The association of dietary quality and food group intake patterns with bone health status among Korean postmenopausal women: a study using the 2010 Korean National Health and Nutrition Examination Survey Data

Gyeongah Go, Zuunnast Tserendejid, Youngsook Lim, Soyeon Jung, Younghee Min, Haeryun Park, Gyeongah Go, Zuunnast Tserendejid, Youngsook Lim, Soyeon Jung, Younghee Min, Haeryun Park

Abstract

Background/objectives: Osteoporosis and osteoporosis-related disease are drawing a lot of attention in Korea as one of the serious health problems. Bone health status may be influenced by the general dietary quality and dietary pattern.

Subjects/methods: To determine the relationship between dietary quality and intake patterns and bone health status, the %RNI, NAR, DDS, and food group intake patterns were assessed according to their bone health status for 847 postmenopausal women using the 2010 KNHANES data after eliminating those of likely changing their diet under the advice of doctors or those taking estrogen.

Results: Bone health became worse as dietary quality deteriorated. All NAR and %RNI values were highly associated with bone health levels and the consumption frequency of Ca sources, DDS and the food group intake patterns also confirmed the findings.

Conclusions: This study confirmed that dietary quality and dietary patterns were important for bone health. Nutritional education on eating foods from the five basic food groups has to be emphasized to prevent osteoporosis among older women.

Keywords: Dietary quality and intake patterns; KNHANES; bone health; postmenopausal Korean women.

