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Purpose : This study is to investigate the relationship between osteoporosis and cardiovascular risk factors according to Sasang constitution. Methods : 1773 persons, over 40 years old, were examined as part of a community-based cohort in Wonju city in Gangwon province of South Korea, from June 2006 to August 2009. We measured bone mineral density by Achilles ultrasonometer as well as serum levels of lipids, fasting blood sugar, insulin and other cardiovascular risk factors like blood pressure and waist circumference. Constitution was verified by a Sasang constitution specialist using the results of PSSC(Phonetic System for Sasang Constitution), facial photos and a simplified Sasang constitutional questionnaire. ANOVA, chi-square analysis, and multiple logistic regression analysis were performed with SPSS 17.0. Results : Age and menopause were the key risk factors for osteoporosis. There was a significantly high prevalence in Soeumin for osteoporosis in men alone. Low physical activity was a major risk factor for osteoporosis. Waist circumference and hip circumference had significantly high odds ratio and weight had significantly low odds ratio. Conclusions : Regimens on osteoporosis should be considered according to Sasang constitution. cardiovascular diseases should be considered according to Sasang constitution. Soeumin should be cautious of osteoporosis and gain weights and relax stresses. Soyangin had better do exercise lower body and eat little triglyceride containing diet. Taeeumin had better lose weights and eat little cholesterol food. Key words ; osteoporosis, Sasang constitution, bone mineral density