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Bone Mineral Density, Biochemical Bone Turnover Markers and Factors associated with Bone Health in Young Korean Women

Journal of Korean Academy of Nursing 2014³â 44±Ç 5È£ p.504 ~ 514
KMID : 0806120140440050504
¹Ú¿µÁÖ ( Park Young-Joo ) - °í·Á´ëÇб³ °£È£´ëÇÐ

À̼÷ÀÚ ( Lee Sook-Ja ) - °í·Á´ëÇб³ °£È£´ëÇÐ
½Å³ª¹Ì ( Shin Nah-Mee ) - °í·Á´ëÇб³ °£È£´ëÇÐ
½ÅÇöÁ¤ ( Shin Hyun-Jeong ) - °í·Á´ëÇб³ °£È£´ëÇÐ
±èÀ¯°æ ( Kim Yoo-Kyung ) - °í·Á´ëÇб³ »ç¹ü´ëÇÐ °¡Á¤±³À°°ú
Á¶À±Á¤ ( Cho Yun-Jung ) - °í·Á´ëÇб³ ÀÇ°ú´ëÇÐ Áø´Ü°Ë»çÀÇÇаú
Àü¼ÛÀÌ ( Jeon Song-I ) - °í·Á´ëÇб³ ´ëÇпø °£È£Çаú
Á¶ÀÎÇØ ( Cho In-Hae ) - °í·Á´ëÇб³ ´ëÇпø °£È£Çаú

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¡Â -2) and 14.3% women
had higher BMD (Z-score¡Ã 0) than women of same age. BTMs were not significantly different between high-BMD (Z-score¡Ã 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.
KeyWords
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Bone density, Biochemical markers, Body composition, Nutrients, Women
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SCI(E) MEDLINE ÇмúÁøÈïÀç´Ü(KCI) KoreaMed