论文部分内容阅读
目的调查锦州市中老年人群的骨密度及相关因素,为预防骨质疏松提供科学依据。方法采用调查问卷和超声骨密度仪测定1313名45～88岁中老年人跟骨骨密度T值及相关影响因素。结果骨密度T值随着年龄增长而降低,65岁之后女性T值明显低于男性。骨量减少发生率在65～70岁达到峰值;骨质疏松(OP)发生率随年龄增长呈上升趋势;OP发生率为23.97%,女性OP发生率高于男性。OP患者的骨折发生率显著高于非骨质疏松者,身体疼痛部显著多于非骨质疏松者。多元回归模型显示:影响男性骨质疏松的因素为饮浓茶、锻炼、年龄、类风湿性关节炎、饮酒、吸烟、胃肠道疾病、BMI、补充钙剂;影响女性骨质疏松的因素为初潮年龄、胃肠道疾病、绝经年限、哺乳史、补充钙剂、糖尿病、OP遗传史。结论中老年OP发生率较高,开展社区骨质疏松预防工作,引导中老年人建立健康生活习惯,科学合理的补钙非常必要。
Objective To investigate the bone mineral density (BMD) and its related factors in middle-aged and elderly people in Jinzhou and provide a scientific basis for preventing osteoporosis. Methods The bone mineral density (T) of 1313 middle-aged and aged people aged 45-88 years and related influencing factors were measured by questionnaire and ultrasonic bone densitometry. Results The bone mineral density (T) decreased with age. The T value of female after 65 years old was significantly lower than that of male. The incidence of osteopenia peaked at 65 to 70 years old. The incidence of osteoporosis (OP) increased with age. The incidence of OP was 23.97%. The incidence of OP in female was higher than that in male. The incidence of fractures in patients with OP was significantly higher than that of non-osteoporosis patients, with significantly more body pain than those without osteoporosis. Multivariate regression model showed that the factors affecting male osteoporosis were drinking tea, exercise, age, rheumatoid arthritis, alcohol consumption, smoking, gastrointestinal diseases, BMI, calcium supplementation; factors affecting female osteoporosis Menarche age, gastrointestinal disease, menopause, history of lactation, calcium supplementation, diabetes mellitus, and genetic history of OP. Conclusion The incidence of middle-aged and elderly patients with high incidence of osteoporosis, community-based prevention of osteoporosis, and guide the elderly to establish a healthy lifestyle, scientific and reasonable calcium is necessary.