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Prevalence and risk factors of distal radius and calcaneus bone mineral density in Korean population

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Abstract

To estimate the prevalence and the related risk factors of low bone mineral density of the calcaneus and the distal radius, a community-based study was conducted in three rural areas of Korea. A total of 1420 women and 732 men aged 40 years and older participated in this study. Information on sociodemographic characteristics and the potential risk factors for osteoporosis were collected by an interviewer-administered standardized questionnaire. Bone mineral density (BMD) of the calcaneus and the distal radius were measured by dual-energy X-ray absorptiometry (DXA). Three hundred and seventeen women and 183 men aged 20–29 years who participated in a regular health check-up were used as a reference population. Osteoporosis was defined using WHO criteria. Odds ratios of the risk factors of osteoporosis were calculated by the unconditional logistic regression model. The standardized prevalence of osteoporosis of the calcaneus was 8.4% for males and 27.3% for females using the Korean population of year 2000 as a standard population. The standardized prevalence of osteoporosis of the distal radius was 4.2% for males and 18.8% for females. Older age and lower body mass index (BMI) were related with low BMD in both the calcaneus and distal radius in males and females. The duration after menopause and the number of live births were an independent risk factor for osteoporosis of the calcaneus (OR=1.1, 95% CI=1.00–1.11; the duration after menopause; OR=2.0, 95% CI=1.20–3.35, the number of live birth) and a familial history of non-traumatic fractures or osteoporosis among the first-degree relatives was significantly related to a increased risk of osteoporosis of the distal radius in females (OR=2.9, 95% CI=1.36–6.31).

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Acknowledgements

This study was supported by a grant from the Korean Ministry of Health and Welfare (01-PJ1-PG1-01CH08-0001).

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Authors and Affiliations

  1. Department of Preventive Medicine, Seoul National University College of Medicine, 28 Yongon-Dong Chongno-Gu, 110-799, Seoul, Korea

    Aesun Shin, Ji-Yeob Choi, Kyoung-Mu Lee, Kyoung Ho Lee, Keun-Young Yoo & Daehee Kang

  2. Department of Obstetrics and Gynecology, Ewha Womans University College of Medicine, Seoul, Korea

    Hye-Won Chung

  3. Department of Preventive Medicine, Konkuk University College of Medicine, Chungju, Korea

    Sue Kyung Park

  4. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea

    Chan Soo Shin

  5. Department of Internal Medicine, Sung Kyun Kwan University College of Medicine, Suwon, Korea

    Yoon-Ho Choi

  6. School of Public Health, Seoul National University, Seoul, Korea

    Sung-Il Cho

  7. Department of Preventive Medicine, Gachon University College of Medicine, Incheon, Korea

    Dae-Sung Kim

  8. General Medical Screening Center, Kangbuk Samsung Hospital, Seoul, Korea

    Dong-Il Kim

  9. Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea

    Daehee Kang

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  1. Aesun Shin
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  2. Ji-Yeob Choi
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  3. Hye-Won Chung
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  5. Chan Soo Shin
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  7. Sung-Il Cho
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  8. Dae-Sung Kim
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  9. Dong-Il Kim
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  10. Kyoung-Mu Lee
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  11. Kyoung Ho Lee
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  13. Daehee Kang
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Corresponding author

Correspondence to Daehee Kang.

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Shin, A., Choi, JY., Chung, HW. et al. Prevalence and risk factors of distal radius and calcaneus bone mineral density in Korean population. Osteoporos Int 15, 639–644 (2004). https://doi.org/10.1007/s00198-004-1587-4

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  • DOI: https://doi.org/10.1007/s00198-004-1587-4

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