Korean J Community Nutr.  2019 Apr;24(2):152-162. 10.5720/kjcn.2019.24.2.152.

Food and Nutrient Intake Level by the Risk of Osteoporosis and Cardiovascular Disease in Postmenopausal Women: The use of the 5th Korean National Health and Nutrition Examination Surveys (2010–2011)

• Kim H
• Kim H
• Kwon O
• Park H

• KMID: 2445022
• DOI: http://doi.org/10.5720/kjcn.2019.24.2.152

Abstract

OBJECTIVES
The purpose of this study was to investigate the food, nutrient intake, and diet quality of postmenopausal women at high risk of osteoporosis (OP) and cardiovascular disease (CVD) compared with those of control subjects.
METHODS
A total of 1,131 post-menopausal women aged over 45 years, who took the 2010-2011 Korean National Health and Nutrition Examination Survey (KNHANES), were included for analysis. These participants were classified into the following groups: the OP group, with a risk of OP (n=135); the CVD group, with a risk of CVD (n=373); the OP+CVD group, with a risk of OP and CVD concurrently (n=218); and the control group (n=405) according to bone mineral density (BMD) and CVD risk. Anthropometric measurements, blood profiles, dietary intake, and dietary quality indices were measured and compared among the four groups.
RESULTS
Waist circumference, total body fat percentage, blood pressure, fasting plasma glucose, total cholesterol, triglyceride, and LDL-cholesterol were higher, and HDL-cholesterol and BMD were lower in the OP+CVD group than in the control group. In the food frequency questionnaire, the OP+CVD group had significantly higher frequencies of grain (except for multi-grain) and lower frequencies of fruit and dairy product. The frequency of consumption of red meat, processed meat, and carbonated beverages was higher in OP+CVD group. In nutrient density analysis, proteins and vitamin B2 levels were significantly lower in the OP+CVD group than in the control group. The nutritional quality index (INQ) values of calcium were in the order of 0.63, 0.58, 0.56, and 0.55 in each group, and it was urgent to improve the dietary intake for calcium in postmenopausal women. In addition, vitamin B2 was inadequately consumed by all groups.
CONCLUSIONS
These results suggest that it is necessary to increase the intake of vitamin B2 and calcium and decrease the frequency of intake of red meat, processed meat, and carbonated beverages in postmenopausal women with the risk of OP and CVD.

Keyword

KNHANES; postmenopausal women; osteoporosis; cardiovascular disease; nutritional status

MeSH Terms

Adipose Tissue
Blood Glucose
Blood Pressure
Bone Density
Calcium
Carbonated Beverages
Cardiovascular Diseases*
Cholesterol
Dairy Products
Diet
Fasting
Female
Fruit
Humans
Meat
Nutrition Surveys
Nutritional Status
Nutritive Value
Osteoporosis*
Red Meat
Riboflavin
Triglycerides
Waist Circumference
Calcium
Cholesterol
Riboflavin

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