폐경기 여성...뼈가 건강해야 한다

폐경기 여성...뼈가 건강해야 한다: 골절 위험 높이는 ‘골다공증’ 예방과 치료법; 2023.01.07 23:12 입력

손용균 기자 asanman7@hanmail.net

<span style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-family: 함초롬바탕; font-size: 12pt;"><table id="news_image" class="center" align="center" width="608"><tbody><tr><td><img alt="폐경기 여성...뼈가 건강해야 한다" src="https://www.medicalagency.co.kr/PEG/16731006726942.jpg" width="608" align="absmiddle"></td></tr></tbody></table> <span style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-family: 함초롬바탕; font-size: 12pt;">[전문의 칼럼=<span style="letter-spacing: normal; font-family: 함초롬바탕; font-size: 12pt; line-height: 22.4px; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">순천향대학교 부속 천안병원 산부인과 최승도 교수] <span style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-family: 함초롬바탕; font-size: 12pt;">한국인의 기대수명이 <span lang="EN-US" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; letter-spacing: 0pt; font-family: 함초롬바탕; font-size: 12pt;">10<span style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-family: 함초롬바탕; font-size: 12pt;">년 전보다 <span lang="EN-US" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; letter-spacing: 0pt; font-family: 함초롬바탕; font-size: 12pt;">3<span style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-family: 함초롬바탕; font-size: 12pt;">년 늘어난 <span lang="EN-US" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; letter-spacing: 0pt; font-family: 함초롬바탕; font-size: 12pt;">83.6<span style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-family: 함초롬바탕; font-size: 12pt;">세로 추계됐다<span lang="EN-US" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; letter-spacing: 0pt; font-family: 함초롬바탕; font-size: 12pt;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">기대수명은 현재의 연령별 사망 수준이 유지된다는 가정 하에 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">0<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">세 아이가 앞으로 얼마나 살 수 있을지를 추정한 수치다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">지난해 태어난 아이가 생애 암에 걸리지 않으면 기대수명은 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">3.5<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">년 늘어 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">87.1<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">세<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">(83.6<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">년<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">+3.5<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">년<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">)<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">까지 사는 것으로 추계됐다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">심장 질환에 안 걸리면 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">83.6<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">년에서 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">1.3<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">년 더 길어지고<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">폐렴에 걸리지 않으면 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">0.9<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">년 더 사는 것으로 예상됐다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">기대수명의 증가가 축복을 받기 위해서는 몇 가지 조건이 있다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">바로 경제적 여유와 건강이다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">경제적 여유는 있지만 건강하지 않아 삶의 질이 떨어진다면 수명의 연장이 결코 좋은 것만은 아니다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">노년의 삶의 질을 현격히 떨어뜨리는 만성질환 중 하나가 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">‘<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">골다공증<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">’<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">이다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">● <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">골다공증 심하면 기침에도 골절<o:p></o:p><span style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-family: 함초롬바탕; font-size: 12pt;"> <table id="news_image" class="left" align="left" width="200"><tbody><tr><td><img alt="폐경기 여성...뼈가 건강해야 한다" src="https://www.medicalagency.co.kr/PEG/16731783985134.jpg" width="200" align="absmiddle"><div id="news_caption" class="caption_D">▲순천향천안병원 산부인과 최승도 교수.</div></td></tr></tbody></table>골다공증은 골의 실질<span lang="EN-US" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; letter-spacing: 0pt; font-family: 함초롬바탕; font-size: 12pt;">(<span style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; letter-spacing: 0pt; font-family: 함초롬바탕; font-size: 12pt;">實質<span lang="EN-US" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; letter-spacing: 0pt; font-family: 함초롬바탕; font-size: 12pt;">)<span style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; font-family: 함초롬바탕; font-size: 12pt;">이 감소해 뼈에 구멍이 숭숭 뚫리는 상태로 주로 척추와 장골의 말단 부위에 잘 발생한다<span lang="EN-US" style="background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial; letter-spacing: 0pt; font-family: 함초롬바탕; font-size: 12pt;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">골다공증이 걸린 뼈는 미세골절이 쉽게 발생하고<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">기침과 같은 작은 충격에도 골절된다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">골다공증에 의한 골절은 주로 척추와 대퇴부<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">손목 등에 잘 발생한다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">이 부위의 골절은 국내 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">50<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">대 여성 전체 골절의 약 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">29%<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">나 차지한다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">특히 골다공증성 대퇴부 골절은 결과가 매우 좋지 않다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">발생 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">1<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">년 후를 추적 관찰해보니 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">20%<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">는 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">1<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">년 내에 사망하고<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, 30%<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">는 영구적 장애가 오고<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, 40%<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">는 혼자 걷지 못하는 것으로 나타났을 정도다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">● <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">여성호르몬 감소가 급격한 골 손실   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">우리 몸의 뼈는 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">20~30<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">대에 최대의 골 양을 형성한다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">골 양의 결정은 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">70%<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">가 음식<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">생활습관<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">운동 등 환경적 요인이다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. 