Background Dietary Na+ or Na+/K+ ratio has been reported to be associated with bone mineral density (BMD). However, this remains unclear, and only a few studies have been reported on the Korean population. Therefore, this study aimed to determine the association between dietary Na+, K+, and Na+/K+ ratios and BMD in middle-aged Korean women.
Methods This study used data from the Korea National Health and Nutrition Examination Survey 2008–2011. A total of 3,690 women aged >50 years were included. Study participants were classified into quartiles (lowest quartile Q1–highest quartile Q4) according to dietary Na+, K+, and Na+/K+ ratio, and we examined the association of these parameters with BMD. Total femur and lumbar spine BMD were measured using dual-energy X-ray absorptiometry. Multiple linear regression analyses were performed using IBM SPSS ver. 19.0.
Results The mean age was 62 years, and a significant negative trend in the β-coefficient regarding dietary Na+ was only observed in the total femur BMD. However, the total femur and lumbar spine BMD decreased from Q1 to Q4 regarding the dietary Na+/K+ ratio (P-value for trend: 0.044 for total femur BMD and 0.002 for lumbar spine BMD).
Conclusion A significant negative trend in the β-coefficient for both total femur and lumbar spine BMD was observed regarding the Na+/K+ ratio. Therefore, based on the results of this study, a higher dietary Na+/K+ ratio may be associated with a lower BMD.
Citations
Citations to this article as recorded by
Bioactive Compounds and Health Functions of Plums: Current Status and Future Opportunities Ming-Qiang Xu, Samuel Ariyo Okaiyeto, Xiao-Xiao Niu, Qing-Hui Wang, Sriram K. Vidyarthi, Haiou Wang, Li-Zhen Deng, Parag Prakash Sutar, Hong-Wei Xiao Food Reviews International.2024; : 1. CrossRef
Does Changing the Ratio of Dietary Sodium-to-Potassium Intake Affect Bone Mineral Density? Soo Young Kim Korean Journal of Family Medicine.2023; 44(1): 1. CrossRef
Background Obesity is associated with increased mortality as a significant risk factor for chronic diseases, including cardiovascular diseases and cancer. Several people believe that weight gain is harmful, and weight loss helps maintain health. However, some studies have shown that weight loss, particularly among older adults, is more likely to increase the risk of mortality than weight gain.
Methods We used data for the cohort of the Korean Longitudinal Study of Aging, which is a nationwide stratified multi-stage sample of adults aged 45 years. The all-cause mortality risk was assessed using the survival status and the number of months of survival calculated from 2006 (baseline year) to 2016. Cox proportional hazard regression were used to study the causal link between weight change and all-cause mortality risk.
Results The results showed interactive associations between weight loss and mortality among middle-aged and older adults. The hazard ratio was 1.62 (95% confidence interval [CI], 1.10–2.40) for the participants aged 45–65 years with weight losses greater than 5 kg and 1.56 (95% CI, 1.29–1.89) for those older than 65 years with weight losses greater than 5 kg. The results for the group with weight gain above 5 kg were not significant. Middle-aged and older men showed an increase in all-cause mortality associated with weight loss of more than 5 kg, but only the older women showed significant results.
Conclusion This large-scale cohort study in Korea showed a relationship between weight loss and all-cause mortality in middle-aged and older individuals.
