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Analysis of Bone Mineral Density, Biochemical Index and Nutrient Intakes of 30-70 Years Old Women: Based on 2011 KNHANES
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Research Article
Korean Journal of Community Nutrition 2014;19(4):328-341.
DOI: https://doi.org/10.5720/kjcn.2014.19.4.328
Published online: January 20, 2014

Department of Home Economics, Korea National Open University, Seoul, Korea

†Corresponding author Jae Ok Koo Department of Home Economic, Korea National Open University, Jonroku Dongsungdong 169, Seoul 110-791, Korea Tel: (02) 3668-4643 Fax: (02) 3668-4188 E-mail: cokoo@knou.ac.kr
This research was supported by grants from Korea National Open University 2013 the second half.
• Received: July 7, 2014   • Revised: August 1, 2014   • Accepted: August 5, 2014

Copyright © 2014 Journal of the Korean Society of Community Nutrition

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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  • Objectives
    This study was carried out to investigate bone mineral density (BMD), blood pressure, age and biochemical index and nutrient intakes, and to analyze the relationship between BMD, blood pressure, biochemical index, nutrient intakes of Korean women.
  • Methods
    The study subjects were 499 women with a age range of 30–79 years living in Seoul and Kyunggi area who participated in 2011 KNHANES. The study subjects were divided into 5 age groups: 30 years (145), 40 years (110), 50 years (102), 60 years (85) and 70 years (57), and 3 BMD groups: normal 258 (50.4%), osteopenia 163 (32.9%) and osteoporosis 78 (16.7%).
  • Results
    The average waist circumference, BMI and body fat increased with age, but fat free mass decreased with age. Average BMD and T-score was decreased from 0.84, 0.74 g/cm2 in 30 years to 0.05, −1.05 g/cm2 in 70 years. The rates of osteopenia and osteoporosis increased significantly 22% in 30∼40 years, 47% in 50 years and 56% in 60∼70 years. Systolic blood pressure and cholesterol were significantly increased with age. The rates of hypertension was significantly increased 2.1% in 30 years, 30.4% in 50 years 89.5% in 70 years. Average nutrient intakes such as protein, calcium, iron, vitamin A and C were significantly decreased with age. There were significant negative correlations between age and calcium, systolic blood pressure, triglyceride.
  • Conclusions
    In this study, we found the risk of osteoporosis and hypertension were significantly increase with over 50 years age. Calcium and protein intake decreased with age. Therefore, in order to prevent osteoporosis and hypertension, adult women need to be educated regarding the importance of protein, calcium and other nutrients in their diet.
Fig. 1.
The distribution of the BMD and hypertension of the subjects by the age categories
kjcn-19-328f1.jpg
Table 1.
Socio-demographic characteristics of the subjects by age
  30 − 39 40 − 49 50 − 59 60 − 69 70 ≥ Total F or χ2-value
(145) (110) (102) (85) (57) (499)
Age   35.18 ± 44.5 ± 54.13 ± 64.28 ± 74.58 ± 54.5 ± 2,026.132∗∗∗
  0.231) 0.28 0.29 0.33 0.42 0.38
Education Level Elementary 1 (60.7)2) 8 (67.3) 22 (21.6) 45 (52.9) 40 (70.2)   253.112∗∗∗
Middle 2 (61.4) 7 (66.4) 23 (22.5) 14 (16.5) 7 (12.3)  
High 50 (34.5) 51 (46.4) 34 (33.3) 19 (22.4) 10 (17.5)  
University 92 (63.4) 44 (40.0) 23 (22.5) 7 (68.2) 0  
Marital status Married, cohabitation 131 (90.3) 95 (86.4) 85 (83.3) 61 (71.8) 27 (47.4)   154.326∗∗∗
Married, Separated 1 (60.7) 1 (60.9) 0 1 (61.2) 0  
Separation by death 0 4 (63.6) 5 (64.9) 21 (24.7) 29 (50.9)  
Divorce 0 4 (63.6) 9 (68.8) 1 (61.2) 1 (61.8)  
Unmarried 13 (69.0) 6 (65.5) 3 (62.9) 1 (61.2) 0  
Occupation Office worker 33 (22.8) 24 (21.8) 16 (15.7) 2 (62.4) 1 (61.8)   975.705∗∗∗
Service 20 (13.8) 35 (31.8) 36 (35.3) 16 (18.8) 4 (67.0)  
Housewife 92 (63.4) 50 (45.5) 46 (45.1) 63 (74.1) 48 (84.2)  
Farmers and fisherman 0 1 (60.9) 4 (63.9) 4 (64.7) 4 (67.0)  
Monthly income (10,000won) < 100 4 (62.8) 5 (64.5) 8 (67.9) 26 (30.6) 26 (45.6)    
100 − < 200 18 (12.4) 19 (17.3) 20 (19.6) 14 (16.5) 9 (15.8)   108.935∗∗∗
200 − < 300 31 (21.4) 23 (20.9) 19 (18.6) 17 (20.0) 6 (10.5)  
300 − < 400 34 (23.4) 17 (15.5) 11 (10.8) 8 (69.4) 6 (10.5)  
≥ 400 58 (40.0) 46 (41.8) 44 (43.1) 20 (23.5) 10 (17.6)  
No. of family Member 1 − 2 7 (64.8) 5 (64.5) 25 (24.5) 38 (44.7) 28 (49.1)   112.121∗∗∗
3 − 4 107 (73.8) 94 (85.5) 63 (61.8) 39 (45.9) 17 (29.8)  
5 ≥ 31 (21.4) 11 (10.0) 14 (13.7) 8 (69.4) 12 (21.1)  

