[논문]건강한 성인 남녀의 골밀도와 골다공증 위험요인

Shin, Su-Jin; Shin, Kyung-Rim; Shin, Chol; Park, Sun-Young

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

保健敎育健康增進學會誌 = Korean journal of health education and promotion, v.25 no.5, 2008년, pp.53 - 64

Shin, Su-Jin (Soon Chun Hyang University) , Shin, Kyung-Rim (Ewha Womans University) , Shin, Chol (Korea University) , Park, Sun-Young (Jseus University)

초록
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목적. 본 연구의 목적은 골다공증의 유병률을 확인하고 건강증진 프로그램의 우선적 대상을 확인하고자 실시되었다. 방법. 연구대상자는 Ansan Health Study센터를 방문한 18-84세의 성인 남녀 1,269명이었다. 위험요인을 평가하기 위한 질문지를 이용하였고 DEXA(Dual Energy X-ray Absorptiometry)를 이용하여 2번 요추와 대퇴의 골밀도를 측정하였다. 수집된 자료는 SPSS12.0프로그램을 이용하여 분석하였다. 결과. 골밀도는 50대와 60대 여성에게서 급격히 감소하였으며, 골다공증 유병률은 대퇴와 요추를 기준으로 남성은 각각 0.8%, 6.3%, 여성은 0.9%와 7.1%로 나타났다. 골다공증 지식 정도는 골밀도와 유의한 순상관관계가 있는 것으로 나타났다. 결론. 본 연구의 결과는 골다공증 예방 프로그램을 위한 효과적이고 실제적인 중재전략을 위한 기초자료를 제공하였다.

Abstract ▼ AI-Helper

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.

주제어

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문제 정의

The results of this study emphasize the consideration of various lifestyle independent risk factors such as age, sex and years since menopause in selecting groups from vulnerable classes in osteoporosis prevention programs. It is also strongly advised that the appropriate nursing strategies for education, screening and promotion of health behavior among such vulnerable groups are developed.
Therefore, this study aimed to identify the prevalence of osteoporosis and confirm the priority for health promotion program on osteoporosis. The study focused specifically on (1) identifying the prevalence of osteoporosis in a community-dwelling population of Korean men and women, and (2) assessing factors pertinent to osteoporosis and the risk factors of osteoporosis.

제안 방법

Basic demographic and clinical data were collected using a standardized questionnaire concerning age, gender, and smoking and drinking habits. For females, their age at menopause was obtained.
In order to characterize the risk factors of osteoporosis, multiple logistic regression on age, BMI, years since menopause, and osteoporosis knowledge was performed. The results showed that BMI was negatively correlated with age in both females and males.
0 program. The mean and standard deviation of bone density and the values of osteoporosis was obtained, and factors pertinent to bone density were analyzed by a corr_이ation test. The risk factors of osteoporosis were analyzed by multiple logistic regression, with the level of significance set to /?<0.
The study focused specifically on (1) identifying the prevalence of osteoporosis in a community-dwelling population of Korean men and women, and (2) assessing factors pertinent to osteoporosis and the risk factors of osteoporosis.

대상 데이터

Trained nursing students interviewed subjects to measure their osteoporosis knowledge using Kim, Horan, and Gendler (1991)'s Osteoporosis Knowledge Test (OKT). After adjusting for insufficient data, our final sample size was 1, 269 ad_니ts, aged 18-84 years, comprising of 527 men and 742 women. Written informed consent was obtained from all subjects, and an Ansan Health St_나dy review committee approved the study.
(1991). All interviews were conducted by w_이1 trainedinterviewers, and participants' body heights and weights were recorded.
The study was performed in Ansan-city, in the southwestern part of Seoul, South Korea. We selected subjects from the Ansan Health Study sample, which has been described elsewhere (Hwang et al.

성능/효과

Several important characteristics were observed in an analysis of osteoporosis according to age. First, the incidence of a lumbar fracture in women in their 60s and 70s was more than 2-fbld higher than that in men of the same age. Second, during the young adult period when bone volume reaches its maximum, 7.
First, the incidence of a lumbar fracture in women in their 60s and 70s was more than 2-fbld higher than that in men of the same age. Second, during the young adult period when bone volume reaches its maximum, 7.7% of males and 6.3% of females already have osteopenia, and 1.6% of women have osteoporosis. This may be considered to be due to the influence of social cultural factors such as an excessively decreasing body weight and maintaining unbalanced diets in order to obtain the thin fig_니re that Koreans recently fovor.
The results showed that BMI was negatively correlated with age in both females and males. The result that age and BMI were associated with bone density is in agreement with the result of previous studies (Shin et al.
(2005) who measured the forearm BMD in Norwegians and found that BMD decreased rapidly in females in their 50s and 60s. This result reconfirmed that compared to men, middle aged women experiencing menopause are a group more vulnerable to osteoporosis. In our study, the overall incidence of osteoporosis based on the femur and the lumbar spine was 0.

후속연구

Among the modifiable risk factors, nurses can play a key role through educational intervention, targeting the increase of osteoporosis knowledge and its practice, the decrease of additional bone loss, and the reduction of the morbidity and mortality caused by osteoporosis. However, as the study was practiced in a limited area, it is advised that a nationwide long-term study is needed to have the basis to identify the cause of change to influence efficient health education and health promotion strategy regarding osteoporosis.

참고문헌 (20)

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