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J Acupunct Res > Volume 31(3); 2014 > Article
Kwak, Kang, Kim, and Lee: A Study on the Correlation between Menopausal Rating Scale and Bone Mineral Density for Menopausal Osteoporosis Patients※
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Abstract

Objectives :

The purpose of this study is to evaluate the correlation between bone mineral density (BMD), age, weight, visual analog scale (VAS), menopausal rating scale (MRS), and to compare the difference between BMD, age, weight, VAS, MRS according to severity of the menopausal symptoms.

Methods :

The participants were 62 menopausal women diagnosed with osteoporosis who visited Cheonan Oriental Hospital, Daejeon University from December, 2011 to July, 2014. Age, weight, VAS, MRS were used as an evaluation tool.

Results :

  1. In all 62 cases of menopausal patients diagnosed with osteoporosis, the study found a statistically significant correlation between BMD and weight, while inverse correlation between BMD and MRS index.

  2. Among menopausal patients with above 9 MRS index (group B), BMD and weight showed statistically significant correlation, while VAS and MRS index showed statistically significant inverse correlation.

  3. Among group B, VAS were higher compared to control group (group A).

Conclusions :

This study showed that as patients with severer menopausal symptoms apt to show increased VAS and decreased BMD. Therefore, long-term follow-up in patients with menopausal syndrome is needed to improve the patients’ quality of life.

Notes

This study was supported by the Traditional Korean Medicine R&D program funded by the Ministry of Health & Welfare through the Korea Health Industry Development Institute (KHIDI). (B110051)

Table 1.
Distribution of Age
Number Percentage
50∼55 21 33.9%
56∼60 41 66.5%
Total 62 100%
Table 2.
Weight Analysis
Total Group A Group B
Mean±SD 55.79±6.59 57.14±6.26 54.03±6.69
Median 55.5 56.1 55.2
Min 39.5 47.2 39.5
Max 74.5 74.5 68.6

Group A : normal woman (MRS≤8).

Group B : menopausal woman (MRS≥9).

Table 3.
Pain Analysis
Total Group A Group B
Mean±SD 6.08±4.23 4.66±4.09 7.93±3.72
Median 6 4 8
Min 0 0 2
Max 15 15 15

Group A : normal woman (MRS≤8).

Group B : menopausal woman (MRS≥9).

Table 4.
MRS Analysis
Total Group A Group B
Mean±SD 9.15±6.07 4.89±2.55 14.67±4.66
Median 8 4 14
Min 0 0 9
Max 25 8 25

Group A : normal woman (MRS≤8).

Group B : menopausal woman (MRS≥9).

Table 5.
Correlations of BMD with Age
Total Group A Group B
r −0.083 −0.145 −0.124
p-value 0.521 0.407 0.538

r : Pearson’s correlation coefficient.

* p-value<0.05 : significantly correlated with BMD.

Group A : normal woman (MRS≤8).

Group B : menopausal woman (MRS≥9).

Table 6.
Correlations of BMD with Weight
Total Group A Group B
r 0.263* 0.032 0.382*
p-value 0.039 0.856 0.049

r : Pearson’s correlation coefficient.

* p-value<0.05 : significantly correlated with BMD.

Group A : normal woman (MRS≤8).

Group B : menopausal woman (MRS≥9).

BMD : bone mineral density.

Table 7.
Correlations of BMD with VAS
Total Group A Group B
r −0.242 0.034 −0.382*
p-value 0.058 0.846 0.049

r : Pearson’s correlation coefficient.

* p-value<0.05 : significantly correlated with BMD.

Group A : normal woman (MRS≤8).

Group B : menopausal woman (MRS≥9).

Table 8.
Correlations of BMD with MRS
Total Group A Group B
r −0.344* −0.042 −0.399*
p-value 0.006 0.809 0.039

r : Pearson’s correlation coefficient.

* p-value<0.05 : significantly correlated with BMD.

Group A : normal woman (MRS≤8).

Group B : menopausal woman (MRS≥9).

Table 9.
Comparison on BMD, Age, Weight, VAS between Group A and Group B
Group A (n=35) Group B (n=27) p-value
BMD −3.27±0.52a −3.57±0.78 0.078
Age 57.14±2.22 56.04±2.79 0.136
Weight 57.14±6.26 54.03±6.69 0.065
VAS 4.66±4.09 7.93±3.72 0.002*

Group A : normal woman (MRS≤8).

Group B : menopausal woman (MRS≥9).

a mean±standard deviation.

*: p-value <0.05 by independent-samples t-test.

VI. References

1. Korean Orthopaedic Association. Orthopaedics. 6th edition. Seoul: Newest Medicine Company. 2006:214–24.

2. Braunwald E, Fauci A, Kasper D, Hauser S, Longo D, Jameson J. Harrison’s principles of internal medicine, 15/e-Vol 2. Seoul: MIP. 2003:2302–12.

3. Han TR, Bang MS. Rehabilitation medicine 3rd. Seoul: Gunjachulpansa. 2011:937–55.

4. Korean Acupuncture & moxibustion medicine Society. Acupuncture and moxibustion medicine. Gyeonggi: Jipmoondang. 2012:516.

5. Korean Society of Obesterics and Gynecology. Gynecology. Seoul: Korea Medical Book Publisher. 2007:563–88.

6. Cho ES. Prevalence and management of osteoporosis: Korea National Health and Nutrition Examination Survey, 2008–2011 [Internet. Korea [cited 2013 Oct 09]. Available from : http://www.cdc.go.kr/CDC/cms/content/75/21375_view.html.

