Yim, Eun-Sil
(Health Insurance Policy Research Institute, National Health Insurance Corporation)
,
Lee, Kwang-Ok
(College of Nursing, Seoul National University)
,
Kim, Kyung-Ha
(Health Insurance Policy Research Institute, National Health Insurance Corporation)
Purpose: We examined the relationship between the health-related issues of elderly women and bone density and identified specific factors that affect the prevalence of osteoporosis to provide basic data for developing a health care program on osteoporosis prevention. Methods: This study is a seconda...
Purpose: We examined the relationship between the health-related issues of elderly women and bone density and identified specific factors that affect the prevalence of osteoporosis to provide basic data for developing a health care program on osteoporosis prevention. Methods: This study is a secondary data analysis of 118,903 66-yr-old women who received a health examination conducted by the National Health Insurance Corporation in 2008. Multiple logistic regression analysis was used to identify factors affecting the prevalence of osteoporosis. Results: The prevalence of osteoporosis was 46.8%, whereas the prevalence of osteopenia was 38.4% among elderly women in this study. Statistically significant differences were observed between the osteoporosis and non-osteoporosis group in terms of smoking (p<.001), exercise (p<.001), obesity (p<.001), waist circumference (p<.001), depression (p<.001), falling experience (p<.05), and the cognitive function risk (p<.05). Based on the multiple logistic regression results, the risk for osteoporosis was high in those who were under-weight, smoked, or were depressed. In contrast, moderate or high level obesity showed a negative relationship with osteoporosis. Conclusion: The prevalence of osteopenia and osteoporosis was 85.2%. Therefore, there is a need to develop health care programs pertaining to osteoporosis intervention and prevention for elderly women. Because smoking, non-exercise, and obesity are main osteoporosis risk factors, it is highly recommended that some sound practical life programs and psychological support programs be considered for this population.
Purpose: We examined the relationship between the health-related issues of elderly women and bone density and identified specific factors that affect the prevalence of osteoporosis to provide basic data for developing a health care program on osteoporosis prevention. Methods: This study is a secondary data analysis of 118,903 66-yr-old women who received a health examination conducted by the National Health Insurance Corporation in 2008. Multiple logistic regression analysis was used to identify factors affecting the prevalence of osteoporosis. Results: The prevalence of osteoporosis was 46.8%, whereas the prevalence of osteopenia was 38.4% among elderly women in this study. Statistically significant differences were observed between the osteoporosis and non-osteoporosis group in terms of smoking (p<.001), exercise (p<.001), obesity (p<.001), waist circumference (p<.001), depression (p<.001), falling experience (p<.05), and the cognitive function risk (p<.05). Based on the multiple logistic regression results, the risk for osteoporosis was high in those who were under-weight, smoked, or were depressed. In contrast, moderate or high level obesity showed a negative relationship with osteoporosis. Conclusion: The prevalence of osteopenia and osteoporosis was 85.2%. Therefore, there is a need to develop health care programs pertaining to osteoporosis intervention and prevention for elderly women. Because smoking, non-exercise, and obesity are main osteoporosis risk factors, it is highly recommended that some sound practical life programs and psychological support programs be considered for this population.
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문제 정의
Therefore, this study utilized the life-turning period check-up project data, which includes osteoporosis testing targeting 66- yr-old women at the national level. From the data, we determined the current osteoporosis prevalence in the Korean e너erly women population and identified some influential factors for the occurrence of osteoporosis. The result of this study will be utilized as basic data to develop health-care programs for osteoporosis intervention and prevention.
This study aimed to examine the specific fectors that affect the prevalence of osteoporosis by analyzing the differences in the prevalence of osteoporosis compared to health-related issues (health behaviors, obesity, felling, depression, and cognitive function) of elderly females.
제안 방법
Our study used this transformed data. Data sets from the national health check-up program were used that contained in formation regarding weight, height, BMI, waist circumference, health behaviors (eating, smoking, drinking, and exercise), illnesses, geriatric depr^sion, and cognitive function level.