1)Mean ± SD 2) N (%) ∗∗∗: p < 0.001

Table 2.
Anthropometric characteristics and body composition of the study subjects by the age categories
  30 − 39 (145) 40 − 49 (110) 50 − 59 (102) 60 − 69 (85) 70 (57) ≥ Total (499) F or χ2-value
Height (cm) 160.1 1± 0.411) 157.45 ± 0.48 156.62 ± 0.5 155.0 1± 0.61 150.72 ± 0.59 156.86 ± 0.26 138.967∗∗∗
Weight (kg) 156.41 ± 0.75 157.56 ± 0.81 157.95 ± 0.75 159.17 ± 0.84 157.5 1± 1.1 157.57 ± 0.37 N.S
Waist circumference (cm) 173.44 ± 0.67 175.15 ± 0.73 178.06 ± 0.86 182.42 ± 0.91 184.86 ± 1.13 177.6 1± 0.41 130.364∗∗∗
BMI, kg/cm2 121.99 ± 0.27 123.21 ± 0.3 123.64 ± 0.3 124.61 ± 0.3 125.29 ± 0.44 123.42 ± 0.15 116.369∗∗∗
Fat free mass (kg) 132.39 ± 0.49 132.16 ± 0.44 133.12 ± 0.56 134.13 ± 0.59 135.13 ± 0.75 133.1 1± 0.25 113.221∗
Fat mass (kg) 118.81 ± 0.49 117.96 ± 0.39 119.41 ± 0.54 119.98 ± 0.5 119.87 ± 0.69 119.06 ± 0.23 112.471∗
Body fat (%) 132.39 ± 0.49 132.16 ± 0.44 133.12 ± 0.56 134.13 ± 0.59 135.13 ± 0.75 133.11 ± 0.25 114.069∗∗
Menopause No 106 (73.1)2) 80 (72.7) 38 (37.3) 15 (17.6) 0   115.199∗∗∗
Yes 39 (26.9) 30 (27.3) 64 (62.7) 70 (82.4) 57 (100.0)    
BMI   Underweight (BMI < 18.5) 10 (16.9) 3 (12.7) 2 (12.0) 1 (11.2) 0   171.256∗∗∗
Normal (BMI = 18.5 − 23) 95 (65.5) 55 (50.0) 45 (44.1) 22 (25.9) 15 (126.3)    
Overweight (BMI = 23 − 25) 13 (19.0) 27 (24.5)) 25 (24.5) 28 (32.9) 18 (131.6)    
Obesity (BMI > 25.0) 27 (18.6) 25 (22.7) 30 (29.4) 34 (40.0) 24 (142.1)    

1)Mean ± SD 2) N (%) ∗∗: p < 0.01, ∗∗∗: p < 0.001

Table 3.
Bone mineral density, T-score, blood pressure and biochemical variables by age
    30 − 39 (145) 40 − 49 (110) 50 − 59 (102) 60 − 69 (85) 70 (57) ≥ Total (499) F-value
BMD (g/cm2) Total femur 990.84 ± 0.011) 990.86 ± 0.01 990.84 ± 0.01 990.78 ± 0.01 990.74 ± 90.02 990.82 ± 0.01 14.127∗∗∗2)
Femora neck 990.71 ± 0.01 990.72 ± 0.01 990.79 ± 0.01 990.64 ± 0.01 990.62 ± 90.02 990.69 ± 0.01 14.386∗∗∗
Lumbar spine 990.95 ± 0.01 990.98 ± 0.02 990.91 ± 0.01 990.82 ± 0.02 990.81 ± 90.02 990.91 ± 0.01 20.867∗∗∗
T-score Total femur 990.04 ± 0.08 990.13 ± 0.1 9−0.17 ± 0.09 9−0.74 ± 0.11 9−1.05 ± 90.14 9−0.24 ± 0.05 23.298∗∗∗
Femora neck 9−0.06 ± 0.08 9−0.68 ± 0.11 9−1.03 ± 0.09 9−1.64 ± 0.11 9−1.96 ± 90.14 9−1.04 ± 0.05 30.305∗∗∗
Lumbar spine 9−0.26 ± 0.09 9−0.13 ± 0.11 9−0.88 ± 0.1 9−1.56 ± 0.14 9−1.72 ± 90.19 9−0.75 ± 0.06 35.984∗∗∗
Blood pressure Systolic (mmHg) 104.83 ± 0.87 111.94 ± 1.27 120.94 ± 1.74 129.73 ± 1.93 135.32 ± 92.23 117.41 ± 0.82 67.012∗∗∗
Diastolic (mmHg) 970.21 ± 0.62 974.12 ± 0.88 977.52 ± 0.91 979.18 ± 0.99 976.71 ± 91.35 974.84 ± 0.42 18.123∗∗∗
Total -cholesterol (mg/dL) 180.82 ± 2.91 193.30 ± 3.01 199.68 ± 2.95 201.89 ± 3.62 195.72 ± 95.59 192.72 ± 1.56 97.217∗∗∗
Triglyceride (mg/dL) 991.23 ± 5.10 105.45 ± 5.20 126.44 ± 8.66 146.18 ± 8.85 160.47 ± 11.79 118.83 ± 3.44 13.935∗∗∗
Vitamin D (µg) 913.91 ± 0.41 913.27 ± 0.41 915.31 ± 0.67 915.03 ± 0.61 915.86 ± 91.3 914.44 ± 0.27 92.897∗
Alkaline phosphatase (IU/L) 194.33 ± 5.15 195.89 ± 4.63 234.14 ± 6.31 249.83 ± 7.52 255.52 ± 14.25 216.12 ± 3.23 21.529∗∗∗

