The aim of this study was to examine the association between egg consumption and the risk of chronic disease in Korean adult females using the 2013 Korea National Health and Nutrition Examination Survey. A total of 1,230 subjects aged 40~64 were classified into the 4 groups according to the number of egg consumed per week: <1, 1~2.9, 3~5, ≥5.1 As egg consumption increased, the intake of energy, protein, fiber, cholesterol, calcium, potassium, riboflavin, and vitamin C increased. The percentage of the subjects with lower intake of energy, protein, calcium, iron, vitamin A, riboflavin, niacin, and vitamin C than the estimated average requirement in the <1 group were the highest among the groups. The blood lipid profile including total cholesterol and LDL-cholesterol was not significantly different among the 4 egg groups. The higher egg consumption was inversely related to a lower odds ratio of metabolic syndrome, hypertriglycemia, hyperglycemia, hypoHDL-cholesterolemia, and hypertension. This result indicates that egg consumption does not elevate the plasma cholesterol level and has a beneficial effect of decreasing the risk of chronic disease. (175)

The objective of the this study was to identify the potential relationship between eating breakfast together as a family and the nutritional status among Korean adolescents based on the 2013~2015 Korean National Health and Nutritional Examination Survey data. This study investigated 1,300 adolescents ranging in agee from twelve to eighteen years-old. In this study, according to their eating breakfast together as a family or skipping breakfast, we classified the subjects into the eating breakfast together as a family (EBF group) (male=379, female=295), eating breakfast alone (EBA group) (male=177, female=169) and skipping breakfast (SB group) (male=152, female=128). Both male and female, age in the EBF group was lower than those of the EBA and SB group (p<0.0001, respectively). In the male, the EBF group exhibited significantly higher fiber (p=0.0168) and potassium density (p=0.0065) and lower beverage intake (% energy) (p=0.0040) than the EBA and SB groups. No difference was observed the proportion of subjects who practiced a healthy diet between three groups, however, the EBF and EBA groups had a smaller proportion of subjects who were in a condition of hypo-nutrition compared to the SB group (p<0.0001, respectively). The present findings suggest that the practice of eating breakfast together as a family in adolescents may bean important consideration in relation to micro-nutrient intake status.

This study was performed to determine the prevalence and associated risk factors of osteoarthritis in the elderly using the Korea National Health and Nutrition Examination Survey (2013~2014 KNHANES VI). A total of 2,148 (936 males, 1212 females) elderly participants aged 65 years or older were selected. Prevalence of osteoarthritis was higher in 460 female (80.7%) and 167 rural (29.1%) groups, than in 110 male (19.3%) and 404 urban (70.9%) groups. While the mean values of LDL-cholesterol, triglyceride level, and waist circumference were significantly higher in the osteoarthritis group than the normal group, other parameters including height, HDL-cholesterol, fasting blood glucose, hemoglobin and hematocrit values were not. Quality of life (EQ-5D) was also significantly lower in the osteoarthritis group. The results of logistic regression analysis showed that smoking, alcohol intake, obesity, hypercholesterolemia and energy intakes were significantly different in regards to the prevalence of osteoarthritis. This study suggests that obesity and energy intakes were associated with osteoarthritis, whereas risk factors of chronic disease, such as hypertension, Hypo-high density lipoprotein, hypertriglyceridemia, anemia, diabetes, vigorous physical activity, moderate physical activity and walking were not. Long-term prospective study is necessary to investigate the effects of these factors on osteoarthritis.

