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Bone Mineral Density, Biochemical Bone Turnover Markers and Factors associated with Bone Health in Young Korean Women
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Young-Joo Park, Sook Ja Lee, Nah-Mee Shin, Hyunjeong Shin, Yoo-Kyung Kim, Yunjung Cho, Songi Jeon, Inhae Cho
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J Korean Acad Nurs 2014;44(5):504-514. Published online October 31, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.5.504
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Abstract
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Purpose
This study was done to assess the bone mineral density (BMD), biochemical bone turnover markers (BTMs), and factors associated with bone health in young Korean women.
Methods
Participants were 1,298 women, ages 18-29, recruited in Korea. Measurements were BMD by calcaneus quantitative ultrasound, BTMs for Calcium, Phosphorus, Osteocalcin, and C-telopeptide cross-links (CTX), body composition by physical measurements, nutrients by food frequency questionnaire and psychosocial factors associated with bone health by self-report.
Results
The mean BMD (Z-score) was -0.94. 8.7% women had lower BMD (Z-score≤-2) and 14.3% women had higher BMD (Z-score≥0) than women of same age. BTMs were not significantly different between high-BMD (Z-score≥0) and low-BMD (Z-score<0) women. However, Osteocalcin and CTX were higher in women preferring caffeine intake, sedentary lifestyle and alcoholic drinks. Body composition and Calcium intake were significantly higher in high-BMD. Low-BMD women reported significantly higher susceptibility and barriers to exercise in health beliefs, lower bone health self-efficacy and promoting behaviors.
Conclusion
Results of this study indicate that bone health of young Korean women is not good. Development of diverse strategies to intervene in factors such as exercise, nutrients, self-efficacy, health beliefs and behaviors, shown to be important, are needed to improve bone health.
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Citations
Citations to this article as recorded by 
- Quality Characteristics of Imported Specialty Coffee According to Origin
So-Young Lee, Myung-Ryun Han, Ae-Jung Kim Asian Journal of Beauty and Cosmetology.2019; 17(4): 533. CrossRef - Dietary protein and bone health across the life-course: an updated systematic review and meta-analysis over 40 years
A. L. Darling, R. J. F. Manders, S. Sahni, K. Zhu, C. E. Hewitt, R. L. Prince, D. J. Millward, S. A. Lanham-New Osteoporosis International.2019; 30(4): 741. CrossRef - Study on the osteoporosis knowledge, concern about osteoporosis factors, and health behavior to prevent osteoporosis of women in Jeonbuk area
Hyun Ju Lee, Jeong Ok Rho Journal of Nutrition and Health.2018; 51(6): 526. CrossRef - Application and Effect of Mobiletype-Bone Health Intervention in Korean Young Adult Women with Low Bone Mass: A Randomized Control Trial
Young-Joo Park, Sook-Ja Lee, Nah-Mee Shin, Hyunjeong Shin, Songi Jeon, Jungwoo Lee, Inhae Cho Asian Nursing Research.2017; 11(1): 56. CrossRef - Relationship between Coffee Consumption and Metabolic Syndrome in Korean Adults: Data from the 2013–2014 Korea National Health and Nutrition Examination Survey
Hyekyung Shin, John A. Linton, Yujin Kwon, Yohan Jung, Bitna Oh, Sinae Oh Korean Journal of Family Medicine.2017; 38(6): 346. CrossRef - A path analysis of factors influencing eating problem among young female adults
Bo-Kyoung Cha Journal of Nutrition and Health.2017; 50(6): 615. CrossRef - Relationship between Bone-Specific Physical Activity Scores and Measures for Body Composition and Bone Mineral Density in Healthy Young College Women
SoJung Kim, Wi-Young So, Jooyoung Kim, Dong Jun Sung, Karen Hind PLOS ONE.2016; 11(9): e0162127. CrossRef - Development of a Smartphone Application for Promoting Bone Health in Korean Young Adult Women: A Pilot Study
Young-Joo Park, Sook-Ja Lee, Nah-Mee Shin, Hyunjeong Shin, Sungjin Yoon, Songi Jeon, Inhae Cho Korean Journal of Adult Nursing.2015; 27(4): 459. CrossRef
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Depression Status of Academic High School Students in Seoul: Mediating Role of Entrapment
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Young-Joo Park, Nah-Mee Shin, Kuem Sun Han, Hyun Cheol Kang, Sook-Hee Cheon, Hyunjeong Shin
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J Korean Acad Nurs 2011;41(5):663-672. Published online October 31, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.5.663
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Abstract
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Purpose
Purpose of this study was to investigate the status of depression in academic high school students and path analysis model for exploring the mediating role of entrapment to depression in relation to academic stress and perceived social support.
Methods
Measurements were four reliable questionnaires measuring academic stress, social support, entrapment, and depression. Data were collected from students in 17 high schools in Seoul.
Results
Students (n=5,346) completing the questionnaires indicated depression & entrapment from academic stress. Depression was more prevalent in girls, those whose parents' household income was less than two million won, who did not live with father or mother or both due to divorce, separation, or death, and those who smoked or used alcohol. Entrapment was more prevalent in students similar to cases of depression and in seniors. According to the proposed path model, 48.6% of depression was explained by academic stress, social support, and entrapment. The indirect effect of entrapment as a mediator between academic stress and depression was verified and larger than the direct effect of academic stress on depression.
Conclusion
Considering levels of depression and entrapment demonstrated by these students, better mental health programs with diverse strategies should be developed for their psychological well-being.
