Association of Calcium Intake and Bone Mineral Density by Vitamin D Receptor Genotype among Elderly Women Living in Rural a Area / 대한지역사회영양학회지

Recent studies have shown that environmental, biochemical, nutritional or genetic factors affect bone mineral density (BMD). The purpose of the present study was to investigate the effect of vitamin D receptor (VDR) gentotype and nutritional status on BMD of elderly women living in a rural area. Three hundred thirty five elderly women over 65 years in Asan participated the study. Data for demographic and nutrient intakes were obtained by survey with a two day 24 hr recall method. BMD was measured by broadband ultrasound attenuation (BUA) using quantitative ultrasound (QUS). VDR genotypes of the subjects analyzed with Bsm I restriction enzyme were bb (92%), Bb (7%) and BB (1%). No differences were found between genotypes bb and Bb/BB in age, menopausal age, body mass index and body fat. BUA of bb genotype was higher (62.5 +/- 15.6 dB/MHz) than Bb/BB genotype (56.1 +/- 17.6 dB/MHz) by Student's t-tests. Correlation analyses showed strong negative correlation of BMD and age, but positive correlation with BMI, energy and calcium intake. When subgroup analyses were conducted after stratification by the median calcium intake level (412.9 mg/d), the above median calcium intake group showed significant difference in BUA by VDR genotype while the lower median calcium intake group did not show significant difference. The current study confirmed interaction of calcium intake and VDR genotype in association with BMD. Further nutritional intervention will be needed to improve calcium status of the elderly women living in rural areas.

Design for ultrasonic diagnosis of osteoporosis based on ARM / 医疗卫生装备

Objective To develop a system for detection and diagnosis of osteoporosis by using quantitative ultrasound technology.Methods An ARM embedded system was used to measure the speed of ultrasound,the broadband ultrasound attenuation(BUA) and the stiffness.The speed of ultrasound mainly reflects bone structural features,BUA mainly reflects bone density,and stiffness can synthetically reflects bone intensity.Results Based on an ARM microprocessor,the whole system could diagnose osteoporosis through the parameters sent by ultrasound.Conclusion The system for ultrasonic diagnosis of osteoporosis based on ARM can achieve precise diagnosis in clinic by setting osseous parameters database of normal people in different age,weight and sex.