1) Mean ± SD

2) Significantly different between groups by ANOVA ∗: p < 0.05, ∗∗∗: p < 0.001

Table 4.
BMD of normal and risk of the subjects by age and T-score, blood pressure, cholesterol and triglyceride
30 − 39 (145) 40 − 49 (110) 50 − 59 (102) 60 − 69 (85) 70 (57) ≥ Total (499) F-value
Normal (109) Osteop-enia (32) Osteoporosis (4) Normal (77) Osteop-enia (29) Osteoporosis (4) Normal (41) Osteop-enia (53) Osteoporosis (8) Normal (21) Osteop-enia (30) Osteoporosis (34) Normal (10) Osteop-enia (19) Osteoporosis (28) Normal (258) Osteop-enia (163) Osteoporosis (78)
T-score Total femur 990.32 ± 990.081) 9–0.70 ± 990.12 9–1.45 ± 990.39 990.53 ± 990.10 9–0.65 ± 990.11 9–1.98 ± 990.15 9 9 990.47 ± 990.10 9–0.49 ± 990.09 9–1.35 ± 990.28 990.39 ± 990.10 9–0.73 ± 990.12 9–1.45 ± 990.14 990.33 ± 990.16 9–0.71 ± 990.16 9–1.79 ± 990.12 990.41 ± 990.05 9–0.63 ± 990.05 9–1.59 ± 990.09 259.947∗∗∗
Femora neck 9–0.25 ± 990.08 9–1.59 ± 990.10 9–1.87 ± 990.56 9–0.22 ± 990.11 9–1.62 ± 990.09 9–2.76 ± 990.15 9 9 9–0.28 ± 990.10 9–1.42 ± 990.08 9–2.33 ± 990.23 9–0.36 ± 990.09 9–1.70 ± 990.09 9–2.37 ± 990.12 9–0.48 ± 990.23 9–1.66 ± 990.16 9–2.68 ± 990.11 9–0.26 ± 990.05 9–1.57 ± 990.05 9–2.47 ± 990.69 349.571∗∗∗
Lumar spine 990.09 ± 990.09 9–1.18 ± 990.14 9–2.37 ± 990.19 990.25 ± 990.11 9–0.84 ± 990.12 9–2.22 ± 991.03 9 9 9–0.11 ± 990.10 9–1.26 ± 990.11 9–2.31 ± 990.35 9–0.15 ± 990.12 9–1.44 ± 990.14 9–2.54 ± 990.18 9–0.28 ± 990.17 9–1.25 ± 990.18 9–2.56 ± 990.26 990.07 ± 990.05 9–1.2 9± 990.06 9–2.59 ± 990.14 281.027∗∗∗
pressureSystolic 105.22 ± Blood 990.98 102.03 ± 991.99 108.25 ± 994.61 112.06 ± 991.6 110.17 ± 992.33 109.75 ± 993.82 1 9 120.59 ± 992.43 121.42 ± 992.70 114.50 ± 995.34 126.81 ± 993.18 130.73 ± 993.74 129.76 ± 992.83 138.60 ± 994.66 133.53 ± 994.29 133.82 ± 993.13 113.06 ± 990.96 119.32 ± 991.59 127.84 ± 992.01 922.632∗∗∗
Diastolic971.10 ± 990.67 968.31 ± 991.54 971.00 ± 995.24 974.26 ± 991.14 973.45 ± 991.56 72.50 ± 993.30 9 9 977.54 ± 991.40 977.89 ± 991.43 974.13 ± 993.31 979.29 ± 991.84 978.40 ± 991.60 979.06 ± 991.71 979.20 ± 993.55 976.05 ± 992.56 975.11 ± 991.85 973.99 ± 990.55 975.25 ± 990.79 976.75 ± 991.09 992.809
Total -cholesterol (mg/dL) 180.18 ± 993.42 182.41 ± 996.84 188.50 ± 912.63 193.51 ± 993.74 197.86 ± 995.52 158.75 ± 998.12 2 9 200.49 ± 994.73 200.22 ± 994.34 194.00 ± 911.95 208.05 ± 997.50 201.00 ± 996.82 198.38 ± 996.48 211.40 ± 910.43 178.53 ± 999.65 201.79 ± 998.05 190.29 ± 992.11 194.00 ± 992.73 196.62 ± 994.21 991.025
Triglyceride (mg/dL) 989.09 ± 995.67 998.38 ± 912.43 992.25 ± 928.78 101.70 ± 995.86 120.48 ± 911.85 968.50 ± 915.41 1 9 128.29 ± 916.52 125.70 ± 910.66 121.88 ± 936.42 155.33 ± 920.23 139.57 ± 912.40 146.35 ± 914.95 182.90 ± 912.93 134.79 ± 911.23 169.89 ± 921.99 108.11 ± 994.48 123.02 ± 995.39 145.53 ± 911.25 997.649∗∗