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Citations
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- Study on Awareness of Suicide and Suicide Prevention Among Community Youth
Jiyoung Kim, Young-Hoon Ko, Ho-Kyoung Yoon, Boram Chae, Rayoung Han, Nayoung Chae, Jongha Lee Journal of the Korean Academy of Child and Adolescent Psychiatry.2024; 35(3): 210. CrossRef - The association mental health of adolescents with economic impact during the COVID-19 pandemic: a 2020 Korean nationally representative survey
Hanul Park, Kang-Sook Lee BMC Public Health.2023;[Epub] CrossRef - Adolescent suicide in South Korea: Risk factors and proposed multi-dimensional solution
Chae Woon Kwak, Jeannette R. Ickovics Asian Journal of Psychiatry.2019; 43: 150. CrossRef - Test anxiety and telomere length: Academic stress in adolescents may not cause rapid telomere erosion
Yaru Zou, Waiian Leong, Mingling Yao, Xuefei Hu, Sixiao Lu, Xiaowei Zhu, Lianxiang Chen, Jianjing Tong, Jingyi Shi, Eric Gilson, Jing Ye, Yiming Lu Oncotarget.2017; 8(7): 10836. CrossRef - Effects of Anger and Entrapment on Psychological Health of High School Boys: Focused on the Mediating Effects of Social Support
Sun Yi Yang, Yun Hee Oh Child Health Nursing Research.2017; 23(4): 429. CrossRef - Factors Influencing Emotional and Behavioral Characteristics of High School Students
Kyoung Sun Park, Gyu Young Lee Journal of the Korean Society of School Health.2014; 27(2): 109. CrossRef - Depression, anxiety, and suicidal ideation among Vietnamese secondary school students and proposed solutions: a cross-sectional study
Dat Tan Nguyen, Christine Dedding, Tam Thi Pham, Pamela Wright, Joske Bunders BMC Public Health.2013;[Epub] CrossRef - Risk factors of heavy episodic drinking among Korean adolescents
S. S. Chung, K. H. Joung Journal of Psychiatric and Mental Health Nursing.2013; 20(8): 665. CrossRef - Relationships among Daily Hassles, Social Support, Entrapment and Mental Health Status by Gender in University Students
Suk-Hee Cheon Korean Journal of Women Health Nursing.2012; 18(3): 223. CrossRef - Effects of Adolescent Temperament and Parent-child Attachment on Depression
So-Youn Yim, Myoung-Ok Chae, Ja-Hyung Lee Journal of Korean Academy of Child Health Nursing.2012; 18(4): 207. CrossRef
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Comparison of Cardiovascular Health Status and Health Behaviors in Korean Women based on Household Income
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Young-Joo Park, Nah-Mee Shin, Ji-Won Yoon, Jiwon Choi, Sook-Ja Lee
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J Korean Acad Nurs 2010;40(6):831-843. Published online December 31, 2010
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DOI: https://doi.org/10.4040/jkan.2010.40.6.831
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Abstract
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Purpose
In this study cardiovascular health status and health behavior of Korean women based on their household income were explored.
Methods
For this cross-sectional study, 91 women residing in the community were recruited to complete survey questionnaires and biophysical tests including blood pressure (BP), body mass index (BMI), body fat rate, waist circumference (WC), and blood chemistry tests.
Results
Compared to non-low income women (NLIW), low income women (LIW) were more likely to be older, less educated, and jobless, and further more LIW were postmenopause and reported having been diagnosed with hypertension or hypercholesterolemia. Significant differences were found in systolic BP, triglyceride level, BMI, body fat rate, and WC between the groups. Two fifths of the LIW had indications for metabolic syndrome. Their 10-yr risk estimate of myocardioal infarction or coronary death demonstrated a higher probability than that of NLIW. Although these significant differences were due to age gap between the groups, advanced age is known to be one of the key characteristics of LIW as well as a non-modifiable risk factor.
Conclusion
Effective community programs for vulnerable women at risk of cardiovascular disease should be based on strategies targeting unhealthy behaviors and modifiable risk factors.
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Citations
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- Cardiometabolic Risk of Visceral Fat Obesity and Factors Influencing Visceral Fat in Overweight or Obese Middle-Aged Korean Women: A Cross-Sectional Study
Sujin Kim, Nah-Mee Shin, Jiwon Choi Korean Journal of Adult Nursing.2024; 36(4): 320. CrossRef - Health promoting behaviors in low-income overweight and obese women in Korea: an exploratory qualitative study
Ju-Hee Nho, Eun Jin Kim Korean Journal of Women Health Nursing.2021; 27(4): 348. CrossRef - Socioeconomic Disparities in Cardiovascular Health in South Korea
Chi-Young Lee, Eun-Ok Im Journal of Cardiovascular Nursing.2021; 36(1): 8. CrossRef - Measurement of Socioeconomic Position in Research on Cardiovascular Health Disparities in Korea: A Systematic Review
Chi-Young Lee, Yong-Hwan Lee Journal of Preventive Medicine and Public Health.2019; 52(5): 281. CrossRef - A Pilot Study of APN-led Self-management Program to Improve Cardiovascular Health Status among Korean Women with Risk Factors
Nah-Mee Shin, Ji-Won Yoon, Jiwon Choi, Younghee Park, Songi Jeon Korean Journal of Adult Nursing.2016; 28(2): 237. CrossRef - A Study on the Health and Nutritional Characteristics according to Household Income and Obesity in Korean Adults Aged over 50 -Based on 2005 KNHANES-
So Hyun Ahn, Sook Mee Son, Hye Kyeong Kim Korean Journal of Community Nutrition.2012; 17(4): 463. CrossRef
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