Citations
Citations to this article as recorded by
Body mass index trajectories and all-cause mortality in older Chinese adults: Hong Kong’s Elderly Health Service Cohort Man Ki Kwok, Siu Yin Lee, Gabriel M Leung, C Mary Schooling Journal of Epidemiology and Community Health.2025; : jech-2025-223659. CrossRef
Associations of obesity indices change with cardiovascular outcomes: a dose-response meta-analysis Lyu Wang, Hanyue Ding, Yunyang Deng, Junjie Huang, Xiangqian Lao, Martin C. S. Wong International Journal of Obesity.2024; 48(5): 635. CrossRef
Social isolation and depression as risk factors for weight loss of 5kg or more among older Korean adults Youngjoon Bae, Mark C. Pachucki, Ellen L. Idler PLOS ONE.2024; 19(3): e0299096. CrossRef
Associations of short‐term changes in obesity indices with all‐cause mortality and cardiovascular disease Lyu Wang, Yun‐Yang Deng, Tsung Yu, Xiang‐Qian Lao, Martin C. S. Wong Obesity.2024; 32(8): 1568. CrossRef
In-hospital outcomes of older patients with gastric cancer and their risk factors: large comprehensive institution-based study Lei Huang, Yunmei Liu, Lei Wang, Lan Rong, Weiguo Hu European Geriatric Medicine.2024; 15(6): 1909. CrossRef
Weight loss rather than weight gain has a detrimental effect on successful aging in older adults: A 4-year longitudinal study in China Nan Liu, Tao Liu, Yihan Pan, Jin Wang, Xiaoguang Zhao Geriatric Nursing.2024; 60: 297. CrossRef
Association of weight change with all-cause and cause-specific mortality: an age-stratified analysis Qing-Mei Huang, Dong Shen, Jian Gao, Huan Chen, Jia-Hao Xie, Hao-Yu Yan, Bin Wu, Zhi-Hao Li, Gang Liu, Chen Mao BMC Medicine.2024;[Epub] CrossRef
Associations of Change in Body Size With All-Cause and Cause-Specific Mortality Among Healthy Older Adults Sultana Monira Hussain, Anne B. Newman, Lawrence J. Beilin, Andrew M. Tonkin, Robyn L. Woods, Johannes T. Neumann, Mark Nelson, Prudence R. Carr, Christopher M. Reid, Alice Owen, Jocasta Ball, Flavia M. Cicuttini, Cammie Tran, Yuanyuan Wang, Michael E. Er JAMA Network Open.2023; 6(4): e237482. CrossRef
Association between Weight Loss and Hand-Grip Strength with Cause-Specific Mortality in Middle-Aged and Older Adults Inhwan Lee Exercise Science.2023; 32(3): 339. CrossRef
Weight Change and Risk of Atherosclerosis Measured by Carotid Intima–Media Thickness (cIMT) from a Prospective Cohort—Analysis of the First-Wave Follow-Up Data of the Canadian Longitudinal Study on Aging (CLSA) Jian Liu, Newman Sze, Miya Narushima, Deborah O’Leary Journal of Cardiovascular Development and Disease.2023; 10(10): 435. CrossRef
Weight maintenance and gain were significantly associated with lower risk of all-cause and cancer-related mortality in Korean adults who were newly diagnosed with cancer based on the Korean NHIS-HEALS cohort Yong-June Kim, Seung Park, Won Tae Kim, Yoon-Jong Bae, Yonghwan Kim, Hee-Taik Kang Medicine.2023; 102(47): e36184. CrossRef
Obesity in Caucasian Seniors on the Rise: Is It Truly Harmful? Results of the PolSenior2 Study Monika Puzianowska-Kuznicka, Alina Kurylowicz, Lukasz Wierucki, Aleksander Jerzy Owczarek, Kacper Jagiello, Malgorzata Mossakowska, Tomasz Zdrojewski, Jerzy Chudek Nutrients.2022; 14(21): 4621. CrossRef
Background This study aimed to investigate trends in the prevalence of current smokers and motivation to quit among Korean male cancer survivors.
Methods Out of 20,012 men who participated in the Korea National Health and Nutrition Examination Survey V (2010–2012), VI (2013–2015), and VII (2016–2017), 742 cancer survivors were included. A cancer survivor was defined as a person who concurred to the item, “The cancer has been diagnosed by a doctor” in the health questionnaire. Smoking status was classified as current, former, and never smokers. Regarding motivation to quit smoking, we defined those who had a willingness to quit within 6 months as the willing group. Logistic regression analysis was conducted to examine trends in the prevalence of current smokers and the proportion of the willing group among current smokers.
Results Overall, 3.7% of Korean men who participated in the study were cancer survivors. Current smokers constituted 19.5%, 19.1%, and 15.3% of cancer survivors in phases V, VI, and VII respectively which did not show significant changes (P for trend=0.33). However, the proportion of current smokers in the non-cancer group was significantly reduced to 46.6%, 41.2%, and 38.9% in phases V, VI, and VII, respectively (P for trend <0.001). The proportion of those with a motivation to quit smoking did not show a significant trend in the cancer survivors (P for trend=0.964) and non-cancer group (P for trend=0.884).
Conclusion Prevalence of current smokers and motivation to quit in Korean male cancer survivors did not show significant trends.
Citations
Citations to this article as recorded by
Current status of health promotion in Korea Soo Young Kim Journal of the Korean Medical Association.2022; 65(12): 776. CrossRef
Smoking Cessation in Cancer Survivors Young Gyu Cho Korean Journal of Family Medicine.2021; 42(4): 258. CrossRef