1.Bone Mineral Density, Biochemical Bone Turnover Markers and Factors associated with Bone Health in Young Korean Women.
Young Joo PARK ; Sook Ja LEE ; Nah Mee SHIN ; Hyunjeong SHIN ; Yoo Kyung KIM ; Yunjung CHO ; Songi JEON ; Inhae CHO
Journal of Korean Academy of Nursing 2014;44(5):504-514
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.
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