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논문KCI 등재

비만의 양면성: 강원도 중장년 여성의 대사증후군과 골다공증

Two Sides of Obesity: Metabolic Syndrome and Osteoporosis in Elderly Women, Gangwon-do, Korea

이종석|장성옥|이성화
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)|2014.03|보건교육건강증진학회지 (KOREAN JOURNAL OF HEALTH EDUCATION AND PROMOTION)|제31권 제1호|pp. 13-26|DOI http://dx.doi.org/10.14367/kjhep.2014.31.1.13

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참고문헌

키워드

ObesityMetabolic syndromeOsteoporosisBone mineral density
주제분류예방의학/직업환경의학

초록

Objectives: This study aimed to assess whether metabolic syndrome (MS) is related to osteoporosis and investigate the association betweenthe MS components and bone mineral density (BMD). Methods: We conducted a cross-sectional study for 4,365 women aged over 50years who completed health examination from 2008 to 2012 in Korea Association of Health Promotion Gangwon Branch. Height, bodyweight, waist circumference, blood pressure, fasting plasma glucose, serum lipid profiles, and BMD were measured. Results: Obesitymeasured as body mass index (BMI) was detrimental to all of the MS components but positively correlated with BMD at three skeletalsites (lumbar spine, femoral neck, and total hip). There were no significant differences in the MS prevalence between women withoutosteoporosis and those with osteoporosis. In age-adjusted analysis, women with MS had significantly higher BMD at three sites whencompared to those without MS. After adjusting for BMI and age, these significances disappeared, such that MS was not associated withhigher BMD. Conclusions: Our findings indicate that obesity increases the risk of MS whereas underweight increases that of osteoporosis. The association between MS and higher BMD was explained by the higher BMI in those with MS. MS may not be associated withosteoporosis.

Abstract

Objectives: This study aimed to assess whether metabolic syndrome (MS) is related to osteoporosis and investigate the association betweenthe MS components and bone mineral density (BMD). Methods: We conducted a cross-sectional study for 4,365 women aged over 50years who completed health examination from 2008 to 2012 in Korea Association of Health Promotion Gangwon Branch. Height, bodyweight, waist circumference, blood pressure, fasting plasma glucose, serum lipid profiles, and BMD were measured. Results: Obesitymeasured as body mass index (BMI) was detrimental to all of the MS components but positively correlated with BMD at three skeletalsites (lumbar spine, femoral neck, and total hip). There were no significant differences in the MS prevalence between women withoutosteoporosis and those with osteoporosis. In age-adjusted analysis, women with MS had significantly higher BMD at three sites whencompared to those without MS. After adjusting for BMI and age, these significances disappeared, such that MS was not associated withhigher BMD. Conclusions: Our findings indicate that obesity increases the risk of MS whereas underweight increases that of osteoporosis. The association between MS and higher BMD was explained by the higher BMI in those with MS. MS may not be associated withosteoporosis.

참고문헌 (38)