30%<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">는 유전적 요인이다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">파골세포가 골을 파괴하면<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">조골세포가 새로운 골로 채워 넣는 일련의 과정이 끊임없이 일어난다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">이러한 조골세포와 파골세포의 우열에 의해 골의 상태가 결정된다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">즉<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">성장기에는 조골세포의 기능이 우세해 골이 성장하고<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, 20~30<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">대에 이르면 골 형성이 최대치를 이룬다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">조골세포와 파골세포가 균형을 이뤄 최대의 골 양을 유지하다가 점차 파골세포의 기능이 우세해지면서 점점 골 양이 감소한다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">특히 여성의 경우 폐경기에 접어들면 여성호르몬의 감소로 인해 급격한 골 손실이 초래되어 골다공증의 위험이 높아진다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">치료원칙은 우선 뼈를 튼튼하게 하는 칼슘과 비타민 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">D<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">가 풍부한 음식 섭취와 뼈를 자극할 수 있는 체중이 실린 운동을 하는 것이다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">물론 뼈를 약화시키는 흡연이나 음주 등의 생활습관은 교정해야 한다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">그리고 골밀도를 측정해서 필요하다면 적절한 약물을 사용해야 한다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">● <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">칼슘과 비타민<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">D <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">충분히 섭취하고<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">...<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">운동 병행해야   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">치료약은 크게 두 가지로 나눈다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">조골세포를 자극해 뼈 형성을 촉진하는 약과 파골세포를 억제해 골 파괴를 감소시키는 약이다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">골 형성을 촉진시키는 약은 부갑상선 호르몬이 대표적이고<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">골 파괴세포를 억제하는 약은 여성호르몬<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">비스포스포네이트<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">칼시토닌<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">여성호르몬 수용체 조절제 등이다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">여성호르몬은 뼈를 보호하는데 중요한 역할을 한다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">여성호르몬제를 사용했을 때 골절 예방효과가 뛰어난 것으로 알려져 있다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">하지만 여성호르몬을 사용할 경우 그 득과 실을 잘 따져야 한다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">최근 폐경 후 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">10<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">년 이내 또는 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">60<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">세 전 심장질환이 없는 경우엔 권장하지만 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">60<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">세 이상에서 골다공증 예방과 치료 목적으로는 권하지 않고 있다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">비스포스포네이트는 파골세포의 수명과 기능을 단축시키는 약으로 결국 뼈의 감소를 막아주는 역할을 한다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">흔히 사용되는 비스포스포네이트는 매일<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">매주<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">매달 먹는 약과 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">3<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">달이나 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">1<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">년에 한 번 맞는 주사가 있다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">랄록시펜의 특징은 척추골절 감소효과뿐만 아니라 유방암 예방효과까지 있는 것으로 알려져 있다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">노년의 행복한 삶을 위해 골다공증 치료는 선택이 아닌 필수다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">. <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">요약하면 골다공증 치료는 음식조절<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">적절한 운동과 뼈 건강에 해로운 생활습관 개선이 우선 시 되고<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">필요시 적절한 약물을 사용해야 한다<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.   <o:p></o:p><span style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">■ <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">국제골다공증재단이 권장하는 뼈 건강법   <o:p></o:p><span style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">▲<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">주 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">3~4<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">회<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, 30~40<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">분간 저항력운동과 근력운동 하기 <span style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">▲<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">식이성 칼슘과 단백질<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">과일과 채소가 풍부한 균형 잡힌 식사 <span style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">▲<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">비타민 <span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">D <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">등의 보충제 복용 <span style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">▲<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">부정적 습관<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">(<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">흡연<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">음주<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">)<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">을 피하고 건강한 체중유지 <span style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">▲<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">골다공증 위험을 높이는 개인적 위험요소 관찰하기<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">(<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">스테로이드 사용<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">류마티스 관절염<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">, <span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">골절 경험과 가족력<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">) <span style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">▲<span style="font-family: 함초롬바탕; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">폐경기에 반드시 뼈 건강상태 체크하기<span lang="EN-US" style="font-family: 함초롬바탕; letter-spacing: 0pt; font-size: 12pt; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;">.

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