여성 골밀도와 관련 요인에 대한 연구 - 전라북도 거주 건강검진대상자를 중심으로 - = The Study on the Factors which are Related to Bone Mineral Density of Female

다국어 초록 (Multilingual Abstract)

This study was conducted to investigate the factors which are related to Bone Mineral Density(BMD) of female for prevention of osteoporosis.
We measured the BMD of lumbar spine(L2-L4) and femoral neck in 4802 female, using dual energy X-ray absorptionmetry(DEXA; DPX-alpha. Lunar, U.S.A.). and then analysed the 9 factors - age group, body mass index(BMI), amount of smoking, drinking, exercise, sleep, and fast blood sugar - which are related to BMD of female.
The following results were obtained :
1. In age group, T-score was the highest at 36－42(六七) years group in lumbar spine(L2-L4) and at 15－21(三七) years group in femoral neck. and then it was decreased rapidly after 43－49(七七) years group in both lumbar spine(L2-L4) and femoral neck. Therefore we concluded that T-score of female in lumbar spine(L2-L4) and femoral neck change according to age group in ≪Hwangjaenaekyong․Somun; 黃帝內經․素問≫.
2. In BMI, T-score of lumbar spine(L2-L4) and femoral neck were increased according to BMI increase.
3. In amount of drinking and smoking, T-score was highest in heavy groups(women who have drunk soju more than 4 bottles for a week) in both lumbar spine(L2-L4) and femoral neck. But there t was no significant difference in comparison according to age group.
4. In exercise, T-score was higher in exercising group than non exercising group. And it appeared that women who have taken proper exercise had higher T-score than women who have taken exercise daily.
5. T-score was higher in women who ordinarily sleep well in both lumbar spine(L2-L4) and femoral neck than sleep badly. And there was significant difference in 43－56 years group.
6. T-score was low in the group that exceed 110㎎/㎗ in fast blood sugar.
Conclusions : The age group in ≪Hwangjaenaekyong․Somun; 黃帝內經․素問≫ is related to BMD of women. And risk factors - BMI, exercise, sleep, fast blood sugar, thyroid disease - are related to BMD of women. Therefore we expect that this study will help for prevention of osteoporosis of women, and further study will be achieved.

참고문헌 (Reference)

• 1 김순경, "흡연자와 비흡연자의 영양 섭취상태와 혈중 무기질 함량 비교" 한국영양학회 36 (36): 635-645, 2003
• 2 이종성, "황제내경 소문(상)" 서울 : 의성당 14-21, 2001
• 3 한인권, "한국인 갱년기 여성의 골밀도 및 호르몬 변화에 관한 연구" 4 (4): 21-28, 1989
• 4 고석봉, "폐경기 증상과 양측난소제거술이 골밀도에 미치는 영향" 37 (37): 2037-2046, 1994
• 5 신재철, "폐경기 여성에서 골다공증의 위험인자들에 관한 연구" 41 (41): 798-808, 1998
• 6 김완희, "장부학의 이론과 임상" 서울 : 일중사 254-, 1996
• 7 곽충실, "일부 남자성인의 흡연과 음주에 따른 영양소 섭취상태, 식습관 및 혈액성상" 5 (5): 161-171, 2000
• 8 민용기, "이중에너지 방사선 흡수계측기로 측정한 한국인 여성의 측면 요추 골밀도" 1 (1): 70-76, 1994
• 9 최희정, "여성에서 연령에 따른 척추 골밀도의 변화와 누적 골 소실률" 9 (9): 171-176, 2003
• 10 장수진, "성인남녀 480명에서의 골밀도와 비만의 상관관계에 관한 임상적 연구" 15 (15): 383-392, 1998
• 11 도준형, "성인 여성의 골밀도와 관련된 요인" 4 (4): 189-198, 2000
• 12 육태한, "성인 남성 407명의 골밀도에 대한 임상적 관찰" 16 (16): 37-46, 1999
• 13 육태한, "녹용․자하거 약침이 골다공증에 미치는 영향" 18 (18): 61-75, 2001
• 14 승정자, "남자성인의 흡연여부에 따른 영양섭취상태, 골밀도, 혈장 무기질 농도에 관한 연구" 대한지역사회영양학회 10 (10): 91-100, 2005
• 15 장준섭, "골조송증의 발생기전과 치료" 31 (31): 11-14, 1988
• 16 정화재, "골조송증" 대한물리치료학회 2 (2): 113-122, 1990
• 17 임승길, "골다공증의 치료" 8 (8): 698-702, 2000
• 18 김종환, "골다공증에 관한 문헌적 고찰 : 주로 최근의 한의학적 임상 및 실험논문을 중심으로" 15 (15): 437-454, 1988
• 19 대한골대사학회, "골다공증" 서울 : 한미의학 11-26, 2006
• 20 Kanis JA, "The Diagnosis of Osteoporosis" 9 : 1137-1140, 1994
• 21 Daniell H., "Osteoporosis of the slender smoker" 136 : 298-304, 1976
• 22 Genant HK, "Interim report and recommendations of the World Health organi- zation Task-Force for Osteoporosis" 10 : 259-264, 1999
• 23 Sugimoto T, "Com- parison of bone mineral content among Japanese, Koreans and Taiwanese assessed by dual- photon absorptiometry" 7 : 153-159, 1992
• 24 Torabi MR, "Cigarette smoking as a predictor of alcohol and other drug use by children and adolescents: evidence of the gateway drug effect" 63 (63): 302-306, 1993
• 25 나수균, "50세 이상 한국 여성의 연령, 체중, 신장에 따른 골밀도의 비교연구" 6 (6): 407-415, 2000