摘要
目的 分析岷县地区中老年人群骨质疏松症(osteporsis, OP)患病率及其影响因素。方法 选取2018年8月—2022年12月期间在岷县中医院体检中心、门诊及住院部就诊且自愿接受或已接受骨密度(Bone mineral density, BMD)检测的1 077名中老年人为调查对象,依据是否发生OP分为发生OP组(n=305)及未发生OP组(n=772)。分析影响OP发生的单因素,并对存在统计学意义的单因素建立Logistic回归模型,行多因素分析。结果 两组年龄、性别、受教育程度、体质指数(body mass index, BMI)、高血压、家族骨折史、经常锻炼、规律补钙、绝经年限比较,差异有统计学意义(P<0.05)。Logistic回归分析显示,年龄(OR=2.299)、BMI(OR=2.337)、高血压(OR=3.559)、家族骨折史(OR=3.931)是影响OP发生的危险因素(OR≥1,P<0.05);经常锻炼(OR=0.103)、规律补钙(OR=0.062)是OP的保护因素(OR<1,P<0.05)。结论 岷县地区中老年人群OP影响因素分析可知女性发生OP概率更高,且患者受到年龄、BMI、受教育程度、家族骨折史、绝经年限、高血压等危险因素影响,大大增加OP发生风险,而经常锻炼、规律补钙则是降低OP发生率的重要因素。
Objective To analyze the prevalence of osteporsis(OP)and its influencing factors in the elderly popula-tion in Minxian County.Methods A total of 1077 middle-aged and elderly people who voluntarily received or had re-ceived bone mineral density(BMD)testing in the physical examination center,outpatient department and inpatient de-partment of Minxian County Hospital of Traditional Chinese Medicine from August 2018 to December 2022 were se-lected as the investigation subjects.According to whether OP occurred or not,the patients were divided into OP group(n=305)and no OP group(n=772).The single factors affecting the occurrence of OP were analyzed,and Logistic re-gression models were established for the single factors with statistical significance,and multi-factor analysis was per-formed.Results There were significant differences in age,sex,education level,body mass index(BMI),hypertension,family history of fracture,regular exercise,regular calcium supplementation and menopause years between the two groups,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that age(OR=2.299),BMI(OR=2.337),hypertension(OR=3.559)and family history of fracture(OR=3.931)were risk factors for OP(OR≥1,P<0.05).Regular exercise(OR=0.103)and regular calcium supplementation(OR=0.062)were protective fac-tors for OP(OR<1,P<0.05).Conclusion The analysis of influencing factors of OP among middle-aged and elderly people in Minxian County showed that women had a higher incidence of OP,and patients were affected by risk factors such as age,BMI,education level,family history of fracture,menopause years,and hypertension,which greatly in-creased the risk of OP,while regular exercise and regular calcium supplementation were important factors to reduce the incidence of OP.
作者
路超
马立峰
邱海峰
苏卫军
陈正卫
李永红
王栋
安蓬田
何小宁
董万涛
LU Chao;MA Lifeng;QIU Haifeng;SU Weijun;CHEN Zhengwei;LI Yonghong;WANG Dong;AN Pengtian;HE Xiaon-ing;DONG Wantao(Department of Traditional Chinese Medicine Orthopedics and Traumatology,Dingxi Minxian County Hospital of Tradi-)
出处
《系统医学》
2023年第22期17-19,23,共4页
Systems Medicine
基金
2022年度定西第一批市级科技计划安排(B类)(DX2022BR13)。
关键词
岷县
骨质疏松
影响因素
骨密度
Minxian County
Osteporsis
Influencing factors
Bone mineral density
