Association of Sasang Constitutional Type with Bone Mineral Density, Osteopenia, and Osteoporosis

Association of Sasang Constitutional Type with Bone Mineral Density, Osteopenia, and Osteoporosis Seung Ku Lee⋅Dae Wui Yoon⋅Jong Yeol Kim⋅Jin Kwan Kim⋅Hyeryeon Yi⋅ Sunghee Lee⋅Robert D. Abbott⋅Chol Shin Institute of Human Genomic Study, College of Medicine, Korea University Ansan Hospital Department of Biomedical Laboratory Science, College of Health Science, Jungwon University Constitutional Medicine and Diagnosis Research Group, Korea Institute of Oriental Medicine Department of Nursing, Korea Nazarene University Department of Food and Nutrition, College of Health Science, Kangwon National University Department of Pulmonary, Sleep and Critical Care Medicine, College of Medicine, Korea University Ansan Hospital College of Medicine, Korea University Object Although Taeeum and Soyang constitutional types have bigger body shapes and higher body mass index values than those with the Soeum, the relationship between the Sasang constitutional type and bone mass density is controversial and the association of osteopenia and osteoporosis remains unknown. Therefore, we investigated the relationship between bone mineral density, osteopenia, and osteoporosis according to Sasang constitutional type. Methods A total of 2,508 participants were included in this study. Among the study participants, 1,396 had Taeeum type, 276 had Soeum type, and 836 had Soyang type, respectively. The relationships to bone mass density, osteopenia, and osteoporosis in those with Sasang constitutional type were estimated using logistic and linear regression models. Results Bone mass density was significantly higher in the order of Taeeum, Soyang, and Soeum group (p < 0.01). Soeum group in comparison with Taeeum or Soyang group was significantly associated with a high odds ratio for osteopenia and osteoporosis except in the hip and femoral neck in the comparison of Taeeum and Soeum group (p < 0.01). Moreover, the bone mass density of Soeum group decreased more rapidly as the age increased when compared with Taeeum and Soyang group. Conclusions Our findings may contribute to the early prevention and management of high-risk individuals with poor bone mass density, osteopenia, and osteoporosis using Sasang constitution medicine.