7. Kim CH, Kim YI, Choi CS, et al. Prevalence and risk factors of low quantitative ultrasound values of calcaneus in Korean elderly women. Ultrasound Med Biol. 2000;26(1):35–40.
crossref pmid
8. Lee ES, Kim HK. Goldagongjeungui donguihakjeok imsangmunheone gwanhan gochal. Journal of Korean Medicine Rehabilitation. 1997;7(1):437–56.

9. Kang SK, Park YB, Ahn HS. The bibliographical studies on the acupuncture treatment of the osteoporosis. The Journal of Korean Acupuncture & Moxibustion Society. 1995;15(2):171–89.
pmid
10. The Korean Neuropsychiatry Society Textbook Complication Commottee. Korean neuropsychiatry. Gyeonggi: Jipmoondang. 2007:422.

11. Min KH, Cho HB, Kim JH, Kim CW, Yoo SK. Effects of cungahwangamy on the ovariectomized rat model of postmenopausual osteoporosis. The Journal of Oriental Obestetrics and Gynecology. 2001;14(1):58–72.

12. Kim MS, Seo BI, Kwak MA, Jee SY. Effect of Chungajihwangtang on osteoporosis in ovariec-tomized rats. Korean Journal of Herbology. 2003;18(2):49–58.

13. Jung JY, Kim JH, Kim YI. Effects of herbal-acupuncture with artemisiae vulgaris folium extract at KI10(Eumgok) on osteoporosis in ovariectomized mice. The Journal of Korean Acupuncture & Moxibustion Society. 2011;28(6):117–37.
pmid
14. Shin HW, Lee H. Effects of phamacopuncture with Rubi Fructus infusion solution at KI10 on osteoporotic rats induced by ovariectomy. The Journal of Korean Acupuncture & Moxibustion Society. 2010;27(4):99–114.

15. Kim DS, Kim JH, Kim YI. Effects of herbal-acupuncture with rosae laevigatae fructus extract at KI10(Umgok) on osteoporosis in ovariectomized mice. The Journal of Korean Institute of Herbal Acupuncture. 2009;12(4):51–62.

16. Yu SJ, Ahn HB, Kim JY, Lee DN. A comparative study of BMD between osteoporosis patients taking fosamax and taking fosamax and Samgieumgamibang. The Journal of Oriental Obestetrics and Gynecology. 2012;25(1):11–9.

17. Jin UJ, Yu TY, Jin YH, Lee JB. Visual analogue scale in acute pain measurement: its usefulness as a pain measurement tool in an emergency setting. Journal of the Korean Society of Emergency Medicine. 2003;14(1):61–5.

18. Menopause-rating-scale. http://www.menopause-rating-scale.info.

19. Choi IK, Lee MS, Ham BJ, Lee HY, Ko YH, Joe SH. Attitude and belief about menopause and menopausal symptoms in depressive or anxiety disorder patients. Korean Journal Psychosomatic Medicine. 2010;18(2):82–93.

20. Tao MF, Shao HF, Li CB, Teng YC. Correlation between the modified Kupperman index and the menophase rating scale in chinese women. Jouranl Patient Preference and Adherence. 2013;7(1):223–9.

21. Oriental Obstertrics & Gynecology Society. Oriental obstertrics & gynecology. Seoul: Uisungdang. 2012:265–94.

22. Korean Medicine Rehabilitation Society. Korean medicine rehabilitation. Seoul: Gunjachulpansa. 105–7.

23. Kang JH, Lee H, Choi JY, Yoon KS. The analysis of 278 cases who were medicated with Cheongawon. The Journal of Korean Acupuncture & Moxibustion Society. 2011;28(1):93–100.
pmid
24. Oh KW. Diabetes and osteoporosis. Diabetes and Metabolism Journal. 2009;33(3):169–77.
crossref
25. Park YJ, Gu BS, Kang HC, Chon SH, Yoon JW. The menopausal age and climacteric symptoms, and the related factors of Korean women. Korean Journal of Women Health Nursing. 2001;7(4):473–85.
crossref
26. Kim MH, Kim JS, Kim YM. The relationship between bone mineral density and physical, obstetric characteristics in middle-aged women. Korean Journal of Adult Nursing. 2002;14(4):532–42.

27. Adler Elizabeth. The Blatt-Kupperman menopause index: acritique. Maturitas. 1998;29(1):19–24.
crossref pmid
28. Greene JG. Constructing a standard climacteric scale. Maturitas. 2008;61(1–2):78–84.
crossref pmid
29. Hauser GA, Huber IC, Keller PJ, Lauritzen C, Schneider HPG. Evaluation der klinischen beschwerden (menopause rating scale). Zentralbl Gynakol. 1994;116(1):16–23.
pmid
30. Chung SH, Kim TH, Lee HH, Park JS, Sang JH. Hormone therapy in postmenopausal women according to the correlation of changes in bone mineral density. Journal Korean Society Menopause. 2013;19(2):101–5.
crossref
31. Lee HN, Park YM, Jang MK, Byeon YJ. Prevalence of osteoporosis of Korean women based on bone mineral density of the radius and effect of menopause on osteoporosis. Korean Journal of Obstetrics and Gynecology. 2002;45(7):1186–90.

32. Choi H, Song TJ, Yang YH, et al. The validation study of BMI(body mass index), age, and body weight for prediction of osteoporosis in Korean post-and Perimenopausal women. Journal Korean Society Menopause. 2005;11(1):43–8.
crossref
33. Mun SO, Kim JH, Yang YJ. Factors associated with bone mineral density in Korean post-menopausal women aged 50 years and above: using 2008–2010 Korean National Health and Nutrition Examination Survey. Korean Journal Community Nutrition. 2013;18(2):177–86.
crossref


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