摘要
目的探讨丹阳市社区老年人群饮食结构与骨质疏松的关系。方法基于丹阳市骨质疏松社区综合防控示范区建设,采用现场问卷调查被调查者基本资料及膳食摄入情况。采用双能X线吸收检测法检测髋部骨密度,分为骨质正常组、骨量减少组、骨质疏松组,比较膳食摄入情况;采用非条件logistic回归估算每种膳食每周摄入总量与骨质疏松关系。结果共纳入调查对象3 644人,骨质疏松症检出率3.9%(143例,骨质疏松组)、骨量减少症检出率41.1%(1 498例,骨量减少组)。不同性别、年龄、体重、BMI、职业、文化程度人群检出率差异均有统计学意义(P值均<0.01)。非条件logistic回归分析发现,每周总摄入量每增加50 g:畜禽肉类与鱼类骨质疏松发生风险降低3%(OR=0.97,95%CI:0.95~0.99,P=0.04),鱼类降低5%(OR=0.95,95%CI:0.90~0.99,P=0.03),新鲜水果降低10%(OR=0.90,95%CI:0.85~0.95,P<0.01),豆类制品降低6%(OR=0.94,95%CI:0.88~0.98,P=0.02);每周总摄入量每增加50 g:畜禽肉类(OR=0.98,95%CI:0.96~0.99)、鱼类(OR=0.98,95%CI:0.97~0.99)、新鲜水果(OR=0.98,95%CI:0.97~0.99)、坚果(OR=0.98,95%CI:0.97~0.99)骨质减少发生风险降低2%(P值均<0.05),畜禽肉类与鱼类降低1%(OR=0.99,95%CI:0.96~0.99,P<0.01),奶制品降低0.2%(OR=0.998,95%CI:0.997~0.999,P<0.01)。结论老年群体中,保证每周适量畜禽肉类与鱼肉、新鲜水果、豆类制品摄入量,可能对骨质疏松有预防保护作用。
Objective To explore the relationship between dietary structure and osteoporosis of the community elderly population in Danyang county. Methods Based on the construction of osteoporosis community comprehensive prevention and control demonstration area in Danyang county, the basic information and dietary intake of the subjects were investigated by field questionnaire survey.The subjects were divided into normal group, reduction group and osteoporosis group based on the bone mineral density of hip detected by DXA.The dietary intake data were compared among groups, the non-conditional logistic regression analysis was used to estimate the relationship between total weekly intake of each diet and osteoporosis. Results A total of 3 644 subjects were investigated, the osteoporosis detection rate was 3.9%(143 subjects assigned to osteoporosis group),the detection rate of osteopenia was 41.1%(1 498 subjects assigned to osteopenia group).There were significant differences in the detection rates among groups of subjects with different gender, age, weight, BMI,occupation or education level(all P<0.01).Non-conditional logistic regression analysis showed that the risk of osteoporosis reduced by 3%(OR=0.97,95% CI:0.95-0.99,P=0.04) for every 50 g increase in total weekly intake of livestock, poultry and fish;the risk of osteoporosis reduced by 5% for risk of osteoporosis reduced by every 50 g increase of fish(OR=0.95,95% CI:0.90-0.99,P=0.03) or by 10% for every 50 g increase in fresh fruit(OR=0.90,95% CI:0.85-0.95,P < 0.01) or 6% for every 50 g increase of bean products(OR=0.94,95% CI:0.88-0.98,P=0.02).The risk of osteopenia decreased by 2% when the total intake of livestock and poultry meat(OR= 0.98,95% CI:0.96-0.99),fish(OR=0.98,95% CI:0.97-0.99),fresh fruit(OR=0.98,95% CI:0.97-0.99) or nuts(OR=0.98,95% CI:0.97-0.99) increased by 50 g per week(all P<0.05).The risk of osteopenia decreased by 1% and 0.2% for every 50 g increase of livestock or poultry meat or fish(OR=0.99,95%CI:0.96-0.99,P<0.01) or dairy products(OR=0.998,95%CI:
作者
应洪琰
周金意
王金娣
YING Hong-yan;ZHOU Jin-yi;WANG Jin-di(Danyang Municipal Center for Disease Control and Prevention,Jiangsu Zhenjiang 212300,China;不详)
出处
《江苏预防医学》
CAS
2021年第4期416-419,共4页
Jiangsu Journal of Preventive Medicine
关键词
骨质疏松
老年人群
膳食摄入量
社区
Osteoporosis
Elderly population
Dietary nutrition intake
Community