1)Mean ± SD ∗∗: p < 0.01, ∗∗∗: p < 0.001

Table 5.
Nutrients intake of the subjects by age
  30 − 39 (140) 40 − 49 (100) 50 − 59 (97) 60 − 69 (77) 70 (55) ≥ Total (469) F-value
Energy (kcal) 1,822.10 ± 963.161) 1,841.86 ± 974.73 1,651.03 ± 960.15 1,614.71 ± 956.40 1,324.94 ± 966.68 1,698.58 ± 931.01 97.3832)∗∗∗
Water (g) 1,015.45 ± 952.93 1,890.05 ± 946.31 1,861.50 ± 950.13 1,804.45 ± 962.48 1,488.66 ± 940.17 1,860.45 ± 925.08 10.334∗∗∗
Protein (g) 1,569.40 ± 992.82 1,565.30 ± 993.08 1,558.24 ± 992.64 1,554.40 ± 992.69 1,540.41 ± 992.42 1,560.35 ± 991.37 12.096∗∗∗
Carbohydrate (g) 1,289.74 ± 910.35 1,308.75 ± 913.25 1,285.18 ± 910.32 1,293.83 ± 910.23 1,251.79 ± 912.82 1,289.07 ± 995.24 92.323
Fat (g) 1,542.18 ± 992.24 1,539.14 ± 992.73 1,531.22 ± 992.20 1,527.08 ± 992.25 1,518.86 ± 991.89 1,534.05 ± 991.14 13.111∗∗∗
Crud fiber (g) 1,956.48 ± 990.38 1,957.36 ± 990.48 1,957.08 ± 990.47 1,957.23 ± 990.53 1,955.17 ± 990.50 1,956.76 ± 990.21 94.902∗∗
Calcium (mg) 1,532.03 ± 927.08 1,512.46 ± 929.19 1,444.39 ± 924.66 1,448.90 ± 931.96 1,351.43 ± 931.97 1,474.88 ± 913.32 94.902∗∗
Phosphorus (mg) 1,127.66 ± 942.39 1,117.45 ± 943.67 1,013.41 ± 938.45 1,000.42 ± 944.78 1,766.05 ± 940.89 1,038.56 ± 920.28 98.244∗∗∗
Iron (mg) 1,512.85 ± 990.60 1,914.39 ± 990.77 1,512.85 ± 990.66 1,512.91 ± 990.96 1,959.04 ± 990.76 1,912.74 ± 990.34 94.974∗∗
Sodium(mg) 4,215.37 ± 190.19 4,707.83 ± 302.02 4,300.07 ± 289.71 4,179.94 ± 341.21 3,299.53 ± 332.50 4,224.67 ± 125.72 92.428∗
Potassium (mg) 2,886.09 ± 116.17 2,957.96 ± 141.28 2,775.27 ± 125.16 2,698.19 ± 160.45 1,853.61 ± 127.82 2,726.56 ± 962.46 97.364∗∗∗
Vitamin A (µgRE) 1,832.33 ± 961.91 1,854.08 ± 959.04 1,824.13 ± 126.81 1,653.37 ± 977.15 1,475.76 ± 117.59 1,764.07 ± 939.48 92.54∗
Thiamine (mg) 1,951.24 ± 990.50 1,951.22 ± 990.06 1,951.04 ± 990.05 1,951.09 ± 990.06 1,950.89 ± 990.07 1,951.12 ± 990.03 98.031∗∗∗
Riboflavin (µg) 1,951.26 ± 990.06 1,951.22 ± 990.06 1,951.04 ± 990.05 1,950.92 ± 990.06 1,950.69 ± 990.06 1,951.08 ± 990.03 13.467∗∗∗
Niacin (µg) 1,515.84 ± 990.63 1,515.59 ± 990.71 1,514.17 ± 990.67 1,512.96 ± 990.66 1,958.84 ± 990.50 1,514.15 ± 990.32 12.983∗∗∗
Vitamin C (mg) 1,129.99 ± 910.46 1,122.25 ± 999.96 1,113.87 ± 998.76 1,107.79 ± 911.43 1,558.87 ± 996.19 1,113.09 ± 994.73 95.239∗∗∗

1)Mean ± SD ∗: p < 0.05, ∗∗∗: p < 0.001

Table 6.
Food habits of the study subjects by the age categories
    30 − 39 40 − 49 50 − 59 60 − 69 70 ≥ Total χ2-value
    (140) (100) (97) (77) (55) (469)
Eating breakfast Yes 111 (79.3)1) 83 (83.0) 83 (85.6) 73 (94.8) 51 (92.7) 401 12.561∗
No 29 (20.7) 17 (17.0) 14 (14.4) 4 (65.2) 4 (67.2) 68
Eating lunch Yes 131 (93.6) 94 (94.0) 94 (96.9) 73 (94.8) 52 (94.5) 444 61.390
No 9 (66.4) 6 (66.0) 3 (63.1) 4 (65.2) 3 (65.5) 25
Eating dinner Yes 136 (97.1) 94 (94.0) 94 (96.9) 73 (94.8) 53 (96.4) 450 62.003
No 4 (62.9) 6 (66.0) 3 (63.1) 4 (65.2) 2 (63.6) 19
Healthy food Yes 57 (40.7) 49 (49.0) 60 (61.9) 44 (57.1) 29 (52.7) 239 11.889∗
No 83 (59.3) 51 (51.0) 37 (38.1) 33 (42.9) 26 (47.3) 230
Frequency of eating out 5∼6 times over/week 31 (22.1) 26 (26.0) 26 (26.8) 2 (62.6) 1 (61.8) 86 84.198∗∗∗
3∼4 time/week 12 (68.6) 15 (15.0) 7 (67.2) 5 (66.5) 2 (63.6) 41
1∼4 time/month 94 (67.1) 54 (54.0) 50 (51.5) 56 (72.7) 32 (58.2) 286
Not at all 3 (62.1) 5 (65.0) 14 (14.4) 14 (18.2) 20 (36.4) 56
Frequency of fried food intake 4∼6 times/week 0 2 (62.0) 0 1 (61.3) 2 (63.6) 5 94.859∗∗∗
2∼3 times/week 11 (67.9) 4 (64.0) 2 (62.1) 1 (61.3) 1 (61.8) 19
1 times/week 107 (76.4) 61 (61.0) 47 (48.4) 22 (28.6) 15 (27.3) 252
Not at all 22 (15.7) 33 (33.0) 48 (49.5) 53 (68.8) 37 (67.3) 193

1)N (%)

: p < 0.05, ∗∗∗: p < 0.001

Table 7.
The correlation coefficients between BMD and anthro-pometrics, age, food habit and nutrients intakes
Correlation coefficients (r)
Anthropometrics and body composition Height −0.315∗∗
Weight −0.230∗∗
Waist circumference −0.062
Age and food habits BMI −0.063
SBP −0.213∗∗
DBP −0.052
Total -cholesterol −0.010
Triglyceride −0.113∗
ALP −0.320∗∗
Vitamin D −0.068
Age −0.456∗∗
Whether or not eat breakfast −0.052
Healthy food −0.045
Frequency of eating out −0.174∗∗
Frequency of fried food intake −0.125∗∗
Nutrient intake Energy −0.059
Water −0.137∗∗
Protein −0.171∗∗
Fat −0.206∗∗
Carbohydrate −0.067
Crude fiber −0.018
Calcium −0.109∗
Phosphors −0.106∗
Iron −0.060
Sodium −0.088
Potassium −0.077
Vitamin A −0.131∗∗
Thiamine −0.097∗
Riboflavin −0.155∗∗
Niacin −0.138∗∗
Vitamin C −0.056