Stress has been associated with poor eating behavior and diet quality. Yet, the relationship between nutrient and food intake and perceived stress in Korean female adults has not been validated. The purpose of this study is to identify the relationship between nutrient and food intake and perceived stress in Korean female adults. This is a cross-sectional study based on the 2014-2015 Korean National Health and Nutritional Examination Survey data. This study investigated 2,010 female adults age 19~64. In this study, according to subjects' perceived stress, we classified subjects into very low-stress recognition group (VLSRG) (n=211), low-stress recognition group (VSRG) (n=1,223), high-stress recognition group (HSRG) (n=488) and very high-stress recognition group (VHSRG) (n=88). Daily nutrients and food group intake, food groups consumed (Dietary Diversity Score, DDS) were analyzed using data from the 24-recall method. The VHSRG had a larger proportion of subjects that were younger (p<0.0001), single (p<0.0001) and smokers (p<0.0001) compared to the VLSRG. Energy and food intake did not differ between the four groups. Percentage of subjects with protein (p=0.0322), vitamin A (p=0.0364) and vitamin C (p=0.0115) intake lower than the EAR (estimated average requirement) in the VHSRG were significantly lowest in the four groups. Also, food intake percentage from fruits and seaweed groups in the VHSRG were lower than other groups (p=0.0034, p=0.0015). DDS in the VHSRG (3.87) was significantly lowest in the four groups (p=0.0022). Results suggest that perceived stress in Korean female adults may by significant to consider in nutritional education programs.

In this study, we have analyzed the 2015 KNHANES to understand the nutritional and health status of Korean middle-age adults from the perspective of frequency of eating breakfast. Those that eat breakfast five to seven times a week were 76.3 percent (male) and 72.7 percent (female). Frequency of eating lunch and dinner, and eating out was significantly higher among male subjects. The higher the frequency of eating breakfast, the higher the frequency of eating lunch, dinner and eating out. Female subjects that ate breakfast five to seven times a week had lower height and weight compared with other groups, but there was no significant difference of BMI and waist circumference among the four groups. Adults that eat breakfast five to seven times a week had consumed more carbohydrates, dietary fiber, phosphorus, potassium and vitamin C regardless of gender, which validates the nutritional benefits of eating meals regularly. Male adults that ate breakfast five to seven times a week revealed lower levels of diastolic blood pressure and LDL-cholesterol compared with other groups, which validates eating breakfast regularly was beneficial to their health. In conclusion, it is necessary to eat regular meals daily relative to the nutritional status and health of Korean middle-age adults.

목 적: 본 연구는 제5기 국민건강영양조사(2012) 자료를 이용하여 한국 성인의 건성안 유병률과 위험요 인을 알아보고자 하였다. 방 법: 19세 이상 성인 중 안과의사에게 건성안 검진을 받은 5,698명(남자 2,368명, 여자 3,330명)을 대 상으로 인구사회학적 특성, 전신질환 특성, 건강관련행위 특성에 따른 건성안의 유병률과 위험요인을 분석 하였다. 결 과: 전체 연구대상자의 건성안 유병률은 13.5%이었다. 인구사회학적 특성별 건성안 유병률은 남성보 다 여성이, 50세 미만군보다 50세 이상군이, 농촌지역보다 도시지역에서 통계적으로 유의하게 높았으며, 전 신질환별 건성안 유병률은 고혈압, 이상지혈증, 골관절염, 류마티스 관절염, 우울증, 신부전증이 있는 경우 에 유의하게 높았다. 건강관련행위별 건성안 유병률은 비흡연자, 비음주자, 수면시간이 짧은 군이 높았다. 건성안 빈도는 여성에서(OR 2.29, CI 1.89-2.77)와 50세 이상군에서(OR 1.21, CI 1.01-1.46), 농촌지역에 서(OR 1.96, CI 1.56-2.47)에서 더 높았다. 유의한 모든 변수를 보정한 후에 건성안의 위험인자는 신부전 (OR 2.82, CI 1.48-5.69), 갑상선(OR 1.62, CI 1.16-2.26), 류마티스 관절염(OR 1.54, CI 1.01-2.33), 이상 지혈증(OR 1.42, CI 1.13-1.78), 우울증(OR 1.36, CI 1.11-1.66), 골관절염(OR 1.27, CI 1.02-1.57)이었다. 결 론: 우리나라 19세 이상 성인의 건성안 유병률은 13.5%으로 높은 수준이며, 50세 이상, 도시지역 거 주자, 여성과 신부전증, 갑상선, 류마티스 관절염, 이상지혈증, 우울증, 골관절염 환자에서 건성안의 위험이 높으므로 해당 위험요인을 가진 사람들을 대상으로 한 교육과 홍보를 통해 건성안증상을 조기 발견하여 적 절하게 대처하도록 할 필요가 있다

