본문 바로가기
KERD
논문KCI 등재

High dairy products intake reduces osteoporosis risk in Korean postmenopausal women: A 4 year follow-up study

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

초록

BACKGROUND/OBJECTIVES: The aim of this study was to identify the effect of dairy products, milk and yogurt on osteoporosis incidence among Korean postmenopausal women using prospective cohort data. MATERIALS/METHODS: Between 2001 and 2003, 10,038 participants were recruited in rural and urban areas for a baseline examination of a community-based cohort study. Of those, 1,573 postmenopausal women (aged 40-69 years at baseline) were eligible for the present study. Intakes of dairy products, milk, and yogurt were assessed using a validated semi-quantitative food frequency questionnaire. The speed of sound at the radius and tibia were measured using a quantitative ultrasound device and osteoporosis was defined based on the WHO criteria (T-score ≤ -2.5). RESULTS: During the 4-years follow-up study, the cumulative incidence of osteoporosis was 18.4% (273 cases) in the radius and 33.6% (407 cases) in the tibia. The subjects with higher frequency of dairy product consumption showed a decreased risk of radius osteoporosis after adjusting for potential confounders [hazard ratio (HR) = 0.51, 95% confidence interval (CI): 0.33-0.80 for >1 time/day vs. non consumer; P for trend = 0.0027]. Similarly, high frequency of milk and yogurt consumption had a protective effect on radius osteoporosis risk [milk: HR = 0.60, 95% CI: 0.42-0.87 for > 5-6 times/week vs. non consumer (P for trend = 0.0130), yogurt: HR = 0.51, 95% CI: 0.30-0.85 for > 5-6 times/week vs. non consumer (P for trend = 0.0167)]. However, high dairy products consumption was not related with tibia osteoporosis. CONCLUSIONS: This study suggests that daily intake of dairy products could potentially reduce radius osteoporosis incidence among Korean postmenopausal women.

Abstract

BACKGROUND/OBJECTIVES: The aim of this study was to identify the effect of dairy products, milk and yogurt on osteoporosis incidence among Korean postmenopausal women using prospective cohort data. MATERIALS/METHODS: Between 2001 and 2003, 10,038 participants were recruited in rural and urban areas for a baseline examination of a community-based cohort study. Of those, 1,573 postmenopausal women (aged 40-69 years at baseline) were eligible for the present study. Intakes of dairy products, milk, and yogurt were assessed using a validated semi-quantitative food frequency questionnaire. The speed of sound at the radius and tibia were measured using a quantitative ultrasound device and osteoporosis was defined based on the WHO criteria (T-score ≤ -2.5). RESULTS: During the 4-years follow-up study, the cumulative incidence of osteoporosis was 18.4% (273 cases) in the radius and 33.6% (407 cases) in the tibia. The subjects with higher frequency of dairy product consumption showed a decreased risk of radius osteoporosis after adjusting for potential confounders [hazard ratio (HR) = 0.51, 95% confidence interval (CI): 0.33-0.80 for >1 time/day vs. non consumer; P for trend = 0.0027]. Similarly, high frequency of milk and yogurt consumption had a protective effect on radius osteoporosis risk [milk: HR = 0.60, 95% CI: 0.42-0.87 for > 5-6 times/week vs. non consumer (P for trend = 0.0130), yogurt: HR = 0.51, 95% CI: 0.30-0.85 for > 5-6 times/week vs. non consumer (P for trend = 0.0167)]. However, high dairy products consumption was not related with tibia osteoporosis. CONCLUSIONS: This study suggests that daily intake of dairy products could potentially reduce radius osteoporosis incidence among Korean postmenopausal women.

