Bone Mineral Density, Biochemical Bone Turnover Markers and Factors associated with Bone Health in Young Korean Women.
10.4040/jkan.2014.44.5.504
- Author:
Young Joo PARK
1
;
Sook Ja LEE
;
Nah Mee SHIN
;
Hyunjeong SHIN
;
Yoo Kyung KIM
;
Yunjung CHO
;
Songi JEON
;
Inhae CHO
Author Information
1. College of Nursing, Korea University, Seoul, Korea.
- Publication Type:Original Article ; English Abstract
- Keywords:
Bone density;
Biochemical markers;
Body composition;
Nutrients;
Women
- MeSH:
Adolescent;
Alcohol Drinking;
Asian Continental Ancestry Group;
Biological Markers/*metabolism;
Body Composition;
Bone Density;
Bone and Bones/*metabolism/radiography/ultrasonography;
Calcium/metabolism;
Collagen Type I/metabolism;
Female;
Health Promotion;
Humans;
Knowledge;
Life Style;
Osteocalcin/metabolism;
Peptides/metabolism;
Phosphorus/metabolism;
Republic of Korea;
Self Efficacy;
Women/*psychology;
Young Adult
- From:Journal of Korean Academy of Nursing
2014;44(5):504-514
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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< or =-2) and 14.3% women had higher BMD (Z-score< or = 0) than women of same age. BTMs were not significantly different between high-BMD (Z-score> or =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.