: p < 0.05, ∗∗: p < 0.01

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      Analysis of Bone Mineral Density, Biochemical Index and Nutrient Intakes of 30-70 Years Old Women: Based on 2011 KNHANES
      Korean J Community Nutr. 2014;19(4):328-341.   Published online August 31, 2014
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    Analysis of Bone Mineral Density, Biochemical Index and Nutrient Intakes of 30-70 Years Old Women: Based on 2011 KNHANES
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    Fig. 1. The distribution of the BMD and hypertension of the subjects by the age categories
    Analysis of Bone Mineral Density, Biochemical Index and Nutrient Intakes of 30-70 Years Old Women: Based on 2011 KNHANES

    Socio-demographic characteristics of the subjects by age

      30 − 39 40 − 49 50 − 59 60 − 69 70 ≥ Total F or χ2-value
    (145) (110) (102) (85) (57) (499)
    Age   35.18 ± 44.5 ± 54.13 ± 64.28 ± 74.58 ± 54.5 ± 2,026.132∗∗∗
      0.231) 0.28 0.29 0.33 0.42 0.38
    Education Level Elementary 1 (60.7)2) 8 (67.3) 22 (21.6) 45 (52.9) 40 (70.2)   253.112∗∗∗
    Middle 2 (61.4) 7 (66.4) 23 (22.5) 14 (16.5) 7 (12.3)  
    High 50 (34.5) 51 (46.4) 34 (33.3) 19 (22.4) 10 (17.5)  
    University 92 (63.4) 44 (40.0) 23 (22.5) 7 (68.2) 0  
    Marital status Married, cohabitation 131 (90.3) 95 (86.4) 85 (83.3) 61 (71.8) 27 (47.4)   154.326∗∗∗
    Married, Separated 1 (60.7) 1 (60.9) 0 1 (61.2) 0  
    Separation by death 0 4 (63.6) 5 (64.9) 21 (24.7) 29 (50.9)  
    Divorce 0 4 (63.6) 9 (68.8) 1 (61.2) 1 (61.8)  
    Unmarried 13 (69.0) 6 (65.5) 3 (62.9) 1 (61.2) 0  
    Occupation Office worker 33 (22.8) 24 (21.8) 16 (15.7) 2 (62.4) 1 (61.8)   975.705∗∗∗
    Service 20 (13.8) 35 (31.8) 36 (35.3) 16 (18.8) 4 (67.0)  
    Housewife 92 (63.4) 50 (45.5) 46 (45.1) 63 (74.1) 48 (84.2)  
    Farmers and fisherman 0 1 (60.9) 4 (63.9) 4 (64.7) 4 (67.0)  
    Monthly income (10,000won) < 100 4 (62.8) 5 (64.5) 8 (67.9) 26 (30.6) 26 (45.6)    
    100 − < 200 18 (12.4) 19 (17.3) 20 (19.6) 14 (16.5) 9 (15.8)   108.935∗∗∗
    200 − < 300 31 (21.4) 23 (20.9) 19 (18.6) 17 (20.0) 6 (10.5)  
    300 − < 400 34 (23.4) 17 (15.5) 11 (10.8) 8 (69.4) 6 (10.5)  
    ≥ 400 58 (40.0) 46 (41.8) 44 (43.1) 20 (23.5) 10 (17.6)  
    No. of family Member 1 − 2 7 (64.8) 5 (64.5) 25 (24.5) 38 (44.7) 28 (49.1)   112.121∗∗∗
    3 − 4 107 (73.8) 94 (85.5) 63 (61.8) 39 (45.9) 17 (29.8)  
    5 ≥ 31 (21.4) 11 (10.0) 14 (13.7) 8 (69.4) 12 (21.1)  

    1)Mean ± SD 2) N (%) ∗∗∗: p < 0.001

    Anthropometric characteristics and body composition of the study subjects by the age categories

      30 − 39 (145) 40 − 49 (110) 50 − 59 (102) 60 − 69 (85) 70 (57) ≥ Total (499) F or χ2-value
    Height (cm) 160.1 1± 0.411) 157.45 ± 0.48 156.62 ± 0.5 155.0 1± 0.61 150.72 ± 0.59 156.86 ± 0.26 138.967∗∗∗
    Weight (kg) 156.41 ± 0.75 157.56 ± 0.81 157.95 ± 0.75 159.17 ± 0.84 157.5 1± 1.1 157.57 ± 0.37 N.S
    Waist circumference (cm) 173.44 ± 0.67 175.15 ± 0.73 178.06 ± 0.86 182.42 ± 0.91 184.86 ± 1.13 177.6 1± 0.41 130.364∗∗∗
    BMI, kg/cm2 121.99 ± 0.27 123.21 ± 0.3 123.64 ± 0.3 124.61 ± 0.3 125.29 ± 0.44 123.42 ± 0.15 116.369∗∗∗
    Fat free mass (kg) 132.39 ± 0.49 132.16 ± 0.44 133.12 ± 0.56 134.13 ± 0.59 135.13 ± 0.75 133.1 1± 0.25 113.221∗
    Fat mass (kg) 118.81 ± 0.49 117.96 ± 0.39 119.41 ± 0.54 119.98 ± 0.5 119.87 ± 0.69 119.06 ± 0.23 112.471∗
    Body fat (%) 132.39 ± 0.49 132.16 ± 0.44 133.12 ± 0.56 134.13 ± 0.59 135.13 ± 0.75 133.11 ± 0.25 114.069∗∗
    Menopause No 106 (73.1)2) 80 (72.7) 38 (37.3) 15 (17.6) 0   115.199∗∗∗
    Yes 39 (26.9) 30 (27.3) 64 (62.7) 70 (82.4) 57 (100.0)    
    BMI   Underweight (BMI < 18.5) 10 (16.9) 3 (12.7) 2 (12.0) 1 (11.2) 0   171.256∗∗∗
    Normal (BMI = 18.5 − 23) 95 (65.5) 55 (50.0) 45 (44.1) 22 (25.9) 15 (126.3)    
    Overweight (BMI = 23 − 25) 13 (19.0) 27 (24.5)) 25 (24.5) 28 (32.9) 18 (131.6)    
    Obesity (BMI > 25.0) 27 (18.6) 25 (22.7) 30 (29.4) 34 (40.0) 24 (142.1)    