, Chicago, IL, USA). The subject s health behavior, obesity, depression, cognitive function and osteopoTOis-related characteristics are presented as percentile scores, frequencies, means and standard deviations. Characteristics across different diagnosis groups were analyzed with the Z2~test.
So, such studies are limited in representing the osteoporosis prevalence among the Korean female population. Therefore, this study utilized the life-turning period check-up project data, which includes osteoporosis testing targeting 66- yr-old women at the national level. From the data, we determined the current osteoporosis prevalence in the Korean e너erly women population and identified some influential factors for the occurrence of osteoporosis.
대상 데이터
In compliance with the NHIC information extraction policies, we requested personally non-identifiable data from the information manage ment center. The data were internally screened by the NHIC. Private information on the subjects was carefiilly reviewed and transformed into a code, so the individuals could not be identified.
The study sample consisted of 119, 438 sixty six year old females, who took the life transition period health examination conducted by the NHIC from January to December 2008. Among them, 535 were excluded due to insufficient data.
Among them, 535 were excluded due to insufficient data. Thus, the final study sample was 118, 930 elderly women. In compliance with the NHIC information extraction policies, we requested personally non-identifiable data from the information manage ment center.
성능/효과
5%, and it was 45% for exercisers. Approximately 69.0% of the underweight were diagnosed with osteoporosis, 49.1% of those with a waist size <85 cm were diagnosed with osteoporosis, 48.0% of those who had experienced felling were diagnosed with osteoporosis, and 47.8% of those who were depressed and 47.6% of the cognitive function risk group were diagnosed with osteoporosis.
their health. The prevalence of osteoporosis among the subjects in this study was 46.8%, and the prevalence of osteopenia was 38.4%. Th^e figures ate higher than 19.
(2002) who found that female smokers have lower bone mass at the time of menopause, and that the bone loss develops fester after menopause, lb the affected person, regular exercise is important because it increases bone strength and muscular force and improves muscle function, joint flexibility, and balance. The results of this study suggest that if physical activities begin early in life, maximum bone mass is maintained at a higher level, which slows down the bone density reduction later in life, and lowers the risk of osteoporosis (National Institutes of Health Consensus Development Panel, 2001). This suggestion corresponds with Kim (2006) study that a person who exercises has a 0.
and cognitive function. The results showed that osteoporosis occurred more often among smokers (odds ratio [OR], 1.298; 95% confidence interval [CI], 1.201-1.402), the underweight (OR, 2.135; 95% CI, 1.942-2.346), those who had fallen (OR, 1.058; 95% CI, 1.022-1.095), and those who were depressed (OR, 1.055; 95% CI, 1.030-1.081) than among those without these characteristics. In contrast, subjects with mild (OR, 0.
This study showed that smokers, non-exercisers, underweight, those with a felling experience, and those with depression were significantly correlated with the osteoporosis prevalence rate. These results suggest that an osteoporosis preventive program based on health issues is urgently needed.
This study showed that the prevalence of osteopon>sis was higher among smokers, non-exercisers, the underweight, those who had felling e^riences, th(^e with depression, and those in a cognitive functions risk group. Smoking rrfuces calcium absorption in the intestines and facilitates the elimination of calcium through urine.
후속연구
However, our results showed that a drinker s risk of osteoporosis was generally low, but the result was not statistically significant. It seems that amount of liquor ingested is a more important fector than the frequency, so future studies on the amount of alcohol ingested that influences the prevalence of osteoporosis are in need.
From the data, we determined the current osteoporosis prevalence in the Korean e너erly women population and identified some influential factors for the occurrence of osteoporosis. The result of this study will be utilized as basic data to develop health-care programs for osteoporosis intervention and prevention.
Because we analyzed depression using the standard for the depression risk score obtained from the life-turning period check-up, the OR appeared lower than that of subjects not diagnosed with major depression. Therefore, future studies should analyze the relationship between osteoporosis and major depression targeting subjects diagnosed with major depression. Kasper and oth ers (2004) reported that smoking, drinking, fells, vision, female hormonal status, physical activity, history, and femily history of bone fractures, gender, and age are risks for osteoporotic fractures.
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