Gender Difference in Osteoporosis Prevalence, Awareness and Treatment: Based on the Korea National Health and Nutrition Examination Survey 2008~2011

Kim, Yunmi; Kim, Junghwan; Cho, Dong Sook

doi:10.4040/jkan.2015.45.2.293

Cited by 30 publications

(19 citation statements)

References 23 publications

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“…Although low BMD levels during the post-menopausal stage were consistent with the other ethnic results, the prevalence of osteoporosis of KA women (20.9%) was much higher than White, Hispanic, and Black women (6-17%) in the United States (Kanis et al, 2008;National Committee for Quality Assurance, 2015;Wright et al, 2014) but lower (39-40%) than women in Korea (Kim et al, 2012;Kim, Kim, & Cho, 2015). The BMD screening rates in the Post-M group (65 years and older) were far below the national rate of 42.9% versus 73.6%, respectively (National Committee for Quality Assurance, 2015).…”

Section: Discussionsupporting

confidence: 66%

Care coordination in bone health screening between individual behaviors and health care services among Korean-American women across three age groups

Lee¹

2017

Asian/Pacific Island Nursing Journal

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Integrated continuous care is important to prevent and treat brittle bone status in the aging process; however, minority groups often have limited access to health services. The purpose of this study was to identify the care coordination among women's perceptions about their bone health, information from health care providers, and the results of Bone Mineral Density (BMD) tests across three age groups. The study was a cross-sectional comparative design. A total of 63 Korean American women completed both the assessment of BMD of the femoral neck and an interview survey. One's own risks of osteoporosis, screening behaviors, and health care providers' advice were analyzed according to three age (pre-, peri-, and post-menopausal) groups, BMD levels, and health insurance coverage. Overall, health insurance coverage and having a primary health care provider of Korean American women were 59.0% and 32.0%, respectively; 61.9% had lower than normal BMD levels, which were significantly increased by advanced age. Individual awareness of risks of osteoporosis and screening behaviors were significantly higher in peri-menopausal than in pre-and post-menopausal groups, but no differences were found in health care providers' information. The awareness and care providers' information by BMD level or health insurance did not differ. The findings show a discrepancy between individual perceptions and behaviors and health care providers' recommendations regard to bone health. Health behaviors should be guided by professional health care providers. The women in the post-menopausal stage need to be educated about the high risk of osteoporosis and its management.

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Section: Discussionsupporting

confidence: 66%

Care coordination in bone health screening between individual behaviors and health care services among Korean-American women across three age groups

Lee¹

2017

Asian/Pacific Island Nursing Journal

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“…Because marital status was associated with bone density and fracture in previous studies [6–9], we also controlled for marital status. This variable was categorized into two groups: (1) those who were currently not married (widowed, divorced or never married) and (2) those who were currently married.…”

Section: Methodsmentioning

confidence: 99%

“…Korean older women who lived with their spouses approximately had 20% point lower prevalence of osteoporosis than those who did not [6]. In addition, the odds of having a hip fracture was 1.4 times higher for single Swedish women aged over 50 years than those for married or cohabiting women [7].…”

Section: Introductionmentioning

confidence: 99%

Contingent association between the size of the social support network and osteoporosis among Korean elderly women

et al. 2017

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ObjectiveTo investigate the association between the number of personal ties (or the size of the social support network) and the incidence of osteoporosis among older women in Korea.MethodsData from the Korean Urban Rural Elderly Study were used. Bone density was measured by dual-energy X-ray absorptiometry at the lumbar spine (L1–L4) and femur neck. T-score, the standardized bone density compared with what is normally expected in a healthy young adult, was measured and the presence of osteoporosis was determined, if the T-score was < -2.5. The social support network size was measured by self-responses (number of confidants and spouse).ResultsOf the 1,846 participants, 44.9% were diagnosed with osteoporosis. The association between the social support network size and the incidence of osteoporosis was curvilinear in both bivariate and multivariate analyses. Having more people in one’s social support network size was associated with lower risk of osteoporosis until it reached around four. Increasing the social support network size beyond four, in contrast, was associated with a higher risk of osteoporosis. This association was contingent on the average intimacy level of the social network. At the highest average intimacy level (“extremely close”), increasing the number of social support network members from one to six was associated with linear decrease in the predicted probability of osteoporosis from 45% to 30%. However, at the lowest average intimacy level (“not very close”), the predicted probability of osteoporosis dramatically increased from 48% to 80% as the size of the social network increased from one to six.ConclusionOur results show that maintaining a large and intimate social support network is associated with a lower risk of osteoporosis among elderly Korean women, while a large but less-intimate social relationship is associated with a higher risk.