참고문헌 (36)

  1. Cummings SR, "Epidemiology and outcomes of osteoporotic fractures", Lancet, 359, pp.1761~1767 (2002)[DOI]
  2. Coughlan T, "Osteoporosis and fracture risk in older people", Clin Med (Lond), 14, pp.187~191 (2014)[DOI]
  3. Rizzoli R, "Dairy products, yogurts, and bone health", Am J Clin Nutr, 99, pp.1256~1262 (2014)[DOI]
  4. Cumming RG, "Calcium for prevention of osteoporotic fractures in postmenopausal women", J Bone Miner Res, 12, pp.1321~1329 (1997)[DOI]
  5. Kanis JA, "A meta-analysis of milk intake and fracture risk: low utility for case finding", Osteoporos Int, 16, pp.799~804 (2005)[DOI]
  6. Michaelsson K, "Milk intake and risk of mortality and fractures in women and men: cohort studies", BMJ, 349, pp.g6015~ (2014)[DOI]
  7. Wlodarek D, "Calcium intake and osteoporosis: the influence of calcium intake from dairy products on hip bone mineral density and fracture incidence - a population-based study in women over 55 years of age", Public Health Nutr, 17, pp.383~389 (2014)[DOI]
  8. Durosier-Izart C, "Peripheral skeleton bone strength is positively correlated with total and dairy protein intakes in healthy postmenopausal women", Am J Clin Nutr, 105, pp.513~525 (2017)[DOI]
  9. "National Food & Nutrition Statistics 2013: based on 2013 Korea National Health and Nutrition Examination Survey" (2015)[URL]
  10. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention, "Korea Health Statistics 2010: Korean National Health & Nutrition Examination Survey", Korea Centers for Disease Control and Prevention, ~ (2010)
  11. Wright NC, "The recent prevalence of osteoporosis and low bone mass in the United States based on bone mineral density at the femoral neck or lumbar spine", J Bone Miner Res, 29, pp.2520~2526 (2014)[DOI]
  12. 임영숙, "Prevalence of osteoporosis according to nutrient and food group intake levels in Korean postmenopausal women: using the 2010 Korea National Health and Nutrition Examination Survey Data", Nutrition Research and Practice, 9(5), pp.539~546 (2015), 한국영양학회[DOI]
  13. Shin A, "Dietary habit and bone mineral density in Korean postmenopausal women", Osteoporos Int, 21, pp.947~955 (2010)[DOI]
  14. 홍희옥, "Effects of calcium intake, milk and dairy product intake, and blood vitamin D level on osteoporosis risk in Korean adults: analysis of the 2008 and 2009 Korea National Health and Nutrition Examination Survey", Nutrition Research and Practice, 7(5), pp.409~417 (2013), 한국영양학회
  15. 백상우, "성별, 연령별에 따른 우유・유제품 섭취와 골 건강과의 관련성 -2008~2011 국민건강영양조사 자료를 이용하여", 한국식품영양과학회지, 46(4), pp.513~522 (2017), 한국식품영양과학회
  16. 서현비, "50세 이상 한국인의 성·연령군별 우유류와 두류 섭취량과 골 건강과의 관련성 : 2008~2011 국민건강영양조사 자료를 이용하여", Journal of Nutrition and Health, 49(3), pp.165~178 (2016), 한국영양학회
  17. Kim Y, "Cohort profile: The Korean Genome and Epidemiology Study (KoGES) consortium", Int J Epidemiol, 46, pp.e20~ (2017)[DOI]
  18. McCrory MA, "Procedures for screening out inaccurate reports of dietary energy intake", Public Health Nutr, 5, pp.873~882 (2002)[DOI]
  19. 안윤진, "반정량식품섭취빈도조사지의 타당성 검증 및 보정 - 지역사회 유전체 코호트 참여자를 대상으로 -", 대한지역사회영양학회지, 9(2), pp.173~182 (2004), 대한지역사회영양학회
  20. Ahn Y, "Validation and reproducibility of food frequency questionnaire for Korean genome epidemiologic study", Eur J Clin Nutr, 61, pp.1435~1441 (2007)[DOI]
  21. The Korean Nutrition Society, "Recommended Dietary Allowances for Koreans", The Korean Nutrition Society, ~ (2000)
  22. Damilakis J, "Ultrasound velocity through the cortex of phalanges, radius, and tibia in normal and osteoporotic postmenopausal women using a new multisite quantitative ultrasound device", Invest Radiol, 38, pp.207~211 (2003)
  23. Chong KH, "Radial quantitative ultrasound and dual energy x-ray absorptiometry: intermethod agreement for bone status assessment in children", Biomed Res Int, 2015, pp.232876~ (2015)
  24. Pisani P, "Screening and early diagnosis of osteoporosis through x-ray and ultrasound based techniques", World J Radiol, 5, pp.398~410 (2013)[DOI]
  25. Hans D, "Hip fracture discrimination study: QUS of the radius and the calcaneum", J Clin Densitom, 6, pp.163~172 (2003)[DOI]
  26. Assessment of fracture risk, "Report of a WHO Study Group", World Health Organ Tech Rep Ser, 843, pp.1~129 (1994)
  27. Cashman KD, "Diet, nutrition, and bone health", J Nutr, 137, pp.2507~2512 (2007)[DOI]
  28. Weaver CM, "The role of nutrition on optimizing peak bone mass", Asia Pac J Clin Nutr, 17(Suppl 1), pp.135~137 (2008)
  29. Renner E, "Dairy calcium, bone metabolism, and prevention of osteoporosis", J Dairy Sci, 77, pp.3498~3505 (1994)[DOI]
  30. Caroli A, "Invited review: dairy intake and bone health: a viewpoint from the state of the art", J Dairy Sci, 94, pp.5249~5262 (2011)[DOI]
  31. Uusi-Rasi K, "Associations of calcium intake and physical activity with bone density and size in premenopausal and postmenopausal women: a peripheral quantitative computed tomography study", J Bone Miner Res, 17, pp.544~552 (2002)[DOI]
  32. Uusi-Rasi K, "Associations of physical activity and calcium intake with bone mass and size in healthy women at different ages", J Bone Miner Res, 13, pp.133~142 (1998)[DOI]
  33. Sahni S, "Protective association of milk intake on the risk of hip fracture: results from the Framingham Original Cohort", J Bone Miner Res, 29, pp.1756~1762 (2014)[DOI]
  34. Kung AW, "Ten-year risk of osteoporotic fractures in postmenopausal Chinese women according to clinical risk factors and BMD T-scores: a prospective study", J Bone Miner Res, 22, pp.1080~1087 (2007)[DOI]
  35. Chen T, "Quantitative assessment of osteoporosis from the tibia shaft by ultrasound techniques", Med Eng Phys, 26, pp.141~145 (2004)[DOI]
  36. Hung VW, "Correlations of calcaneal QUS with pQCT measurements at distal tibia and non-weight-bearing distal radius", J Bone Miner Metab, 22, pp.486~490 (2004)

