• 제목, 요약, 키워드: Osteoporosis

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소아청소년기 골다공증의 원인과 진단 및 치료 (Causes, diagnosis, and treatment of pediatric osteoporosis)

  • 임중섭
    • 대한의사협회지
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    • v.61 no.10
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    • pp.616-622
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    • 2018
  • Osteoporosis was once thought to be a disease of the elderly. Now, there is universal agreement that osteoporosis has a pediatric origin. If individuals fail to achieve optimal peak bone mass and strength in childhood and adolescence, the development of osteoporosis later in life becomes more likely. Furthermore, increased knowledge and improved care for children with genetic disease and chronic illnesses has led to many children living long enough to develop osteoporosis and fractures even in childhood or adolescence. Thus, early interventions including nutrition, exercise, and pharmacological treatment are paramount. The objective of this review is to help clinicians diagnose and manage children at a high risk of osteoporosis. This article also reviews the latest advances in the treatment of pediatric osteoporosis including Korean experiences.

지역사회치주지수와 골다공증 관련성 (Community periodontal index and osteoporosis relevance)

  • 장윤정;김남송
    • 한국치위생학회지
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    • v.12 no.5
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    • pp.943-952
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    • 2012
  • Objectives : The purpose of this study was to examine the impact of the systemic osteoporosis of Korean adults on their periodontal diseases and CPI index based on the data of their systemic osteoporosis. Methods : The third-year raw data of the 4th 2009 National Health & Nutrition Survey that turned out to be representative and reliable were utilized. The subjects in this study were 7,285 adults who were over the age of 19 and got both of health and dental checkups. As for data analysis, the statistical packages PASW 19.0 and SAS 9.0 were employed. Results : The most periodontal diseases were found in those who had osteoporosis in the entire parts, entire femur, femoral neck and spiral bone, but there was no significant relationship between periodontal diseases and osteoporosis. As for the connections between peridontal diseases and osteoporosis, the adults who had femoral neck osteoporosis had a 2.057-fold less bone mass than those who had a normal bone density in this part, and the former's periodontal diseases increased in proportion to that. There was consequently a statistically significant relationship between the two(p<0.05). Among the prevalence factors of osteoporosis, a lower entire femur bone mineral density led to a lower CPI index(p<0.01), and a lower femoral neck bone mineral density led to a higher CPI index(p<0.05). Thus, there was a significant relationship between osteoporosis and the oral health indicator. Conclusions : The above-mentioned findings confirmed that in terms of the relationship among the periodontal diseases, CPI index and osteoporosis of Korean adults, a higher risk of osteoporosis affected the increase of chronic periodontal diseases.

골다공증 동물모델에서 약침치료에 대한 국내 연구보고 고찰 (Effects of the Pharmacopuncture in Animal Models for Treatment of Osteoporosis: A Review of Animal Study Reports Published in Korea)

  • 김정민;최수민;안희덕
    • 한방재활의학과학회지
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    • v.26 no.2
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    • pp.75-83
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    • 2016
  • Objectives This study is to review the effect of pharmacopuncture on treatment of osteoporosis in animal models reported in korean domestic journals. Methods The databases (Koreantk, KISS, NDSL) were searched with term as osteoporosis, and animal study reports on osteoporosis with pharmacopuncture were reviewed. Animal model, intervention, and osteoporosis indicator were extracted. Results 22 articles were reviewed. 11 studies used ddy mouse and 9 studies used SD rat. 20 studies used ovariectomy to induce osteoporosis. 21 studies used simple pharmacopuncture. Cervi pantotrichum cornu was most frequently used pharmacopuncture and Umgok (KI10) was most frequently used acupuncture point. Each study shows significant changes of osteoporosis indicators. Conclusions Pharmacopuncture is expected to be a positive effect on osteoporosis.

일개 신도시 지역의 골다공증 지식, 건강신념, 자기 효능감에 관한 연구 (Knowledge, Health Belief, and Self-efficacy Related to Osteoporosis)

  • 신수진;신경림;이혜련;주수경
    • 대한간호학회지
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    • v.35 no.5
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    • pp.850-857
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    • 2005
  • Purpose: This research was conducted to examine the relationship of knowledge, health beliefs, and self-efficacy on osteoporosis. Method: The design of this study was a correlative design. The subjects were 1,615 Korean adults over the age of 20 registered in a new town and participants were asked to fill in a questionnaire developed by Kim, Horan & Gendler (1991), translated into Korean. Results: 1) The subjects recorded an average score of 1l.10 on osteoporosis knowledge. The average scores on the osteoporosis health beliefs was 15.68 for perceived susceptibility and the respondents recorded an average score of 40.40 for osteoporosis self-efficacy. 2) There were statistically significant differences in the degree of osteoporosis knowledge, self-efficacy and health belief according to gender, age, scholastic achievement, marital state, and jobs. 3) There were statistically significant positive correlations between osteoporosis knowledge and self-efficacy. Conclusion: According to these results, an osteoporosis education program improving not only knowledge but also self-efficacy and health beliefs should be developed and applied to decrease the perception of barriers to exercise and intake of calcium.

일부 대도시 지역 여성들의 골다공증 인지정도에 관한 연구 (Study of the Level of Osteoporosis Awareness among Women Dwelling in Urban Area)

  • 정미영;황경혜;최의순
    • 여성건강간호학회지
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    • v.15 no.4
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    • pp.362-371
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    • 2009
  • Purpose: This study was implemented to investigate the level of awareness of osteoporosis among urban women. Methods: A survey was conducted with a sample size of 434 adult females who resided in metropolises in Korea such as Seoul, Gyeonggi-do, Pusan, Gyeongsangnam-do, Kangwondo, Jeju-do and Jeollanam-do. Osteoporosis Awareness Scale was consisted of five areas with total number of 31 questions. The questionnaire's scale was 1 to 4 point, 4 point being the highest understanding level. The collected data were analyzed using descriptive statistics method. Results: The average awareness level of subjects was 2.38 and significant different depending on participants' age, education level, previous encounter with any information about osteoporosis, preventive behavior of osteoporosis, bone mineral density test, fracture history, diet control experience, and regular exercise. In osteoporosis awareness level by five areas, preventive behaviors 2.76 resulted in the highest score and characteristics of osteoporosis 2.51, bone physiology 2.46, improving bone health 2.38, and risk factors 1.80 followed respectively. Conclusion: We should implement bone health programs from a various perspective in order to raise women's osteoporosis awareness. In addition, We need follow-up studies on whether or not the increase on awareness level actually would result in changing in their behavior.

골다공증 한약제제 임상시험 참여자의 골다공증 한의치료에 대한 인식 : 질적 연구 (Patients' Perceptions of Korean Medicine Treatment for Osteoporosis in a Clinical Trial of an Osteoporosis Herbal Medicine Drug: a Qualitative Study)

  • 안재현;조예은;김지혜;이승훈;강중원;이재동
    • 대한한방내과학회지
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    • v.38 no.2
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    • pp.201-216
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    • 2017
  • Objective: This research aimed to understand patients' perceptions of Korean medicine treatment for osteoporosis in a clinical trial setting. Methods: Ten patients participating in a clinical trial of a herbal medicine drug for osteoporosis were invited to an interview. Data were collected by in-depth interviews and patient observations. This qualitative study adopted the case study research method, and within-case and cross-case analyses were conducted. Results: A model of the patients' osteoporosis management planning was derived from the study. The results showed that the patients' perceptions of osteoporosis were derived from their knowledge and experience during diagnosis and treatment of the condition. Two groups of patients were recognized: those who overlooked the importance of osteoporosis and those who recognized the importance of osteoporosis. Before making treatment decisions about osteoporosis, the patients evaluated the treatment options and weighed the advantages and disadvantages of each option. When evaluating their treatment, the patients combined their knowledge and experience of Korean and western medicine treatments. Their experience of participating in the clinical trial influenced the management planning of osteoporosis. Two major reasons for low compliance with osteoporosis treatment were ignorance of the disease and insufficient information provided by doctors. Conclusion: The results of this qualitative study pointed to four strategies that could be employed to improve accessibility to Korean medicine treatment for osteoporosis: the dissemination of comprehensive information on osteoporosis in the clinic and mass media, promotion of Korean medicine therapies for osteoporosis, management of clinical trial participants, and insurance coverage for Korean medicine.

Socioeconomic Disparities in Osteoporosis Prevalence: Different Results in the Overall Korean Adult Population and Single-person Households

  • Kim, Jungmee;Lee, Joongyub;Shin, Ju-Young;Park, Byung-Joo
    • Journal of Preventive Medicine and Public Health
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    • v.48 no.2
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    • pp.84-93
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    • 2015
  • Objectives: The present study was conducted in order to examine the association between socioeconomic status (SES) and osteoporosis prevalence in Korea and to assess whether different associations are found in single-person households. Methods: A cross-sectional population-based study was conducted using the Korea National Health and Nutrition Examination Survey, from 2008 to 2011. The study subjects were people aged ${\geq}50$ years with osteoporosis as defined by bone mineral density. Multivariate logistic models were used to estimate prevalence odds ratios (pORs) and 95% confidence intervals (CIs). Gender differences in the likelihood of osteoporosis were analyzed based on household income, education level, and residential area. Results: There were 8221 osteoporosis patients aged ${\geq}50$ years, of whom 927 lived in single-person households. There was a gender-specific association between osteoporosis prevalence and all three SES factors that we analyzed: income, education, and residential area. After adjusting for age, SES, and health behaviors, including body mass index (BMI), low household income was only significantly associated with osteoporosis in men, whereas education level had an inverse relationship with osteoporosis only in women (p=0.01, p<0.001, respectively). However, after controlling for age and BMI, rural residency was only associated with osteoporosis in women living in single-person households (pOR, 1.59; 95% CI, 1.05 to 2.43). Conclusions: The Korean adult population showed a gender-specific relationship between SES and osteoporosis prevalence, with a different pattern found in single-person households.

흉곽출구증후군으로 손 저림을 호소하는 환자들에 대한 Sweet BV의 아시혈적 치료 효능 관찰 (Clinical Analysis about Treatment of Myofascial Pain Syndrome(MPS) with Sweet Bee Venom on Hand Paresthesia based on Thoracic Outlet Syndrome)

  • 오성원;김병우;안중철;윤휘철;박재석;권기록
    • 대한약침학회지
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    • v.13 no.2
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    • pp.85-92
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    • 2010
  • Objectives: The objective of this study was to compare the effects of Sweet Bee Venom(Sweet BV) Therapy between the hand paresthesia patients with Osteoporosis and without Osteoporosis. Methods: This study was carried out to established the clinical criteria of hand parethesia. The patients who had past history of diabeics, neuropathy induced by alcohol or drug and was positive on Myofacial Pain Syndrome Theory were excluded. 32 patients who had hand paresthesia related with unknown-reason was selected by the interview process. And the effects of treatment were analyzed using VAS score before treatment, after treatment, after 1 month and after 3 months. Results and conclusion: After treatment, While Osteoporosis group decrease from $64.81{\pm}7.81$ to $27.21{\pm}7.32$, Non-Osteoporosis group decrease from $58.76{\pm}1.43$ to $24.74{\pm}3.81$ by VAS scores. and After 3 months, While Osteoporosis group increase from $27.21{\pm}7.32$ to $54.96{\pm}9.40$, Non Osteoporosis group increase from $24.74{\pm}3.81$ to $32.43{\pm}5.57$. Non-Osteoporosis group was accordingly more effective than Osteoporosis group after 3 months. So Sweet BV therapy for hand numbness patients without Osteoporosis was e effective than patients with Osteoporosis.

여대생의 골다공증 관련 생활습관과 건강증진 행위에 관한 조사연구 (A Study of the Osteoporosis-related Lifestyle and Health Promotion Behavior of University and College Female Student)

  • 김영미;김명희
    • Journal of muscle and joint health
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    • v.9 no.1
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    • pp.53-67
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    • 2002
  • Osteoporosis is a age-related metabolic disorder. Currently there is no cure, but there are measures that can prevent or deter the development of osteoporosis. Futhermore lifestyle among risk factors of osteoporosis may be modifiable. Osteoporotic preventive health promotion behavior may be more effective at early adult when make formation of peak bone mass. The purpose of this study was to identify of relation between the demographic variable, osteoporosis-related lifestyles and the health promotion behavior of University and College Female Students. The results were followed: 1. Demographic variables according to the health promotion behavior were significantly difference with age, body height, religion and income. 2. Osteoporosis-related lifestyles according to the health promotion behavior were significantly difference with element school milk intake, current milk intake, exercise and caffeine intake. 3. Health promotion behavior was positively correlation with age, body weight, height income, element school and current milk intake and exercise.

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여성의 생활양식 변화를 통한 골다공증 예방 교육프로그램의 개발 및 효과 (Development of the Education Program and It Effect on Osteoporosis and Life Style among Women)

  • 변영순;김옥수
    • 대한간호학회지
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    • v.30 no.3
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    • pp.764-775
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    • 2000
  • The purpose of this study was to develop the educational program based on the self-efficacy theory of Bandura(1986) and to identify the effect of the program among women. For this purpose a non-equivalent control group, and a pretest- posttest design was used between the experimental and the control group. The subjects in this study were female and were over the age 40, 37 in the experimental group and 46 in the control group. In this study, the educational program was developed to increase the level of osteoporosis self efficacy and to prevent osteoporosis. The program consisted of watching, videotapes, telephone contact, lectures, and small group discussions. This study was conducted to determine whether the 6 month educational program would increase osteoporosis self- efficacy, thus modifying life styles related to osteoporosis increas BMD. The instruments utilized in this study were the Lifestyle Questionnaire, and the Osteoporosis Self-Efficacy Scale. Also, bone marrow density (BMD) on the left wrist was measured by DTX-200. The findings are as follows: 1. A significant decrease in BMD was observed in the control group. By contrast, no significant change in BMD was observed in the experimental group. 2. The Osteoporosis Self-Efficacy was not significantly changed in both the experimental and control groups. 3. In the experimental group, the number of exercise participants and their exercise times were significantly increased. Also the amount of caffeine intake was significantly decreased.

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