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“…. 남성들의 골다공증 유병률은 낮지만 골 다공증으로 인한 골절의 취약성, 합병증으로 인한 사망률, 낮은 수검 률 등이 여성들 보다 높게 보고되고 있기 때문에 남성과 여성의 특성 에 적합한 차별화된 연구와 예방 전략이 필요하다라고 할 수 있다 [11].…”

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“…노화에 따른 골밀도의 변화에 영향을 주는 요소는 성별에 따라 차 이를 보일 수 있으므로 남성 노인에 대한 개별적인 연구는 필수일 것이 다. 현재 보고되고 있는 골감소증의 발병원인은 다양하지만 체질량지 수와 체성분 등의 높은 연관성이 다수 보고되고 있다 [11,12]. 성별에 따 른 골감소증 관련 요인들이 성별에 있어 차이를 보고 있으며, 여성의 경우 체지방량과 높은 상관성을 다수의 연구결과에 보고되었지만 남 성의 경우 유의하게 차이가 없거나 상반된 결과 등을 보고하는 등 다 소 통일되지 못한 연구결과들을 보이고 있다 [13,14].…”

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Incidence Rates of Osteopenia Based on the Appendicular Muscle Mass in the Elderly Korean Males

Kim¹,

Jee²

2016

Exerc Sci

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골밀도 감소와 관련된 골다공증 및 골감소증은 연령과 함께 나타나 는 대표적인 노화현상이며, 노인인구의 증가와 함께 발생률도 증가하 고 있다[1,2]. 골밀도 감소는 그 자체로 생명에 위협을 주지는 않지만, 이러한 상태가 지속적으로 진행한다면 골절의 위험이 증가하게 된다. 특히, 노인에서 발생하는 낙상으로 인한 골절 및 척추의 압박골절은 삶을 질을 떨어뜨릴 뿐 아니라 통증을 유발하고, 개인적 사회적 비용 을 증가시키며 장기적으로 사망과 연관되기도 한다[3-5]. 골밀도 감소의 주 원인은 나이, 칼슘 및 비타민 D 결핍, 낮은 신체활 동과 근력 그리고 낮은 BMI, 낮은 근육량이 언급되고 있다[6]. 한 연구 에 의하면 침상 안정을 취한지 20일 만에 골밀도가 4.6%가 감소되었으 며[7], 반대로 무거운 무게를 드는 역도선수들의 높은 골밀도에 대해 보고 되었다[8]. 이렇게 신체활동이 중요함에도 불구하고 노인의 특성 상 신체활동이 줄어드는 경향이 강하고, 여성보다 낮은 발생률을 보인 남성에게까지 최근 골감소증과 같은 질환이 증가하고 있다[9]. 전 국민에게 일반화 할 수 있는 국민건강영향조사 데이터를 기반으 로 보고된 기존 분석자료에 따르면 60대와 70대 남성의 골다공증 유병 PURPOSE:Bone mineral density (BMD) is known to diminish with aging. Despite numerous studies done on aging females, a limited number of studies have been published to elucidate cause of lowered BMD in elderly males. This study was conducted to analyze the relationship of the appendicular muscle mass to osteopenia in elderly Korean males.METHODS: Data for 873 men (60 ≥age ≥79) from the Korea National Health and Nutrition Examination Survey 2010-2011 were included. Bone mineral density results (g/cm 2 ) were used to divide the subjects in to the osteopenia and control groups for comparison of muscle masses of the whole body (WB), upper limb (UL), and lower limb (LL). The muscle masses were further classified into 4 quartiles (Q) to calculate the odd ratios (OR) of osteopenia in the lumbar spine (LS) and femoral neck (FN) areas. RESULTS:Muscle masses were significantly less in all areas of WB, UL, and LL. The sarcopenia incidence rates increased as the muscle mass decreased in WB, UL, and LL in both LS and FN areas. Fourth Quartiles of WB and LL showed greatest OR of 3.55 and 2.76. Although the muscle mass ratio showed less significance, WB, UL, and LL showed increasing tread of OR, especially in the FN area. CONCLUSIONS:The overall increase in muscle mass may reduce the incidence rate of the osteopenia. Moreover, the lower appendicular muscle mass may reduce osteopenia in the lumbar spine and femoral neck in the elderly males.

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Gender Difference in Osteoporosis Prevalence, Awareness and Treatment: Based on the Korea National Health and Nutrition Examination Survey 2008~2011

Cited by 30 publications

References 23 publications

Care coordination in bone health screening between individual behaviors and health care services among Korean-American women across three age groups

Care coordination in bone health screening between individual behaviors and health care services among Korean-American women across three age groups

Contingent association between the size of the social support network and osteoporosis among Korean elderly women

Incidence Rates of Osteopenia Based on the Appendicular Muscle Mass in the Elderly Korean Males

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