    1)Mean ± SD 2) N (%) ∗∗: p < 0.01, ∗∗∗: p < 0.001

    Bone mineral density, T-score, blood pressure and biochemical variables by age

        30 − 39 (145) 40 − 49 (110) 50 − 59 (102) 60 − 69 (85) 70 (57) ≥ Total (499) F-value
    BMD (g/cm2) Total femur 990.84 ± 0.011) 990.86 ± 0.01 990.84 ± 0.01 990.78 ± 0.01 990.74 ± 90.02 990.82 ± 0.01 14.127∗∗∗2)
    Femora neck 990.71 ± 0.01 990.72 ± 0.01 990.79 ± 0.01 990.64 ± 0.01 990.62 ± 90.02 990.69 ± 0.01 14.386∗∗∗
    Lumbar spine 990.95 ± 0.01 990.98 ± 0.02 990.91 ± 0.01 990.82 ± 0.02 990.81 ± 90.02 990.91 ± 0.01 20.867∗∗∗
    T-score Total femur 990.04 ± 0.08 990.13 ± 0.1 9−0.17 ± 0.09 9−0.74 ± 0.11 9−1.05 ± 90.14 9−0.24 ± 0.05 23.298∗∗∗
    Femora neck 9−0.06 ± 0.08 9−0.68 ± 0.11 9−1.03 ± 0.09 9−1.64 ± 0.11 9−1.96 ± 90.14 9−1.04 ± 0.05 30.305∗∗∗
    Lumbar spine 9−0.26 ± 0.09 9−0.13 ± 0.11 9−0.88 ± 0.1 9−1.56 ± 0.14 9−1.72 ± 90.19 9−0.75 ± 0.06 35.984∗∗∗
    Blood pressure Systolic (mmHg) 104.83 ± 0.87 111.94 ± 1.27 120.94 ± 1.74 129.73 ± 1.93 135.32 ± 92.23 117.41 ± 0.82 67.012∗∗∗
    Diastolic (mmHg) 970.21 ± 0.62 974.12 ± 0.88 977.52 ± 0.91 979.18 ± 0.99 976.71 ± 91.35 974.84 ± 0.42 18.123∗∗∗
    Total -cholesterol (mg/dL) 180.82 ± 2.91 193.30 ± 3.01 199.68 ± 2.95 201.89 ± 3.62 195.72 ± 95.59 192.72 ± 1.56 97.217∗∗∗
    Triglyceride (mg/dL) 991.23 ± 5.10 105.45 ± 5.20 126.44 ± 8.66 146.18 ± 8.85 160.47 ± 11.79 118.83 ± 3.44 13.935∗∗∗
    Vitamin D (µg) 913.91 ± 0.41 913.27 ± 0.41 915.31 ± 0.67 915.03 ± 0.61 915.86 ± 91.3 914.44 ± 0.27 92.897∗
    Alkaline phosphatase (IU/L) 194.33 ± 5.15 195.89 ± 4.63 234.14 ± 6.31 249.83 ± 7.52 255.52 ± 14.25 216.12 ± 3.23 21.529∗∗∗

    1) Mean ± SD

    2) Significantly different between groups by ANOVA ∗: p < 0.05, ∗∗∗: p < 0.001

    BMD of normal and risk of the subjects by age and T-score, blood pressure, cholesterol and triglyceride

