Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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Two Sides of Obesity: Metabolic Syndrome and Osteoporosis in Elderly Women, Gangwon-do, Korea

비만의 양면성: 강원도 중장년 여성의 대사증후군과 골다공증

  • Jang, Sungok (Korea Association of Health Promotion Gang-Won Branch) ;
  • Lee, Sungwha (Hallym University Medical Center, Chuncheon Sacred Heart Hospital) ;
  • Lee, Jongseok (School of Business Administration, Hallym University)
  • 장성옥 (한국건강관리협회 강원도지부, 한림대학교 경영학부) ;
  • 이성화 (한림대학교 춘천성심병원, 한림대학교 경영학부) ;
  • 이종석 (한림대학교 경영학부)
  • Received : 2014.02.03
  • Accepted : 2014.03.19
  • Published : 2014.03.31
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Abstract

Objectives: This study aimed to assess whether metabolic syndrome (MS) is related to osteoporosis and investigate the association between the MS components and bone mineral density (BMD). Methods: We conducted a cross-sectional study for 4,365 women aged over 50 years who completed health examination from 2008 to 2012 in Korea Association of Health Promotion Gangwon Branch. Height, body weight, waist circumference, blood pressure, fasting plasma glucose, serum lipid profiles, and BMD were measured. Results: Obesity measured as body mass index (BMI) was detrimental to all of the MS components but positively correlated with BMD at three skeletal sites (lumbar spine, femoral neck, and total hip). There were no significant differences in the MS prevalence between women without osteoporosis and those with osteoporosis. In age-adjusted analysis, women with MS had significantly higher BMD at three sites when compared to those without MS. After adjusting for BMI and age, these significances disappeared, such that MS was not associated with higher BMD. Conclusions: Our findings indicate that obesity increases the risk of MS whereas underweight increases that of osteoporosis. The association between MS and higher BMD was explained by the higher BMI in those with MS. MS may not be associated with osteoporosis.

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References

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