References

    1. Statistics Korea. Population projections and summary indicators for Korea [Internet] Daejeon: Statistics Korea; 2012. [cited 2012 Febuarary 23]. Available from: .
    1. Statistics Korea. Summary of census population [Internet] Daejeon: Statistics Korea; 2013. [cited 2006 December 27]. Available from: .
    1. National Osteoporosis Foundation (US) America's Bone Health: The State of Osteoporosis and Low Bone Mass in Our Nation. Washington D.C.: National Osteoporosis Foundation; 2002.
    1. Preisinger E, Leitner G, Uher E, Alacamlioglu Y, Seidl G, Marktl W, Resch KL. Nutrition and osteoporosis: a nutritional analysis of women in postmenopause. Wien Klin Wochenschr. 1995;107:418–422.
    1. Lauderdale DS, Jacobsen SJ, Furner SE, Levy PS, Brody JA, Goldberg J. Hip fracture incidence among elderly Asian-American populations. Am J Epidemiol. 1997;146:502–509.
    1. Jeong GH, Yang SO, Lee KO, Pye OJ, Lee M, Baik SH, Kim KW. Bone mineral density, health-promoting behaviors, and self-efficacy in middle-aged women. Korean J Women Health Nurs. 2003;9:170–178.
    1. Ilich JZ, Kerstetter JE. Nutrition in bone health revisited: a story beyond calcium. J Am Coll Nutr. 2000;19:715–737.
    1. Walker SN, Volkan K, Sechrist KR, Pender NJ. Health-promoting life styles of older adults: comparisons with young and middle-aged adults, correlates and patterns. ANS Adv Nurs Sci. 1988;11:76–90.
    1. Carr MC. The emergence of the metabolic syndrome with menopause. J Clin Endocrinol Metab. 2003;88:2404–2411.
    1. Peters BS, Martini LA. Nutritional aspects of the prevention and treatment of osteoporosis. Arq Bras Endocrinol Metabol. 2010;54:179–185.
    1. Pinnel SR, Murad S, Darr D. Induction of collagen synthesis by ascorbic acid. A possible mechanism. Arch Dermatol. 1987;123:1684–1686.
    1. Choi MJ. Effects of exercise and calcium intake on blood pressure and blood lipids in premenopausal women. Korean J Nutr. 2001;34:62–68.
    1. Heaney RP, Gallagher JC, Johnston CC, Neer R, Parfitt AM, Whedon GD. Calcium nutrition and bone health in the elderly. Am J Clin Nutr. 1982;36:986–1013.
    1. Young EA. Nutrition, aging, and the aged. Med Clin North Am. 1983;67:295–313.
    1. Spencer H, Kramer L. NIH Consensus Conference: osteoporosis. Factors contributing to osteoporosis. J Nutr. 1986;116:316–319.
    1. Son SM, Lee Y. Bone density of middle aged women residing in urban area and the related factors: I. distribution of bone density according to age and the prevalence of osteoporosis in the middle aged women residing in urban area. Korean J Community Nutr. 1998;3:380–388.
    1. Hong H, Kim EK, Lee JS. Effects of calcium intake, milk and dairy product intake, and blood vitamin D level on osteoporosis risk in Korean adults: analysis of the 2008 and 2009 Korea National Health and Nutrition Examination Survey. Nutr Res Pract. 2013;7:409–417.
    1. Eaton-Evans J. Osteoporosis and the role of diet. Br J Biomed Sci. 1994;51:358–370.
    1. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1) Cheongwon: Korea Centers for Disease Control and Prevent; 2011.
    1. Choi MJ, Park EJ, Jo HJ. Relationship of nutrient intakes and bone mineral density of elderly women in Daegu, Korea. Nutr Res Pract. 2007;1:328–334.
    1. Park SJ, Joo SE, Min H, Park JK, Kim Y, Kim SS, Ahn Y. Dietary patterns and osteoporosis risk in postmenopausal Korean women. Osong Public Health Res Perspect. 2012;3:199–205.
    1. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1) Cheongwon: Korea Centers for Disease Control and Prevent; 2011.
    1. Kanis JA WHO Study Group. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis: synopsis of a WHO report. Osteoporos Int. 1994;4:368–381.
    1. The Korean Nutrition Society. Dietary Reference Intakes for Koreans. Seoul: The Korean Nutrition Society; 2010.
    1. Gibson RS. Principles of Nutritional Assessment. New York (NY): Oxford University Press; 1990.
    1. Kant AK. Indexes of overall diet quality: a review. J Am Diet Assoc. 1996;96:785–791.
    1. Ministry of Health and Welfare. Dietary Guidelines for Elderly. Seoul: Ministry of Health and Welfare; 2010.
    1. Jung SP, Lee KM, Lee SH. Factors affecting to bone mineral density in postmenopausal women. Yeungnam Univ J Med. 1996;13:261–271.
    1. Jeon JD. A case-control study on the associated factors of osteoporosis in adult women [master's thesis] Gwangju: Chosun University; 2004.
    1. Oh SA. A study on risk factors of osteoporosis among postmenopausal women [master's thesis] Seoul: Yonsei University; 1998.
    1. Kim MC, Choi JH, Kim TH, Hong IP, Park HS. Women's recognition about postmenopausal osteoporosis. J Korean Acad Fam Med. 1995;16:298–306.
    1. Lee JS, Yu CH. Some factors affecting bone mineral density of Korean rural women. Korean J Nutr. 1999;32:935–945.
    1. Kim KR, Kim KH, Lee EK, Lee SS. A study on the factors affecting bone mineral density in adult women: based on the mothers of elementary school students. Korean J Nutr. 2000;33:241–249.
    1. Youk JI. Female bone mineral density in an urban area and its relation with contributing factors [master's thesis] Daejeon: Chungnam National University; 2004.
    1. Lee HJ, Choi MJ, Lee IK. The effect of anthropometric measurement and body composition on bone mineral density of Korean women in Taegu. Korean J Nutr. 1996;29:778–787.
    1. The Study Group of Menopause. Risk factors of osteoporosis in Korean menopause women. J Korean Soc Menopause. 2005;11:143–149.
    1. Morton DJ, Barrett-Connor EL, Schneider DL. Vitamin C supplement use and bone mineral density in postmenopausal women. J Bone Miner Res. 2001;16:135–140.
    1. Wang MC, Luz Villa M, Marcus R, Kelsey JL. Associations of vitamin C, calcium and protein with bone mass in postmenopausal Mexican American women. Osteoporos Int. 1997;7:533–538.
    1. Metz JA, Anderson JJ, Gallagher PN., Jr Intakes of calcium, phosphorus, and protein, and physical-activity level are related to radial bone mass in young adult women. Am J Clin Nutr. 1993;58:537–542.
    1. Lee HJ, Lee HO. A Study on the bone mineral density and related factors in Korean postmenopausal women. Korean J Nutr. 1999;32:197–203.
    1. Marsh AG, Sanchez TV, Midkelsen O, Keiser J, Mayor G. Cortical bone density of adult lacto-ovo-vegetarian and omnivorous women. J Am Diet Assoc. 1980;76:148–151.
    1. Erlandsson MC, Islander U, Moverare S, Ohlsson C, Carlsten H. Estrogenic agonism and antagonism of the soy isoflavone genistein in uterus, bone and lymphopoiesis in mice. APMIS. 2005;113:317–323.
    1. Heaney RP, Recker RR. Effects of nitrogen, phosphorus, and caffeine on calcium balance in women. J Lab Clin Med. 1982;99:46–55.
    1. Choi YH. A study on nutritional status, bone metabolism related factors and serum minerals in Korean postmenopausal women with in different bone mineral density [master's thesis] Seoul: Sookmyung Women's University; 2002.
    1. Bae YJ, Sung CJ. A comparison between postmenopausal osteoporotic women and normal women of their nutrient intakes and the evaluation of diet quality. Korean J Community Nutr. 2005;10:205–215.
    1. Rural Development Administration. Food Composition Table. Suwon: Rural Development Administration; 2012.
    1. Setchell KD. Phytoestrogens in the prevention of hormonedependent disease with reference to the significance to soy infant formula diets; Proceedings of the 3rd International Soybean Symposium; 1998 Nov 19-20; Hotel Shilla, Seoul. Miryang: Korean Soybean Society; 1998. pp. 19–20.

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