    30 − 39 (145) 40 − 49 (110) 50 − 59 (102) 60 − 69 (85) 70 (57) ≥ Total (499) F-value
    Normal (109) Osteop-enia (32) Osteoporosis (4) Normal (77) Osteop-enia (29) Osteoporosis (4) Normal (41) Osteop-enia (53) Osteoporosis (8) Normal (21) Osteop-enia (30) Osteoporosis (34) Normal (10) Osteop-enia (19) Osteoporosis (28) Normal (258) Osteop-enia (163) Osteoporosis (78)
    T-score Total femur 990.32 ± 990.081) 9–0.70 ± 990.12 9–1.45 ± 990.39 990.53 ± 990.10 9–0.65 ± 990.11 9–1.98 ± 990.15 9 9 990.47 ± 990.10 9–0.49 ± 990.09 9–1.35 ± 990.28 990.39 ± 990.10 9–0.73 ± 990.12 9–1.45 ± 990.14 990.33 ± 990.16 9–0.71 ± 990.16 9–1.79 ± 990.12 990.41 ± 990.05 9–0.63 ± 990.05 9–1.59 ± 990.09 259.947∗∗∗
    Femora neck 9–0.25 ± 990.08 9–1.59 ± 990.10 9–1.87 ± 990.56 9–0.22 ± 990.11 9–1.62 ± 990.09 9–2.76 ± 990.15 9 9 9–0.28 ± 990.10 9–1.42 ± 990.08 9–2.33 ± 990.23 9–0.36 ± 990.09 9–1.70 ± 990.09 9–2.37 ± 990.12 9–0.48 ± 990.23 9–1.66 ± 990.16 9–2.68 ± 990.11 9–0.26 ± 990.05 9–1.57 ± 990.05 9–2.47 ± 990.69 349.571∗∗∗
    Lumar spine 990.09 ± 990.09 9–1.18 ± 990.14 9–2.37 ± 990.19 990.25 ± 990.11 9–0.84 ± 990.12 9–2.22 ± 991.03 9 9 9–0.11 ± 990.10 9–1.26 ± 990.11 9–2.31 ± 990.35 9–0.15 ± 990.12 9–1.44 ± 990.14 9–2.54 ± 990.18 9–0.28 ± 990.17 9–1.25 ± 990.18 9–2.56 ± 990.26 990.07 ± 990.05 9–1.2 9± 990.06 9–2.59 ± 990.14 281.027∗∗∗
    pressureSystolic 105.22 ± Blood 990.98 102.03 ± 991.99 108.25 ± 994.61 112.06 ± 991.6 110.17 ± 992.33 109.75 ± 993.82 1 9 120.59 ± 992.43 121.42 ± 992.70 114.50 ± 995.34 126.81 ± 993.18 130.73 ± 993.74 129.76 ± 992.83 138.60 ± 994.66 133.53 ± 994.29 133.82 ± 993.13 113.06 ± 990.96 119.32 ± 991.59 127.84 ± 992.01 922.632∗∗∗
    Diastolic971.10 ± 990.67 968.31 ± 991.54 971.00 ± 995.24 974.26 ± 991.14 973.45 ± 991.56 72.50 ± 993.30 9 9 977.54 ± 991.40 977.89 ± 991.43 974.13 ± 993.31 979.29 ± 991.84 978.40 ± 991.60 979.06 ± 991.71 979.20 ± 993.55 976.05 ± 992.56 975.11 ± 991.85 973.99 ± 990.55 975.25 ± 990.79 976.75 ± 991.09 992.809
    Total -cholesterol (mg/dL) 180.18 ± 993.42 182.41 ± 996.84 188.50 ± 912.63 193.51 ± 993.74 197.86 ± 995.52 158.75 ± 998.12 2 9 200.49 ± 994.73 200.22 ± 994.34 194.00 ± 911.95 208.05 ± 997.50 201.00 ± 996.82 198.38 ± 996.48 211.40 ± 910.43 178.53 ± 999.65 201.79 ± 998.05 190.29 ± 992.11 194.00 ± 992.73 196.62 ± 994.21 991.025
    Triglyceride (mg/dL) 989.09 ± 995.67 998.38 ± 912.43 992.25 ± 928.78 101.70 ± 995.86 120.48 ± 911.85 968.50 ± 915.41 1 9 128.29 ± 916.52 125.70 ± 910.66 121.88 ± 936.42 155.33 ± 920.23 139.57 ± 912.40 146.35 ± 914.95 182.90 ± 912.93 134.79 ± 911.23 169.89 ± 921.99 108.11 ± 994.48 123.02 ± 995.39 145.53 ± 911.25 997.649∗∗

    1)Mean ± SD ∗∗: p < 0.01, ∗∗∗: p < 0.001

    Nutrients intake of the subjects by age

      30 − 39 (140) 40 − 49 (100) 50 − 59 (97) 60 − 69 (77) 70 (55) ≥ Total (469) F-value
    Energy (kcal) 1,822.10 ± 963.161) 1,841.86 ± 974.73 1,651.03 ± 960.15 1,614.71 ± 956.40 1,324.94 ± 966.68 1,698.58 ± 931.01 97.3832)∗∗∗
    Water (g) 1,015.45 ± 952.93 1,890.05 ± 946.31 1,861.50 ± 950.13 1,804.45 ± 962.48 1,488.66 ± 940.17 1,860.45 ± 925.08 10.334∗∗∗
    Protein (g) 1,569.40 ± 992.82 1,565.30 ± 993.08 1,558.24 ± 992.64 1,554.40 ± 992.69 1,540.41 ± 992.42 1,560.35 ± 991.37 12.096∗∗∗
    Carbohydrate (g) 1,289.74 ± 910.35 1,308.75 ± 913.25 1,285.18 ± 910.32 1,293.83 ± 910.23 1,251.79 ± 912.82 1,289.07 ± 995.24 92.323
    Fat (g) 1,542.18 ± 992.24 1,539.14 ± 992.73 1,531.22 ± 992.20 1,527.08 ± 992.25 1,518.86 ± 991.89 1,534.05 ± 991.14 13.111∗∗∗
    Crud fiber (g) 1,956.48 ± 990.38 1,957.36 ± 990.48 1,957.08 ± 990.47 1,957.23 ± 990.53 1,955.17 ± 990.50 1,956.76 ± 990.21 94.902∗∗
    Calcium (mg) 1,532.03 ± 927.08 1,512.46 ± 929.19 1,444.39 ± 924.66 1,448.90 ± 931.96 1,351.43 ± 931.97 1,474.88 ± 913.32 94.902∗∗
    Phosphorus (mg) 1,127.66 ± 942.39 1,117.45 ± 943.67 1,013.41 ± 938.45 1,000.42 ± 944.78 1,766.05 ± 940.89 1,038.56 ± 920.28 98.244∗∗∗
    Iron (mg) 1,512.85 ± 990.60 1,914.39 ± 990.77 1,512.85 ± 990.66 1,512.91 ± 990.96 1,959.04 ± 990.76 1,912.74 ± 990.34 94.974∗∗
    Sodium(mg) 4,215.37 ± 190.19 4,707.83 ± 302.02 4,300.07 ± 289.71 4,179.94 ± 341.21 3,299.53 ± 332.50 4,224.67 ± 125.72 92.428∗
    Potassium (mg) 2,886.09 ± 116.17 2,957.96 ± 141.28 2,775.27 ± 125.16 2,698.19 ± 160.45 1,853.61 ± 127.82 2,726.56 ± 962.46 97.364∗∗∗
    Vitamin A (µgRE) 1,832.33 ± 961.91 1,854.08 ± 959.04 1,824.13 ± 126.81 1,653.37 ± 977.15 1,475.76 ± 117.59 1,764.07 ± 939.48 92.54∗
    Thiamine (mg) 1,951.24 ± 990.50 1,951.22 ± 990.06 1,951.04 ± 990.05 1,951.09 ± 990.06 1,950.89 ± 990.07 1,951.12 ± 990.03 98.031∗∗∗
    Riboflavin (µg) 1,951.26 ± 990.06 1,951.22 ± 990.06 1,951.04 ± 990.05 1,950.92 ± 990.06 1,950.69 ± 990.06 1,951.08 ± 990.03 13.467∗∗∗
    Niacin (µg) 1,515.84 ± 990.63 1,515.59 ± 990.71 1,514.17 ± 990.67 1,512.96 ± 990.66 1,958.84 ± 990.50 1,514.15 ± 990.32 12.983∗∗∗
    Vitamin C (mg) 1,129.99 ± 910.46 1,122.25 ± 999.96 1,113.87 ± 998.76 1,107.79 ± 911.43 1,558.87 ± 996.19 1,113.09 ± 994.73 95.239∗∗∗

