摘要
目的研究中老年人骨质疏松高危人群的患病现状及其相关影响因素,为预防骨质疏松症的发生提供理论依据。方法将行骨密度检查的850例体检人员作为调查对象,根据骨密度值将调查对象分骨量减少组296例和骨量正常组554例,采用双能X线骨密度仪测定调查对象的正位脊柱L1-L4骨密度值,应用自行设计的骨量减少调查问卷收集调查对象的一般资料、生活习惯、既往病史、家族史、日光照射时间、运动时间及睡眠情况等。通过描述性分析、单因素及多因素Logistic回归分析调查对象的骨量减少患病现状及其相关影响因素。结果骨质疏松高危人群中骨量减少患病率为34.8%,其中男性患病率为31.6%,女性为38.9%,,各年龄段以55~65岁患病率最高,占骨量减少总人数的40%。体重指数与骨量减少患病率呈负相关,体重指数越小,骨量减少患病率越高,体重指数偏低者患病率高达80%。单因素分析显示,年龄、体重指数、家族史、喝牛奶、久坐、运动、日光照射、睡眠时间与骨量减少有关,P<0.05;多因素Logistic回归分析显示,体重指数、家族史、喝牛奶、运动、睡眠时间与骨量减少密切相关(P<0.05)。结论中老年人骨量减少患病率高,且女性明显高于男性。家族史是骨量减少的独立危险因素,喝牛奶、体重指数大、多参与运动和充足睡眠可有效降低骨量减少的发生。
Objective To study the disease statusand related influencing factors of middle-aged and elderly people at high risk of osteoporosis,and to provideatheoretical basis for preventing the occurrence of osteoporosis.Methods Taking 850 physical examiners who underwent bone density as the survey subjects,296 cases in the osteopenia group and 554 cases in the normal group were divided according to the bone density values,and the bone density values of the positive spine L1-L4 of the survey subjects were measured by dual-energy X-ray bone densitometry,and the general information,living habits,past medical history,family history,sun exposure time,exercise time and sleep of the respondents were collected by using the self-designed osteopenia questionnaire.Descriptive analysis,univariate and multivariate logistic regression were used to analyze the current status of osteopenia and its related influencing factors.Results The prevalence of osteopenia in the high-risk group of osteoporosis was 34.8%,of which the prevalence was 31.6%in men and 38.9%in women,and the highest prevalence was in all age groups aged 55-65 years,accounting for 40%of the total number of osteopenia.BMI is inversely correlated with the prevalence of osteopenia,with a higher prevalence of osteopenia in smaller BMI and up to 80%in patients with a low BMI.Univariate analysis showed that age,body mass index,family history,milk drinking,sedentary time,sun exposure,exercise and sleep duration were associated with osteopenia,and the differences were statistically significant(P<0.05).Multivariate logistic regression analysis showed that body mass index,family history,milk consumption,exercise,and sleep duration were strongly associated with osteopenia(P<0.05).Conclusion The prevalence of osteopenia in middle-aged and elderly people is high,and women are significantly higher than men.Family history is an independent risk factor for osteopenia,and drinking milk,bigger BMI,more exercise,and adequate sleep are effective in reducing the occurrence of osteopenia.
作者
于尊芳
郭成珑
张艳敏
袁海滨
李天月
YU Zunfang;GUO Chenglong;ZHANG Yanmin;YUAN Haibin;LI Tianyue(Affiliated Hospital of Binzhou Medical University,Binzhou 256603,Shandong P.R.China)
出处
《滨州医学院学报》
2023年第5期352-356,共5页
Journal of Binzhou Medical University
关键词
骨质疏松
骨密度
骨量减少
高危人群
osteoporosis
bone density
osteopenia
high-risk population
