CHOSUN

대두 이소플라본섭취가 골결핍증을 보이는 젊은 여성의 골밀도에 미치는 영향

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Author(s)
정은
Issued Date
2007
Abstract
ABSTRACT

Effect of soy isoflavone supplementation on bone mineral density in young women with osteopenia


Eun Jeong
Advisor : Prof. Ro, Hee-Kyung, Ph. D.
Department of Food and Nutrition,
Graduate School of Chosun University


This study was conducted to investigate effects of soy isoflavone supplementation on bone mineral density in 36 young females with osteopenia for 12 weeks. Subjects were divided into three groups on the criteria of status of bone mineral density. The experimental groups were supplemented with either 80mg of isoflavone[Iso-80] or 40mg of isoflavone[Iso-40]. To placebo group 40mg of powdered glutinous rice was administrated.
It was found that many subjects with osteopenia had higher percent body fat and lower activity level compared to control group. There was no significant difference in serum osteocalcin concentration between Iso-40 and placebo group, but significant differences in osteocalcin concentration were shown between Iso-80 and placebo group. BQI was positively correlated with mineral content, lean body mass, muscular mass and blood components such as albumin, Ca, Mg, ALPase and osteocalcin.
Both Iso-40 and Iso-80 supplementation for 12 weeks significantly increased protein and mineral content in the body. Supplementation of isoflavone was more effective to control total cholesterol and LDL-cholesterol compared to placebo group. Furthermore, there were significant differences in potential variations in blood Ca concentration and osteocalcin among Iso-40, Iso-80 and placebo group after the experiment.
The results suggested that body fat rather than body weight is a major contributor to lead to lower bone mineral density in young females. Since lower intakes of Ca and folate were noted in the subjects emphasis should be given to adequate intakes of these nutrients in the subjects.
Conclusively, 12 week isoflavone supplementation in young females with osteopenia had positive effects on bone mineral density and bone turnover marker, contributing to higher bone mineral density and lower blood mineral concentrations.
Alternative Author(s)
Jeong Eun
Affiliation
조선대학교 대학원 식품영양학과
Department
일반대학원 식품영양학
Awarded Date
2008-02
Table Of Contents
목 차
목 차 ⅰ
표 목 차 ⅳ
그림목차 ⅵ
ABSTRACT ⅶ

제 1 장 서 론 1


제 2 장 문헌고찰 5

제 1 절 골대사 5
1. 골격의 구조 및 골대사 생화학적 지표 5
2. 골대사 측정 7

제 2 절 골밀도에 영향을 미치는 요인 9
1. 식이 요인 9
2. 기타 생활 요인 10

제 3 절 대두와 이소플라본 11
1. 대두 내 이소플라본의 기능 11
2. 이소플라본의 골대사 개선 메카니즘 12
3. 식품 내 이소플라본의 함량 13
4. 이소플라본의 섭취 수준과 골밀도와의 관계 15



제 3 장 연구방법 17

제 1 절 연구대상 17

제 2 절 실험방법 17

제 3 절 자료수집 내용 및 방법 19
1. 조사대상자들의 특성 19
2. 신체계측치 19
3. 골밀도 측정 20
4. 혈액분석 20
5. 식습관 22
6. 영양소 섭취량 조사 및 이소플라본 섭취량 조사 22

제 4 절 자료 분석방법 22


제 4 장 연구결과 24

제 1 절 조사대상자의 골밀도 분류에 따른 비교 24
1. 조사 대상자의 특성 비교 24
2. 신체계측치 27
3. 생화학적 검사치 30
4. 식습관 35
5. 영양소 섭취량 37
6. 각 요인들 간의 상관관계 46

제 2 절 기초 조사 결과 골결핍증 대상자들의 실험군 분류에 따른 특성 50
1. 실험군별 특성 비교 50
2. 실험군별 기초 신체계측치 53
3. 실험군별 기초 생화학적 검사치 56
4. 실험군별 영양소 섭취량 62
5. 실험군에 있어서 각 요인들 간의 상관관계 73

제 3 절 실험군별 신체계측치, 생화학 지수의 이소플라본 섭취 전․후
변화 비교 77
1. 실험군별 신체계측치의 변화 77
2. 실험군별 혈청 단백질 및 지질치의 변화 83

제 4 절 실험군별 골밀도지표 및 혈중 무기질 함량 또는 골형성지표의
이소플라본 섭취 전․후 변화 비교 85
1. 실험군별 골밀도지표의 변화 85
2. 실험군별 혈중 무기질 함량 및 골형성지표의 변화 87


제 5 장 고 찰 89

제 6 장 결론 및 제언 98

참 고 문 헌 104

부 록(설문지) 118


표 목 차

Table 1. Characteristics of subjects by bone mineral density 26
Table 2. Anthropometric measurements of subjects by bone mineral density 28
Table 3. Distribution of obesity indices of subjects by bone mineral density 29
Table 4. Biochemical indices of subjects by bone mineral density 31
Table 5. Bone density of subjects by bone mineral density 32
Table 6. Concentrations of serum mineral and bone turnover markers of the
subjects by bone mineral density 34
Table 7. Dietary behavior of subjects by bone mineral density 36
Table 8. Dietary isoflavone intake of subjects by bone mineral density 37
Table 9. Mean daily nutrient intakes of subjects by bone mineral density 40
Table 10. Percentage of estimated average requirements(EAR) and distribution
range of nutrients by bone mineral density 44
Table 11. Correlation between bone density and related variables of anthropometric
or biochemical indices 47
Table 12. Correlation between nutrient intakes including isoflavone and
indices related with bone density 49
Table 13. Characteristics of subjects in experimental groups 52
Table 14. Baseline of anthropometric measurements of subjects in
experimental groups 54
Table 15. Distribution of baseline obesity of subjects in experimental groups 55
Table 16. Baseline biochemical indices of subjects in experimental groups 57
Table 17. Baseline bone density of subjects in experimental groups 58
Table 18. Baseline of concentrations of serum mineral and bone turnover
markers of the subjects in experimental groups 61
Table 19. Dietary isoflavone intake of the subjects in experimental groups 62
Table 20. Mean daily nutrient intakes of subjects by bone mineral density in
experimental groups 66
Table 21. Percentage of estimated average requirements(EAR) and distribution
range of nutrients in experimental groups 71
Table 22. Correlation between indices related with bone density and anthropometric
measurements through body composition analysis or biochemical
indices 74
Table 23. Correlation between bone density indices and nutrient intakes including
isoflavone through dietary intake analysis 76
Table 24. Effect of treatment on anthropometric measurements in placebo
group 78
Table 25. Effect of treatment on anthropometric measurements in Iso-40
group 80
Table 26. Effect of treatment on anthropometric measurements in Iso-80
group 82
Table 27. Comparison of biochemical indices by treatment groups between
baseline and posttreatment value 84
Table 28. Comparison of mean changes in bone density in experimental
groups(with adjusting covariates) 86
Table 29. Comparison of mean changes in concentrations of serum mineral
and bone turnover markers in experimental groups(with adjusting
covariates) 88





그 림 목 차


Fig 1. Research design 18
Degree
Doctor
Publisher
조선대학교대학원
Citation
정은. (2007). 대두 이소플라본섭취가 골결핍증을 보이는 젊은 여성의 골밀도에 미치는 영향.
Type
Dissertation
URI
https://oak.chosun.ac.kr/handle/2020.oak/7065
http://chosun.dcollection.net/common/orgView/200000236036
Appears in Collections:
General Graduate School > 4. Theses(Ph.D)
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