This study aimed to compare energy nutrient intake, health related factors, physical characteristics, blood biochemical indices, prevalence of metabolic syndrome and odds ratio (OR) of metabolic syndrome based on dietary fat energy ratio. Subjects were 1,205 men aged 40~64 years. The average fat intake was 52.8 g. Subjects were divided into three groups (deficient, normal, excess) based on dietary fat energy ratio. The dietary fat energy rations of the three groups were 36.9%, 42.9% and 20.2%, respectively. Energy and protein intake were increased significantly with dietary fat energy ratio (p<0.001), whereas carbohydrate intake decreased (p<0.001). In health related factors, amount of smoking alone showed increase based on dietary fat energy ratio (p<0.001). In comparing physical characteristics, blood pressure and blood biochemical indices, excepting diastolic blood pressure, increased significantly based on dietary fat energy ratio (p<0.01~p<0.001). The rate that exceeded criteria in risk factors for metabolic syndrome was higher in the serum triglyceride (41.2%) and was lower in the waist circumference (22.2%). Prevalence of metabolic syndrome was 37.9%, and showed significant correlation to dietary fat energy ratio (p<0.05). The OR of metabolic syndrome was higher in deficient and excess group than in normal group, but it had no relationship between fat energy ratio and metabolic syndrome. The results of this study provide basic data to establish fat intake guidelines for prevention of metabolic syndrome in middle-aged men.

This study was conducted to investigate the risk of chronic disease as predicted by abdominal obesity in Korean adult females. Data on 2,738 adult females aged 40~64 yrs was obtained from the 2013~2014 Korean National Health Nutrition Examination Survey. The subjects were divided into normal (n=1,835), abdominal obesity (AO, n=73), and BMI-diagnosed abdominal obesity (BMI-AO, n=505) groups based on the NCEP-ATP III guidelines and by applying the KSSO definition regarding waist circumference. Triglyceride blood levels, fasting blood sugar levels, systolic blood pressure, and diastolic blood pressure were higher in the AO and BMI-AO groups than in the normal group. The HDL-cholesterol levels of subjects in the two abdominal groups were lower as compared to those of subjects in the normal group. The mean adequacy ratio was lower among subjects in the AO and BMI-AO groups than among those in the normal group. Moreover, the NAR and INQ scores of some micro-nutrients in both of the abdominal obesity groups were lower than those in the normal group. Both the AO and BMI-AO groups showed significantly higher risks of hypertriglycemia, hyperglycemia, hypertension, hypoHDL-cholesterolemia, and metabolic syndrome than were shown by the normal group. Notably, as compared to the normal group, the AO group showed higher risk of hypercholesterolemia, hyperLDL-cholesterolemia, hypertriglycemia, and metabolic syndrome than did the BMI-AO group. This finding suggests that it is essential to develop prevention programs including programs for those with abdominal obesity despite their having a BMI within the normal range.

