|
|
|
| An analysis on the influencing factors of osteoporosis among urban residents |
| ZHAO Lan-fang1, WANG Jun2,3, WANG Xue-jun1
|
Dongliu Community Health Center of Jiangdong District of Ningbo City; Ningbo, Zhejiang, 315040, China;
2.Minglou Community Health Center of Jiangdong District of Ningbo City;
3.Jiangdong District Center for Disease Control and Prevention of Ningbo City |
|
|
|
|
Abstract Objective To explore the influencing factors of osteoporosis (OP) and to provide evidence for OP prevention in community.Methods Questionnaire survey and BMD assessment were carried in the residents receiving physical examination in the center from 2013 to 2015, and multi-factor logistic regression and linear regression were used to analyze the related factors of OP.Results There were 368 subjects participated in this study, including 148 males (40.22%) and 220 females (59.78%). The average age was 64.14±8.04 years old. Eighty two subjects were checked out with OP,and the detection rate was 22.28%. In single-factor logistic regression analysis, the detection rate in females (34.09%) was significantly higher than that in males (4.73%) (P<0.001),and the detection rate increased with age (P=0.032). In multi-factor logistic regression analysis, old age (OR=1.08, 95%CI:1.04-1.12) and female (OR=13.46, 95%CI: 5.87-31.82) were found having higher risk for OP, and subjects with high body mass index (BMI) had low risk for OP (OR=0.91, 95%CI: 0.83-1.00). In multiple linear regression analysis, there was positive association between fish and shrimp consumption and bone mineral density (BMD) (P=0.021).Conclusion Age and female were risk factors of OP, and BMI and more fish and shrimp consumption were protective factors of OP.
|
|
Received: 17 February 2016
Published: 20 December 2017
|
|
|
|
|
|
[1]CONSENSUS N H. Development panel on osteoporosis prevention, diagnosis, and therapy[J].JAMA, 2001 (285): 785-795.
[2]黄武,刘幼硕.老年性骨质疏松症的诊断及治疗要点[J].中华老年医学杂志,2005,24(12):939-941.
[3]朱汉民,方积乾,罗先正,等.骨量流行病学:中国大陆的骨量变化和平均骨峰值[C].北京:中华医学会骨科学分会,2007:4-9.
[4]程晓光,杨定焯,周琦,等.中国女性的年龄相关骨密度、骨丢失率、骨质疏松发生率及参考数据库——多中心合作项目[J].中国骨质疏松杂志,2008,14(4):221-228.
[5]中华医学会骨质疏松和骨矿盐分会.原发性骨质疏松诊治指南(2011年)[J].中华骨质疏松和骨矿盐疾病杂志,2011,4(1):2-17.
[6]孙桂青,王慧红,朱敏,等.台州地区体检人群原发性骨质疏松症患病率调查[J].浙江预防医学,2012,24(2):40-41.
[7]刘勇,何华英.骨质疏松高危人群相关危险因素的调查[J].护理实践与研究,2012,9(3):143-145.
[8]张萌萌,李亚刚,刘颖,等.长春市16 019例汉族人群骨密度调查及骨质疏松发病率分析[J].中国骨质疏松杂志,2009,15(7):534-537.
[9]毛宾尧,王岱生,应忠追,等.宁波地区居民2 088例骨矿水平检测报告[J].中国矫形外科杂志,2004,12(11):858-860.
[10]季华,李强,翟祥娟,等.雌激素在骨质疏松症中的生理作用及临床应用[J].中国妇幼保健,2012,27(21):3357-3359.
[11]唐志荣,尹东,黄东,等.老年性骨质疏松患者股骨近端骨质量的改变[J].中国临床康复,2005,9(3):200-201.
[12]GIANGREGORIO L, MC CARTNEY N.Bone loss and muscle atrophy in spinal cord injury: epidemiology, fracture prediction, and rehabilitation strategies[J].J Spinal Cord Med,2006,29(5):48-49.
[13]李辉,刘唯,黄碧,等.长沙市社区女性骨骼健康现状及相关因素的调查[J].实用预防医学,2010,17(2):209-212.
[14]黄喜顺,黄晶,谭相斌,等.中老年人骨质疏松症危险因素的Meta分析[J].中华保健医学杂志,2015,17(3):230-231.
[15]宋丽俊,郭璇,常冰岩,等.新疆维吾尔族女性不同BMI与血糖、血脂及腰椎骨质疏松发生率的相关性研究[J].中国骨质疏松杂志,2013,19(4):403-406.
[16]薛延,李东,王芊,等.北京地区汉族妇女雌激素受体基因XbaI多态性与骨密度和体重指数的关系[J].遗传,2003,25(2):137-140.
[17]黄际远,宋文忠,陈明曦.年龄、身高、体重、体重指数、体表面积对成都地区中老年人腰椎骨密度的影响[J].中国老年学杂志,2007, 27(8):768-770.
[18]PRENTICE A,SCHOENMAKERS I,LASKEY M A,et al.Nutrition and bone growth and development[J].Prec Nutr Soc,2006,65(4):348-360.
[19]汶麦霞,王艳丽,李津.中老年骨质疏松症患病状况及危险因素分析[J].西部医学,2012,24(8):1522-1524. |
|
|
|
