Comparison in Adherence to Osteoporosis Guidelines according to Bone Health Status in Korean Adult.
BACKGROUND
Osteoporosis one of the most serious disease to decrease the quality of life and cause economic loss. Thus, prevention of osteoporosis has become an important health concern. The study examined in adherence to osteoporosis guidelines and compared the levels of adherence to osteoporosis guidelines between bone health status in Korean adult.


METHODS
This study used data from a nationally represented sample of Koreans (n=3,419) from 2008 to 2011 Korea National Health and Nutrition Examination Survey. We were divided into three groups by T-score: normal, osteopenia and osteoporosis. Assessment of adherence level was based on 5 components of osteoporosis guidelines, considering intake of sodium, calcium and protein, smoking and regular exercise.


RESULTS
The sex, body mass index, income and educational level did not significantly differ between three groups. Deficient intake of calcium was significantly associated with a threefold greater odds in osteoporosis group (OR 3.6; 95% confidence interval [CI] 2.52-5.22). Excessive protein intake was significantly increased the risk only in osteoporosis group compared to the normal group (OR 1.71; 95% CI 1.15-2.62). Smoking increased the risk in osteoporosis group compared to the normal group (OR 2.88; 95% CI 1.75-4.76), osteoporosis group compared to the osteopenia group (OR 2.69; 95% CI 1.61-4.55).


CONCLUSIONS
Nutritional factor (intake of calcium and protein) and lifestyle-related factor (smoking and exercise) must be accompanied the management for bone health. An adherence of guidelines is considered very important for the prevention of osteoporosis.
Department of Preventive Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.; Department of Clinical Nutrition, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
Hee-Sook
HS
Lim
Department of Food Sciences & Nutrition, Soonchunhyang University, Asan, Korea.
Soon-Kyung
SK
Kim
Department of Obstetrics and Gynecology, Soonchunhyang University College of Medicine, Bucheon, Korea.
Hae-Hyeog
HH
Lee
Division of Endocrinology and Metabolism, Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea.
Dong Won
DW
Byun
Department of Preventive Medicine, Soonchunhyang University College of Medicine, Cheonan, Korea.
Yoon-Hyung
YH
Park
Department of Obstetrics and Gynecology, Soonchunhyang University College of Medicine, Bucheon, Korea.
Tae-Hee
TH
Kim
Bone; Diet; Guideline adherence; Life style; Osteoporosis