목 적: 2011, 2012년도 국민건강영양조사 내용을 기반으로 우리나라 나이관련황반변성(Age-related macular degeneration, AMD)의 위험요인을 분석하고자 하였다. 방 법: 국민건강영양조사 제5기 과정 중 2011년, 2012년도 조사대상자의 건강 검진과 안과 검진을 받은 45세 이상의 성인을 대상으로 AMD와 상관성이 있는 위험요인인 성별과 연령 통제 전과 후로 구분하여 로지 스틱 회귀분석으로 통계처리를 하였으며 유의수준은 0.05 이하로 하였다. 결 과: 인구·보건학적인 요인에서는 성별과 연령을 통제하기 전에는 여성, 연령이 많을수록, 교육정도 가 낮을수록, 읍/면 거주자에서 발병률이 높게 나타났으나, 성별과 연령을 통제한 경우에는 거주지는 상관 성이 없고 여성과 연령이 많을수록, 교육정도가 낮을수록 발병률이 높게 나타났다. 신체·질병학적인 요인 에서는 성별과 연령 통제하기 전에는 고혈압, 중성지방 및 가족력이 위험요인이었으나 성별과 연령 통제 후 에는 모든 요인들이 AMD와 상관성이 없었다. 성별과 연령을 통제하기 전에는 난시, 근시, 원시, 백내장 및 안질환 가족력이 AMD와 상관성이 있었으나, 성별과 연령을 통제 후에는 원시안과 백내장이 AMD 위험요인 으로 나타났고 근시안은 AMD 위험요인이 낮은 것으로 나타났다. 건강·행태학적인 요인에서는 성별과 연령 을 통제하기 전에는 햇볕 노출 5시간 이상만 상관성이 있었으나, 성별과 연령을 통제한 후에는 흡연, 햇볕 노출 5시간 이상이 AMD 발병을 높이는 위험요인으로 분석되었다. 결 론: AMD 발병은 나이와 성별에 연관이 있고, 성별과 연령을 통제한 경우에는 원시, 백내장, 흡연 및 햇볕 노출 시간이 상관성이 있음을 확인하였다.

The purpose of this study was to evaluate the nutrient intake, diversity and prevalence of diseases according to noodle consumption using data from the Korean National Health and Nutrition Examination Survey (KNHANES) of 2010. Korean adults (>20) were classified into two groups, noodle group (NG) and non-noodle group (NNG). NG was found to have higher intakes of protein, calcium, iron, sodium, potassium, and niacin. The DVS and DDS according to noodle consumption were found to be 21.76 and 3.51 for NG, and 18.56 and 3.40 for NNG, this result was thought to show that the diet of NG was more satisfactory than that of NNG in terms of dietary diversity. In the bone mass of entire subjects, NG showed higher figures in the femoral neck and lumbar spine than NNG. For bone mineral density, NG exhibited higher figures in the femoral neck, and for T-scores, the values of NG was significantly higher in the femoral neck than those of NNG. However, the prevalence of osteoporosis of NG and NNG was 11.6% and 9.5%. The prevalence of osteopenia of NG and NNG was 43.0% and 51.7%. Thus, these results showed that overall bone health of NG was better than that of NNG. Dietary balance and quality were also more satisfactory in NG. These results showed that noodle consumption may have an impact on the prevalence of chronic diseases.

The purpose of this research was to investigate the relationship between white rice consumption and dietary intake, the risk of metabolic syndrome in Korean based on 1st (1998), 4th (2007~2009), 6th (2013) KNHANES. This study included 25,799 subjects who were age 10 or over. Three groups(low, medium, high) were divided according to white rice consumption (per day). In the low group, the meat and oil intake were significantly higher than the high group. In the 1st survey year, the BMI, waist circumstances, hypertriglyceridemia and fasting blood glucose in the high group were higher than other groups, however the 4th and 6th survey year showed no significant results. In the 1st survey year the risk of waist circumstances was higher in the high white rice consumption group and also had high risk with hypertriglyceridemia. Since the lower white rice consumption in 4th than 1st survey year we found no significant results. But in the 6th survey year with the lowest white rice consumption the risk of high diastolic pressure was reduced in high group. Because continuously reduced white rice consumption meantime showed more intake of meat and oil, it can be concluded that defensive effects with the Korean health.

The purpose of this study was to analyze average kimchi intake, general characteristics, frequency of daily meal intake, intakes of vegetables and fruits, and nutrient intakes in four serving size groups based on data from the Korea National Health and Nutrition Examination Survey 2010~2012. The results showed an average amount of kimchi intake in subjects of 115.6 g, ranging from 0 g to 605.94 g. For daily meal intake except snacking according to kimchi serving size, all daily meal intakes increased significantly with increasing kimchi serving size (p<0.0001), and tendency of kimchi intake increased with more eating-out. As kimchi serving size increased, total intakes of vegetables and salted vegetables increased significantly (p<0.0001). However, unsalted vegetables intake did not show significant difference. Intake of fruits also increased with increasing kimchi serving size. As the serving size of kimchi increased, intakes of energy, carbohydrates, protein, fat, sodium, and potassium increased significantly (p<0.0001). For intake of sodium, intakes of all groups exceeded 2,000 mg, which is the recommended level for Koreans. Moreover, the fourth serving size group consumed three times (6,546.35 mg) more sodium than the recommended level.

The purpose of this study was to synthetically examine the relationship between systemic diseases and periodontal diseases. The data obtained from the Fifth Korea National Health and Nutrition Examination Survey were used. SPSS 18.0 for Windows was applied for statistical analysis. The surveyed data were analyzed by using independent sample t-test for the difference between Body Mass Index and clinical test according to the existence of periodontal disease, and X2 test for the relationship between periodontal disease and systemic disease. Multiple logistic regression analysis was used in order to figure out the influence upon the periodontal disease prevalence among general characteristics and systemic diseases. As results, the values of high density lipoprotein (HDL) and HBA1C were statistically significant, depending on the presence of periodontal disease. As for the relationship between periodontal disease and systemic disease, hypertension (odds ratio 1.362, p<.05), cardiovascular disease (odds ratio 2.118, p<.05), arthritis (odds ratio 1.289, p<.05) and cirrhosis (odds ratio 6.124, p<.05) were statistically significant. According to Multiple logistic regression analysis, gender (odds ratio 1.24, p<.05), alcohol intake (odds ratio 1.25, p<.05), cardiovascular diseases (odds ratio 1.56, p<.05), and liver cirrhosis (odds ratio 1.17, p<.05) were related to the prevalence of periodontal diseases. In conclusion, the systemic diseases such as cardiovascular system, diabetes, and liver diseases revealed to have relationship with periodontal disease. To strengthen oral health education is needed to enhance systemic health as well as oral health. Moreover, basic biological research should be followed to support this surveyed study.

The purpose of this study was to evaluate dietary habit and nutritional status by household income in female adults, using data from the 4th Korea National Health and Nutrition Examination Survey (2007~2009). Subjects were 8,356 women over the age of 20 years. The subjects were classified into 4 groups by household income level. Dietary data from 24 hr recall methods were used to analyze nutritional status. The obesity rate of the low income group was significantly higher than the rates of other income groups. Additionally, the nutritional status of the low income group was worse than those of other groups. The percentage of carbohydrate in total energy intake was higher and food security status was lower in the low income group than in other groups. Awareness and adherence to dietary guidelines were also lower in the low income group. Adherence to a dietary guideline of ‘avoiding salty foods and trying to eat foods with bland taste’ and ‘eating a variety of foods from each food group’ were lower than those of other groups. However, the frequency of skipping breakfast among the low income group was lower than that of others. Therefore, this study suggested that low income women should decrease the percentage of carbohydrate in total energy intake and adhere to dietary guidelines, especially those of avoiding salty foods and eating a variety of food groups, in order to improve their nutritional status.

The objective of this study is to examine the relationship between tomato consumption and the risk of metabolicsyndrome (MetS) in Korean middle aged women. Data from the combined 2009-2011 Korean National Health andNutrition Examination Survey (KNHANES) was analyzed. Tomato intake was assessed using the algorithms devel-oped to analyze the demographic data of intakes of different tomato based food commodities such as “tomato, raw”,“tomato, tomato juice”, “tomato, tomato canned”, “tomato sauce”, and “tomato ketchup”. Korean women(n=11,251) were subgrouped according to the number of the MetS risk factor (RF 0, RF 1-2, RF 3). Anthropo-metric parameters, lipid profiles, fasting glucose, and tomato intake were analyzed. Corresponding to the number ofthe MetS RF, there was a decrease in tomato intake (18.90±1.78, 16.67±1.23 and 12.84±1.23; P<0.001). Tomatointake showed a negative correlation with systosolic blood pressure, BMI, waist, and triglyceride. HDL cholesterolalso showed a significant correlation with tomato intake (r=0.023, P<0.05). In summary, the results show a rela-tionship between tomato intake and MetS in Korean middle aged women.

This study was performed to investigate the characteristics of nutrient intake according to metabolic syndrome in Korean elderly. Data on 1,200 elderly (men 545, women 655) over 65 years was obtained from the Korea National Health and Nutrition Examination Survey 2010. The subjects were divided into metabolic syndrome (MetS) and normal groups based on NCEP-ATP III guidelines and by applying the Asia-Pacific definition with waist circumference. The prevalence of MetS was 48.9% in all subjects, 35.6% in men and 58.9% in women, respectively. All nutrient intake was significantly lower in MetS than normal subjects, except iron, vitamin A, carotene, and retinol. In the carbohydrate: protein: fat (C:P:F) ratio, MetS showed a higher rate for carbohydrate, but a lower rate for protein and fat than normal. MetS was lower in calcium, vitamin B1, and vitamin C by the nutrient adequacy ratio than normal. Mean adequacy ratio of MetS (0.69) was lower than that of the normal group (0.72). These results demonstrated that undernutrition, not excess intake of specific nutrients - energy, fat, or cholesterol was associated with the risk for MetS in Korean elderly with MetS. Therefore, it is recommended to have a healthy dietary pattern with diverse nutrients for the prevention of MetS.

본 연구에서는 국민건강영양조사 1998년(제1기)부터 2008년(제4기 2차) 조사까지 총 5기의 식품섭취조사 자료를 이용하여, ‘들깻잎, 생것’, ‘들깻잎, 데친것’, ‘들깻잎, 찐것’, ‘들깻잎, 통조림’의 섭취자 및 섭취량에 대한 분석을 시행하였다. 특히, 국민건강영양조사의 식품 섭취량 자료로부터 합리적이고 객관적으로 들깻잎 섭취자의 수 및 섭취량을 산출할 수 있는 방법을 개발하였다. 들깻잎의 섭취량에 대한 분석은 국민건강영양조사의 전체 응답자의 평균 섭취량(응답자 평균 섭취량), 들깻잎 섭취자의 평균 섭취량(섭취자 평균 섭취량), 상위 5%의 극단 섭취자의 평균 섭취량(극단 섭취량), 남성 및 여성의 평균 섭취량, 20세 미만과 20세 이상의 평균 섭취량의 5가지의 항목으로 구분하여 분석되었다. 들깻잎 섭취자의 수 및 섭취량을 분석한 결과 들깻잎 섭취자의 수는 조사연도별로 균일한 분포를 나타내었으며, 1일 7-10명 중 1명이 들깻잎을 섭취한다는 결과를 도출하였다. 남성과 여성의 섭취자 비율은 여성이 남성에 비해 평균 1.22배 더 많았다. 응답자 평균 섭취량은 2.20 g이었으며, 섭취자의 평균 섭취량은 2005년에서 가장 높았고(21.40 g), 1998년과 2008년에 비하여 0.24 g 정도 증가하였다. 대부분의 조사연도에서 남성의 섭취량이 여성에 비해 높았고, 20세 미만의 섭취량은 전체적으로 20세 이상 섭취량보다 낮았다. 극단 섭취량 1998년에서 2005년까지의 섭취량이 평균 78.02 g으로 높았지만, 2007년과 2008년에는 평균 55.58 g로 낮아졌다. 들깻잎 섭취형태를 분석한 결과 ‘들깻잎, 생것’, ‘들깻잎, 통조림’, ‘들깻잎, 데친것’, ‘들깻잎, 찐것’ 순으로 응답자 수 및 섭취량 순위가 결정되었다. 그 중 ‘들깻잎, 데친것’, ‘들깻잎, 찐것’의 데이터가 충분치 않아 결과가 좋지 않게 나왔다. 또한 국민건강영양조사 식품 섭취량 데이터는 2007년부터 상시 조사를 시작하였으며, 그 이전에는 시행된 연도에 따라 조사 기간 및 계절이 1998년과 2001년에는 11-12월, 2005년에는 4-6월로 일관되지 않았기 때문에 연간 일일 섭취량을 판단하는 데 한계가 있을 것이라 생각된다. 본 연구의 결과를 확대하면 들깻잎 이외의 다른 농산물, 축산물, 수산물 및 이들의 가공품에도 적용할 수 있다. 이러한 식품의 섭취량에 대한 객관적인 정보는 농축수산물 및 가공식품을 통해 의도 또는 비의도적으로 섭취하는 화학 잔류물질의 위해성 평가를 위한 좋은 기초 자료가 될 것이다.

