Kim Min Hee, Lee Hae-Jeung
Department of Physical Therapy, College of Health Science, Eulji University, Republic of Korea.
Department of Food and Nutrition, College of Bionano Technology, Gachon University: 1342 Seongnam-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do 461-701, Republic of Korea.
J Phys Ther Sci. 2016 Mar;28(3):725-30. doi: 10.1589/jpts.28.725. Epub 2016 Mar 31.
[Purpose] To investigate associations between vitamin C intake, physical activity, and osteoporosis among Korean adults aged 50 and over. [Subjects and Methods] This study was based on bone mineral density measurement data from the 2008 to 2011 Korean National Health and Nutritional Examination Survey. The study sample comprised 3,047 subjects. The normal group was defined as T-score ≥ -1.0, and the osteoporosis group as T-score ≤ -2.5. The odds ratios for osteoporosis were assessed by logistic regression of each vitamin C intake quartile. [Results] Compared to the lowest quartile of vitamin C intake, the other quartiles showed a lower likelihood of osteoporosis after adjusting for age and gender. In the multi-variate model, the odds ratio for the likelihood of developing osteoporosis in the non-physical activity group significantly decreased to 0.66, 0.57, and 0.46 (p for trend = 0.0046). However, there was no significant decrease (0.98, 1.00, and 0.97) in the physical activity group. [Conclusion] Higher vitamin C intake levels were associated with a lower risk of osteoporosis in Korean adults aged over 50 with low levels of physical activity. However, no association was seen between vitamin C intake and osteoporosis risk in those with high physical activity levels.
[目的] 调查50岁及以上韩国成年人的维生素C摄入量、身体活动与骨质疏松症之间的关联。[对象与方法] 本研究基于2008年至2011年韩国国民健康与营养检查调查的骨密度测量数据。研究样本包括3047名受试者。正常组定义为T值≥ -1.0,骨质疏松组定义为T值≤ -2.5。通过对每个维生素C摄入量四分位数进行逻辑回归分析来评估骨质疏松症的比值比。[结果] 与维生素C摄入量最低的四分位数相比,在调整年龄和性别后,其他四分位数患骨质疏松症的可能性较低。在多变量模型中,非身体活动组发生骨质疏松症可能性的比值比显著降至0.66、0.57和0.46(趋势p值 = 0.0046)。然而,身体活动组没有显著下降(0.98、1.00和0.97)。[结论] 在身体活动水平较低的50岁以上韩国成年人中,较高的维生素C摄入量与较低的骨质疏松症风险相关。然而,在身体活动水平较高的人群中,未发现维生素C摄入量与骨质疏松症风险之间存在关联。