관련 논문AI추천

Effects of calcium intake, milk and dairy product intake, and blood vitamin D level on osteoporosis risk in Korean adults: analysis of the 2008 and 2009 Korea National Health and Nutrition Examination Survey김은경, 이정석, 홍희옥한국영양학회 · Nutrition Research and Practice2013 · 제7권 제5호Milk Consumption and Bone Mineral Density in Adults: Using Data from the Korea National Health and Nutrition Examination Survey 2008–2011Ji Soo Kim, Jiwoo Kim, Seung Won Oh대한가정의학회 · Korean Journal of Family Medicine2021 · 제42권 제4호Prevalence of osteoporosis according to nutrient and food group intake levels in Korean postmenopausal women: using the 2010 Korea National Health and Nutrition Examination Survey Data고경아, 박혜련, 이상화, 임영숙, 정소연, 조나스트 세렌데지드한국영양학회 · Nutrition Research and Practice2015 · 제9권 제5호폐경기 여성 골다공증의 영양 섭취 위험 요인김정선, 김주학, 박재형, 유정현대한골다공증학회 · OSTEOPOROSIS2011 · 제9권 제1호The association of dietary quality and food group intake patterns with bone health status among Korean postmenopausal women: a study using the 2010 Korean National Health and Nutrition Examination Survey Data고경아, 민영희, 박혜련, 임영숙, 정소연, 조나스트 세렌데지드한국영양학회 · Nutrition Research and Practice2014 · 제8권 제6호The Relationship between Prevalence of Osteoporosis and Proportion of Daily Protein Intake김병성, 김정아, 원장원, 이하니, 최현림대한가정의학회 · Korean Journal of Family Medicine2013 · 제34권 제1호

이 간행물의 다른 논문 (10건)