    1)Mean ± SD ∗: p < 0.05, ∗∗∗: p < 0.001

    Food habits of the study subjects by the age categories

        30 − 39 40 − 49 50 − 59 60 − 69 70 ≥ Total χ2-value
        (140) (100) (97) (77) (55) (469)
    Eating breakfast Yes 111 (79.3)1) 83 (83.0) 83 (85.6) 73 (94.8) 51 (92.7) 401 12.561∗
    No 29 (20.7) 17 (17.0) 14 (14.4) 4 (65.2) 4 (67.2) 68
    Eating lunch Yes 131 (93.6) 94 (94.0) 94 (96.9) 73 (94.8) 52 (94.5) 444 61.390
    No 9 (66.4) 6 (66.0) 3 (63.1) 4 (65.2) 3 (65.5) 25
    Eating dinner Yes 136 (97.1) 94 (94.0) 94 (96.9) 73 (94.8) 53 (96.4) 450 62.003
    No 4 (62.9) 6 (66.0) 3 (63.1) 4 (65.2) 2 (63.6) 19
    Healthy food Yes 57 (40.7) 49 (49.0) 60 (61.9) 44 (57.1) 29 (52.7) 239 11.889∗
    No 83 (59.3) 51 (51.0) 37 (38.1) 33 (42.9) 26 (47.3) 230
    Frequency of eating out 5∼6 times over/week 31 (22.1) 26 (26.0) 26 (26.8) 2 (62.6) 1 (61.8) 86 84.198∗∗∗
    3∼4 time/week 12 (68.6) 15 (15.0) 7 (67.2) 5 (66.5) 2 (63.6) 41
    1∼4 time/month 94 (67.1) 54 (54.0) 50 (51.5) 56 (72.7) 32 (58.2) 286
    Not at all 3 (62.1) 5 (65.0) 14 (14.4) 14 (18.2) 20 (36.4) 56
    Frequency of fried food intake 4∼6 times/week 0 2 (62.0) 0 1 (61.3) 2 (63.6) 5 94.859∗∗∗
    2∼3 times/week 11 (67.9) 4 (64.0) 2 (62.1) 1 (61.3) 1 (61.8) 19
    1 times/week 107 (76.4) 61 (61.0) 47 (48.4) 22 (28.6) 15 (27.3) 252
    Not at all 22 (15.7) 33 (33.0) 48 (49.5) 53 (68.8) 37 (67.3) 193

    1)N (%)

    : p < 0.05, ∗∗∗: p < 0.001

    The correlation coefficients between BMD and anthro-pometrics, age, food habit and nutrients intakes

    Correlation coefficients (r)
    Anthropometrics and body composition Height −0.315∗∗
    Weight −0.230∗∗
    Waist circumference −0.062
    Age and food habits BMI −0.063
    SBP −0.213∗∗
    DBP −0.052
    Total -cholesterol −0.010
    Triglyceride −0.113∗
    ALP −0.320∗∗
    Vitamin D −0.068
    Age −0.456∗∗
    Whether or not eat breakfast −0.052
    Healthy food −0.045
    Frequency of eating out −0.174∗∗
    Frequency of fried food intake −0.125∗∗
    Nutrient intake Energy −0.059
    Water −0.137∗∗
    Protein −0.171∗∗
    Fat −0.206∗∗
    Carbohydrate −0.067
    Crude fiber −0.018
    Calcium −0.109∗
    Phosphors −0.106∗
    Iron −0.060
    Sodium −0.088
    Potassium −0.077
    Vitamin A −0.131∗∗
    Thiamine −0.097∗
    Riboflavin −0.155∗∗
    Niacin −0.138∗∗
    Vitamin C −0.056

    : p < 0.05, ∗∗: p < 0.01

    Table 1. Socio-demographic characteristics of the subjects by age

    Mean ± SD 2) N (%) ∗∗∗: p < 0.001

    Table 2. Anthropometric characteristics and body composition of the study subjects by the age categories

    Mean ± SD 2) N (%) ∗∗: p < 0.01, ∗∗∗: p < 0.001

    Table 3. Bone mineral density, T-score, blood pressure and biochemical variables by age

    1) Mean ± SD

    2) Significantly different between groups by ANOVA ∗: p < 0.05, ∗∗∗: p < 0.001

    Table 4. BMD of normal and risk of the subjects by age and T-score, blood pressure, cholesterol and triglyceride

    Mean ± SD ∗∗: p < 0.01, ∗∗∗: p < 0.001

    Table 5. Nutrients intake of the subjects by age

    Mean ± SD ∗: p < 0.05, ∗∗∗: p < 0.001

    Table 6. Food habits of the study subjects by the age categories

    N (%)

    : p < 0.05, ∗∗∗: p < 0.001

    Table 7. The correlation coefficients between BMD and anthro-pometrics, age, food habit and nutrients intakes

    : p < 0.05, ∗∗: p < 0.01


    Korean J Community Nutr : Korean Journal of Community Nutrition
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