The purpose of this study was to assess the level of quality of life and related factors among the elderly in Korea. In particular, we focused on factors affecting the quality of life of the elderly in long term care. We used the third Korean National Health and Nutrition Examination Surveys (KNHANES) from 2005. We sampled a total of 3,571 (10.5%) elderly from the national survey. We compared the mean of quality of life to socioeconomic status, Activities of Daily Living (ADL), health behavior, and disease variables. We used EuroQol-5D among KNHANES to assess the quality of life. In this study, the mean score of the quality of life among the elderly was 2.57. Logistic regression showed that the elderly who were male, with spouses, with health insurance, and with good ADL levels enjoyed higher quality of life scores and odds ratios than those who were female, divorced, uninsured, and with low ADL levels (p<.05). The quality of life of the elderly was affected by socioeconomic, ADL, health behavior and disease variables. To improve long term care and the quality of life among the elderly, we need detailed research to clarify the effects of these factors.

본 연구는 폐경 전 성인여성의 일반적특성, 생활습관, 식습관, 여성건강행태 및 신체조성에 따른 대퇴골전체, 대퇴 골경부 및 요추의 골밀도 차이가 존재 하는지 규명하여 골밀도의 영향요인을 분석하였다. 연구는 제4기(2008년∼ 2009년), 제5기(2010년∼2011년)에 실시한 국민건강영양조사 자료를 활용하여 30세 이상 폐경 전 성인여성 3820명 을 대상으로 실시되었으며 이 결과는 폐경 전 성인여성에서 골밀도 영향요인이 무엇인지 규명하여 치료하는데 필요한 권고사항이나 지침을 마련하고, 젊은 성인여성의 골밀도를 올바르게 평가하여 폐경 후 골다공증 예방을 위한 보건교육 자료의 개발을 위한 기초자료를 제공하고자 한다. 폐경 전 성인여성의 일반적 특성 중 연령은 대퇴골전체에서 40∼44세, 요추에서 35∼39세에 골밀도가 높았다. 교 육수준은 고졸에서 골밀도가 높았고, 여성건강행태 중 초경연령이 낮을수록 골밀도가 높았다. 생활 습관은 흡연경험이 없고 걷는 시간 및 운동 빈도가 규칙적일수록 골밀도가 높았고, 식습관은 햄버거와 피자 섭취를 하지 않을 경우 골밀 도가 높았다. 신체조성 중 비만유병여부는 비만일 때 골밀도가 높았고 저체중일 때 골밀도가 낮았다. 복부비만 및 체중 조절경험이 있는 사람이 골밀도가 높았다. 총체지방률, 총지방량 및 총근육량은 제1사 분위(Q1)에서 제4사 분위(Q4) 로 갈수록 골밀도가 높게 나타났다. 이 연구에서는 비만유병여부, 총지방량 및 근육량이 골밀도 간에는 매우 유의적인 상관관계를 보였으며, 젊은 여성 들은 골밀도를 증가시키기 위해 자신의 체형에 맞는 적정한 체중을 유지해야하며 정상적인 BMI를 유지 할 필요가 있 음을 알았다. 골다공증의 예방을 위해서는 성장기부터 규칙적인 운동과 금연 등의 올바른 생활습관과 젊은 시절부터 적절한 체중조절을 통해 최대 골질량에 도달할 수 있도록 노력해야 할 것이다.