So Heeyoung, Ahn Sukhee, Song Rhayun, Kim Hyunli
College of Nursing, Chungnam National University, Korea.
Korean J Women Health Nurs. 2010 Sep;16(3):224-233. doi: 10.4069/kjwhn.2010.16.3.224.
This study explored the relationships among obesity, bone mineral density, and cardiovascular risks in post-menopausal women.
One hundred post-menopausal women were recruited via convenience sampling from osteoporosis prevention program participants who were living in a metropolitan city in September 2006. Obesity was evaluated by body mass index, bone mineral density measured by DEXA scan, and cardiovascular risk factors assessed by a guideline of American Heart Association.
Seventy-two percent of women were either in the osteopenia or osteoporosis group, while 28% were in normal range in lumbar vertebrae. Obese women had greater bone mineral density in lumbar (F=3.31, p=.040) and femur (F=4.72, p=.011). Variables for cardiovascular risks were significantly different for high density lipoprotein (F=7.51, p=.001), systolic blood pressure (F=5.21, p=.007), and in percent of 10-year cardiovascular disease risk according to obesity.
Post-menopausal women are at risk for obesity, osteoporosis, and cardiovascular disease. In order to prevent these conditions, nursing interventions such as resistance and aerobic exercise that reduces body weight and bone loss, increases high density lipoprotein, and reduces systolic blood pressure, should be proposed continually through health promotion programs for postmenopausal women.
本研究探讨绝经后女性肥胖、骨密度和心血管风险之间的关系。
2006年9月，通过便利抽样从居住在大城市的骨质疏松预防项目参与者中招募了100名绝经后女性。通过体重指数评估肥胖情况，通过双能X线吸收法扫描测量骨密度，并根据美国心脏协会指南评估心血管危险因素。
72%的女性处于骨质减少或骨质疏松组，而28%的女性腰椎骨密度在正常范围内。肥胖女性腰椎（F=3.31，p=0.040）和股骨（F=4.72，p=0.011）的骨密度更高。根据肥胖情况，心血管风险变量在高密度脂蛋白（F=7.51，p=0.001）、收缩压（F=5.21，p=0.007）以及10年心血管疾病风险百分比方面存在显著差异。
绝经后女性有肥胖、骨质疏松和心血管疾病的风险。为了预防这些情况，应通过针对绝经后女性的健康促进项目持续提出护理干预措施，如进行抗阻和有氧运动，以减轻体重和骨质流失，提高高密度脂蛋白水平，并降低收缩压。
