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Korean J Women Health Nurs > Volume 16(3); 2010 > Article
Korean Journal of Women Health Nursing 2010;16(3):224-233.
DOI: https://doi.org/10.4069/kjwhn.2010.16.3.224   
Relationships among Obesity, Bone Mineral Density, and Cardiovascular Risks in Post-menopausal Women
Heeyoung So, Sukhee Ahn, Rhayun Song, Hyunli Kim
College of Nursing, Chungnam National University, Korea. sukheeahn@cnu.ac.kr
Abstract
PURPOSE
This study explored the relationships among obesity, bone mineral density, and cardiovascular risks in post-menopausal women.
METHODS
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.
RESULTS
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.
CONCLUSION
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.
Key Words: Menopause; Obesity; Osteoporosis; Cardiovascular diseases; Health promotion


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