Oh S, Woo JT, Kim SW, Kim JW, Kim YS. Dietary calcium intake and bone metabolism in Korean postmenopausal women. Korean J Bone Metab. 2008; 15:143–149.
2. Kwon JH, Choi YM, Lee YH, Lee JY. The bone mineral densities in Korean postmenopausal women: a comparison between natural and surgically induced menopause. Korean J Obstet Gynecol. 2000; 43:842–852.
3. Slemenda CW, Hui SL, Longcope C, Johnston CC Jr. Cigarette smoking, obesity, and bone mass. J Bone Miner Res. 1989; 4:737–741.
Article
4. National Osteoporosis Foundation (US). America's Bone Health: The State of Osteoporosis and Low Bone Mass in Our Nation. Washington D.C.: National Osteoporosis Foundation;2002.
5. Ilich JZ, Kerstetter JE. Nutrition in bone health revisited: a story beyond calcium. J Am Coll Nutr. 2000; 19:715–737.
Article
6. Go G, Tserendejid Z, Lim Y, Jung S, Min Y, Park H. The association of dietary quality and food group intake patterns with bone health status among Korean postmenopausal women: a study using the 2010 Korean National Health and Nutrition Examination Survey Data. Nutr Res Pract. 2014; 8:662–669.
Article
7. Koo JO, Park S. Analysis of BMI menopose, blood pressure and dietary habits affecting born mineral density of 30-60 years women. Korean J Community Nutr. 2010; 15:403–414.
8. Kim KH. A study on the development of residential community for aged society [master's thesis]. Suwon: Ajou University;2008.
9. Jeon JD. Prevalent status and associated factor of osteoporosis in adult women [master's thesis]. Gwangju: Chosun University;2000.
10. You MH, Son BS, Park JA, Kim JO, Yang WH. Patterns of bone mineral density of adult women and its causal factors in Suwon, Korea. Korean J Sanit. 2004; 19:71–80.
11. Oh SI, Lee HS, Lee MS, Kim CI, Kwon IS, Park SC. Some factors affecting bone mineral status of postmenopausal women. Korean J Community Nutr. 2002; 7:121–129.
12. Park JC, Kweon HJ, Oh YK, Do HJ, Oh SW, Lym YL, Choi JK, Joh HK, Cho DY. Association of the metabolic syndrome and bone mineral density in postmenopausal women. Korean J Fam Med. 2010; 31:9–15.
Article
13. Song YD, Lim SK, Chung YS, Park SW, Chung CH, Ahn KJ, Lee EJ, Lee HC, Huh KB, Choi MS, Paik IK, Lee JH. The effect of body fat on bone density in pre-and postmenopausal women. J Korean Soc Endocrinol. 1993; 8:251–258.
14. The Korean Nutrition Society. Dietary Reference Intakes for Koreans. Seoul: The Korean Nutrition Society;2010.
15. 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.
16. Kang TH, Park YK, Kim EH, Kim SM, Oh HJ. Spinal bone mineral density related with YSM in Korean menopausal women. J Korean Acad Fam Med. 2002; 23:224–232.
17. Youk JI. Female bone mineral density in an urban area and its relation with contributing factors [master's thesis]. Daejeon: Chungnam National University;2004.
18. Kim BS. Comparision of related factors of bone mineral density of postmennopausal women in urban and rural areas [master's thesis]. Iksan: Wonkwang University;2007.
19. Kim JG, No JH, Hong JS, Kim SH, Choi YM, Moon SY, Lee JY. A study on risk factors for postmenopausal osteoporosis. Korean J Obstet Gynecol. 2001; 44:1621–1626.
20. Byun YS, Kim OS. Life style and self-efficacy in osteoporsis women. J Korean Acad Nurs. 1999; 29:530–540.
Article
21. Jeon JD. Prevalent status and associated factors of osteoporosis in adult women [master's thesis]. Gwangju: Chosun University;2001.
22. Chung M, Hwang K, Choi E. Study of the level of osteoporosis awareness among women dwelling in urban area. Korean J Women Health Nurs. 2009; 15:362–371.
Article
23. Sung CJ, Choi SH, Kim MH, Choi YH, Lee DH, Baek SK, Kim HK, Choi MK. A study on nutritional status, maternal factors, and lifestyles according to BMD in rural postmenopausal women. Korean J Community Nutr. 2001; 6:192–204.
24. Carranza-Lira S, Rosas M, Murillo A, Martinez N, Santos J. Osteoporosis in postmenopausal women (Mexico City): 1. Risk factors. Int J Fertil Womens Med. 2002; 47:22–25.
25. Lee JS, Yu CH. Some factors affecting bone mineral density of Korean rural women. Korean J Nutr. 1999; 32:935–945.
26. Kim KR, Kim KH, Lee EK, Lee SS. A study on the factors affecting bone mineral density in adult women: besed on the mothers of elementary school students. Korean J Nutr. 2000; 33:241–249.
27. Na NS. A study on factors related to bone density of women living in Seoul [master's thesis]. Seoul: Korea National Open University;2009.
28. Choi SH, Hwang DK, Song HR, Noh HJ, Kang JY, Choi DH, Choi HJ. The predictors of lumbar spinal bone mineral density in pre- and postmenopausal women. J Korean Soc Menopause. 2009; 15:101–109.
29. Hong JY, Choue R. The Effects of vitamin K supplements on serum osteocalcin caraboxylation in postmenopausal women. Korean J Nutr. 1999; 32:726–731.
30. Choi JY, Han S, Shin A, Shin CS, Park SK, Cho SI, Kang D. Prevalence and risk factors of osteoporosis and osteopenia in Korean women: cross-sectional study. J Korean Soc Menopause. 2008; 14:35–49.
31. Lau EM. Epidemiology of osteoporosis. Best Pract Res Clin Rheumatol. 2001; 15:335–344.
Article
32. Daniell HW. Osteoporosis of the slender smoker. Vertebral compression fractures and loss of metacarpal cortex in relation to postmenopausal cigarette smoking and lack of obesity. Arch Intern Med. 1976; 136:298–304.
Article
33. Lufkin EG. Therapeutic alternatives for postmenopausal osteoporosis. Compr Ther. 1992; 18:14–17.
34. Baeksgaard L, Andersen KP, Hyldstrup L. Calcium and vitamin D supplementation increases spinal BMD in healthy, postmenopausal women. Osteoporos Int. 1998; 8:255–260.
Article
35. Wardlaw GM, Insel PM. Perspectives in Nutrition. 3rd ed. St. Louis (MO): Mosby;1995.
36. Na SG, Son HY, Yang GH, Jang JS, Choi YG. Osteoporosis. Seoul: Ses-Heung Publishing Company;2000.
37. Heaney RP. Calcium, dairy products and osteoporosis. J Am Coll Nutr. 2000; 19:83S–99S.
Article
38. Bolland MJ, Barber PA, Doughty RN, Mason B, Horne A, Ames R, Gamble GD, Grey A, Reid IR. Vascular events in healthy older women receiving calcium supplementation: randomised controlled trial. BMJ. 2008; 336:262–266.
Article
39. Hong H, Kim EK, Lee JS. 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. 2013; 7:409–417.
Article
40. Choi MJ, Park EJ, Jo HJ. Relationship of nutrient intakes and bone mineral density of elderly women in Daegu, Korea. Nutr Res Pract. 2007; 1:328–334.
Article
Full Text Links
  • NRP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr