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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(1):168-174.
The Associated Factors of Osteoporosis in Bone Mineral Density.
Kim, Hye Wan , Lee, Kyu Hoon , Kim, Doeg Yoon , Hwang, Chi Moon , Kim, Hee Sang , Ahn, Kyung Hoi
1Department of Rehabilitation Medicine, Kyunghee University College of Medicine.
2Department of Internal Medicine, Kyunghee University College of Medicine.
3Department of Rehabilitation Medicine, Joong Moon College of Medicine.
골밀도 검사에서 골다공증의 관련인자 분석
김혜완, 이규훈2, 김덕윤1, 황치문2, 김희상, 안경회
경희대학교 의과대학 재할의학교실, 1내과학교실 및 2중문의대 재활의학과
Abstract

Objective
To determine the correlation between osteoporosis and the related factors through retrospective study.


Method
Data from 1002 patients (834 women and 168 men) were analyzed through medical records [bone mineral density (BMD), age, height (Ht), body weight (BW), body mass index (BMI), and the accompanying conditions]. BMD of lumbar spine (L1-4) and femur (neck, Ward's triangle, trochanter, and shaft) were measured using dual energy x-ray absorptiometry (DEXA) and were correlated with age, Ht, BW, BMI, and accompanying diseases, and fracture incidence.


Results
1) BMD of lumbar spine and femur neck in women significantly correlated with age and that of lumbar spine in men significantly correlated with BMI, Ht, BW. 2) The accompanying conditions in osteoporosis were diabetes mellitus (5.9%), Cushing syndrome (3.7%), oophorectomy (2.8%), hyperthyroidism (2.6%), and chronic renal failure (1.0%). 3) Fracture sites and their incidences were single spine (4.89%), multiple spine (2.99%), and femur (2.0%). 4) Mean BMD and T-score in fracture group was 0.687±0.16 g/cm2, ⁣3.51±1.3 in lumbar spine and 0.578±0.14 g/cm2, ⁣2.70±1.1 in femur, respectively.


Conclusion
Osteoporosis is a major public health problem among the elderly, demanding effective strategic approach for prevention and treatment. We concluded that further studies of male osteoporosis are required.

Key Words: Osteoporosis, Bone mineral density


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