  1. Ahmed, L. A., "Features of the metabolic syndrome and the risk of non-vertebral fractures : The Tromsø study", Osteoporosis International, 17(3), pp.426~432 (2006)
  2. Albala C., "Obesity as a protective factor for postmenopausal osteoporosis", International Journal of Obesity and Related Metabolic Disorders, 20(11), pp.1027~1032 (1996)
  3. Blaauw, R., "Body fat distribution as a risk factor for osteoporosis", South African Medical Journal, 86(9), pp.1081~1084 (1996)
  4. Chen Z., "Fat or lean tissue mass : Which one is the major determinant of bone mineral mass in healthy postmenopausal women", Journal of Bone and Mineral Research, 12(1), pp.144~151 (1997)
  5. Dalton, M., "Waist circumference, waist-hip ratio and body mass index and their correlation with cardiovascular disease risk factors in Australian adults", Journal of International Medicine, 254(6), pp.555~563 (2003)
  6. Edelstein, S. L., "Relation between Body Size and Bone Mineral Density in Elderly Men and Women", American Journal of Epidemiology, 138(3), pp.160~169 (1993)
  7. Ensrud, K. E., "Intentional and unintentional weight loss increase bone loss and hip fracture risk in older women", Journal of the American Geriatrics Society, 51(12), pp.1740~1747 (2003)
  8. Fogelholm, M., "Association between weight cycling history and bone mineral density in premenopausal women", Osteoporosis International, 7(4), pp.354~358 (1997)
  9. Grundy, S. M., "Metabolic syndrome : a multiplex cardiovascular risk factor", Journal of Clinical Endocrinology & Metabolism, 92(2), pp.399~404 (2007)
  10. Hsu, Y. H., "Relation of body composition, fat mass, and serum lipids to osteoporotic fractures and bone mineral density in Chinese men and women", The American Journal of Clinical Nutrition, 83(1), pp.146~154 (2006)
  11. Jankowska, E. A., "Are general obesity and visceral adiposity in men liked to reduce bone mineral content resulting from normal ageing? A population-based study", Andrologia, 33(6), pp.384~389 (2001)
  12. 조희숙, "대사증후군 대상자들의 건강코칭프로그램 평가", 보건교육건강증진학회지, 29(1), pp.97~108 (2012), 한국보건교육건강증진학회[DOI]
  13. Johnell, O., "Anthropometric Measurements and Vertebral Deformities", American Journal of Epidemiology, 146(4), pp.287~293 (1997)
  14. 김유진, "한국인의 남․녀 직업군별 복부비만과 대사증후군의 위험", 대한비만학회지, 21(2), pp.108~114 (2012), 대한비만학회[DOI]
  15. 김혜련, "국가 영양사업과 비만예방관리에서의 부문간 연계협력 방안 탐색", 보건교육건강증진학회지, 30(4), pp.57~67 (2013), 한국보건교육건강증진학회
  16. 김희선, "지역사회 대상의 대사증후군 자가관리 프로그램 중재 효과- 서울특별시 대사증후군 관리 시범사업 -", 보건교육건강증진학회지, 28(2), pp.51~62 (2011), 한국보건교육건강증진학회
  17. Kim, T. H., "Association between metabolic syndrome and bone mineral density in Korea : the Fourth Korea National Health and Nutrition Examination Survey(KNHANES Ⅳ), 2008", Journal of Bone and Mineral Metabolism, 31(6), pp.652~662 (2013)
  18. The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1), "Korea Centers for Disease Control and Prevention", ~ (2010)
  19. "A dramatic increase of elderly osteoporotic patients" (2013)[URL]
  20. Kwon, H. S., "Update on the metabolic Syndrome", BioWave, 9(2), pp.1~13 (2007)[DOI]
  21. 이종석, "Age-Related Changes in the Prevalence of Osteoporosis according to Gender and Skeletal Site: The Korea National Health and Nutrition Examination Survey 2008-2010", Endocrinology and Metabolism, 28(3), pp.180~191 (2013), 대한내분비학회
  22. Marcus, R., "Correlates of bone mineral density in the postmenopausal estrogen", progestin interventions trial, 1994, pp.9(9), 1467~1476
  23. Mazess R. P., "Spine and femur using dual-photon absorptionmetry in US white women", Bone and Mineral Research, 2(3), pp.211~219 (1987)
  24. Meigs, J. B., "Invited Commentary: Insulin Resistance Syndrome? Syndrome X? Multiple Metabolic Syndrome? A Syndrome At All? Factor Analysis Reveals Patterns in the Fabric of Correlated Metabolic Risk Factors?", American Journal of Epidemiology, 152(10), pp.908~911 (2000)
  25. Muhlen, D., "Associations between the metabolic syndrome and bone health in order men and women : the Rancho Bernardo Study", Osteoporosis International, 18(10), pp.1337~1344 (2007)
  26. Ravn, P., "Low Body Mass Index Is an Important Risk Fator for Low Bone Mass and Increased Bone Loss in Early Postmenopausal Women", Journal of Bone and Mineral Research, 14(9), pp.1622~1627 (1999)
  27. Reeder, B. A., "The association of cardiovascular disease risk factors with abdominal obesity in Canada", CMAJ, 157, pp.39~45 (1997)
  28. Reid, I. R., "Relationship among Body Mass, Its Components, and Bone", Bone, 31(5), pp.547~555 (2002)
  29. Reid, I. R., "Relationship between fat and bone", Osteoporosis International, 19(5), pp.595~606 (2008)
  30. Reid, I. R., "Determinants of total body and regional bone density in normal postmenopausal women－A key role of fat mass", Journal of Clinical Endocrinology and Metabolism, 75, pp.61~63 (1992)
  31. Rubin, C. T., "Regulation of bone formation by applied dynamic loads", The Journal of Bone & Joint Surgery, 66(3), pp.397~402 (1984)
  32. Rubin, C. T., "Regulation of bone mass by mechanical strain magnitude", Calcified Tissue International, 37(4), pp.411~417 (1985)
  33. Saarelainen, J., "Body mass index and bone loss among postmenopausal women : th 10-year follow-up of the OSTPRE cohort", Journal of Bone and Mineral Metabolism, 30(2), pp.208~216 (2012)
  34. The Asia-Pacific Perspective:Redefining obesity and its treatment, "World Health Organization", World Health Organization Western Pacific Regional Office, ~ (2000)
  35. 유승현, "대사증후군 상태 개선을 위한 생활습관 중재프로그램의 프로그램 이론 평가", 보건교육건강증진학회지, 27(4), pp.165~175 (2010), 한국보건교육건강증진학회
  36. Yoo, S. H., "Improvements in the Metabolic Syndrome and Stages of Change for Lifestyle Behaviors in Korean Older Adults", Osong Public Health and Research Perspectives, 3(2), pp.85~93 (2012)
  37. 육진성, "대사증후군 진단요소를 통한 대사증후군과 골밀도와의 연관성 분석", 대한골대사학회지, 18(1), pp.55~64 (2011), 대한골대사학회
  38. Zhao, L. J., "Relationship of Obesity with Osteoporosis", The Journal of Clinical Endocrinology and Metabolism, 92(5), pp.1640~1646 (2007)

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