Determining Related Factors of Low Bone Mass using Quantitative Ultrasound |
골초음파를 이용한 여성의 골량측정과 골량감소 위험요인 결정 |
정선관,홍기연,김혜정,박종태,신용일,송하헌,박병현,이명수,오경재 |
원광골다공증연구회, 원광의과학연구소, 원광대학교 의과대학 |
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Abstract |
Objective s: Until now there are a few available epidemiologic data of osteoporosis in Korea, and the severity of osteoporosis-related health problem has not been widely recognized yet. But osteoporosis will be one of the most important public health problem. This study was performed to find out risk factors for low bone mass in Korea women.
Methods The subjects were 290 women and selected among the women who visited menopause clinic in one general hospital in Iksan. Diagnosing low bone mass is to measure bone mineral density by using quantitative ultrasound (QUS) at the heel bone (calcaneus). As risk factors we chose age, menarche age, menopause age, duration after menopause, duration of breast feeding, body mass index, factors of life style and history of familial and medical history. Data were collected by means of a structured questionnaire. Data analyses were conducted using t-test and logistic regression analysis.
Results In logistic regression analyses, it revealed that factors associated with low bone mass were age of ≥50 years, low body mass index (BMI; <25), late menarche, early menopause, long duration after menopause (≥5 years) or breast feeding (≥1 year), and life-style (smoking, without regularly exercise and milk intake). On the other hand, alcohol and coffee intake, positivity of familial history and medical history, and previous history of fracture were not associated with increased prevalence of low bone mass (speed of sound).
Conclusion Results suggest that age, BMI, period of menarche and menopause, duration after menopause or breast feeding, and life-style (smoking, without regularly exercise and milk intake) were the risk factors for low bone mass (QUS parameter) in Korea women. Therefore intervention strategies should be considered to control them, especially in risk population.
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Key Words:
Osteoporosis, QUS, Low bone mass, Risk factor |
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