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KMID : 0806120140440050504
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대한간호학회지
2014 Volume.44 No. 5 p.504 ~ p.514
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Bone Mineral Density, Biochemical Bone Turnover Markers and Factors associated with Bone Health in Young Korean Women
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Park Young-Joo
Lee Sook-Ja
Shin Nah-Mee
Shin Hyun-Jeong
Kim Yoo-Kyung
Cho Yun-Jung
Jeon Song-I
Cho In-Hae
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Abstract
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Purpose: This study was done to assess the bone mineral density (BMD), biochemical bone turnover markers (BTMs), and factors associated with bone health in young Korean women.
Methods: Participants were 1,298 women, ages 18-29, recruited in Korea. Measurements were BMD by calcaneus quantitative ultrasound, BTMs for Calcium, Phosphorus, Osteocalcin, and C-telopeptide cross-links
(CTX), body composition by physical measurements, nutrients by food frequency questionnaire and psychosocial factors associated with bone health by self-report.
Results: The mean BMD (Z-score) was -0.94. 8.7% women had lower BMD (Z-score≤ -2) and 14.3% women
had higher BMD (Z-score≥ 0) than women of same age. BTMs were not significantly different between high-BMD (Z-score≥ 0) and low-BMD (Z-score<0) women. However, Osteocalcin and CTX were higher in women preferring caffeine intake, sedentary lifestyle and alcoholic drinks. Body composition and Calcium intake were significantly higher in high-BMD. Low-BMD women reported significantly higher susceptibility and barriers to exercise in health beliefs, lower bone health self-efficacy and promoting behaviors.
Conclusion: Results of this study indicate that bone health of young Korean women is not good. Development of diverse strategies to intervene in factors such as exercise, nutrients, self-efficacy, health beliefs and behaviors, shown to be important, are needed to improve bone health.
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KEYWORD
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Bone density, Biochemical markers, Body composition, Nutrients, Women
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