| 张娅惠,薛秋艳,谷 洁,李晓悦,马 瑞.北京海淀部分人群骨质疏松流行病学及相关危险因素研究[J].,2020,(13):2545-2550 |
| 北京海淀部分人群骨质疏松流行病学及相关危险因素研究 |
| Prevalence and Related Risk Factors of Osteoporosis in Partial Population of Beijing |
| 投稿时间：2020-02-19 修订日期：2020-03-13 |
| DOI：10.13241/j.cnki.pmb.2020.13.031 |
| 中文关键词: 骨质疏松 流行病学 危险因素 体检 |
| 英文关键词: Osteoporosis Prevalence Risk factors Health examination |
| 基金项目:国家自然科学基金青年基金项目(30901795) |
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| 中文摘要: |
| 摘要 目的：探讨当前北京市海淀区部分人群骨质疏松相关危险因素。方法：选择我院2018年1月至6月的346例体检人群，采用双能X线吸收仪进行髋部骨密度检查，统计受检者身高、体重和体重指数，并通过自制问卷调查获取既往基础病史、药物使用史及日常生活习惯等相关信息。统计骨质疏松患病率，并筛查其相关危险因素。结果：当前人群的总体骨质疏松患病率为26.8%，女性达35.3%；骨量异常人群占69.5%。对于全部人群，高龄、饮用咖啡和碳酸饮料是骨质疏松危险因素(OR 1.098, 95%CI 1.072-1.125; OR 3.576, 95%CI 1.302-9.826; OR 5.407, 95%CI 1.317-22.202)。对于男性，年龄、激素使用和饮用咖啡是骨质疏松危险因素(OR 1.103, 95%CI 1.065-1.142; OR 127.924, 95%CI 10.045->999.999; OR 11.863, 95%CI 2.969-47.400)。对于女性，年龄是骨质疏松的危险因素(OR 1.088, 95%CI 1.059-1.117)。结论：当前北京市海淀区部分中老年人群具有较高的骨质疏松患病率，高龄和不良生活习惯是骨质疏松的相关危险因素，高体重是骨质疏松的保护因素。超过60岁的中老年人，特别是高危人群，应及早进行骨密度筛查、健康宣教、抗骨质疏松综合性治疗。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the prevalence and related risk factors of osteoporosis in Partial Population of Beijing. Methods: 346 people who came to our hospital for health examination in Haidian district, Beijing from January to June 2018 were slected. Bone mineral density (BMD) of the hip was measured using dual energy X-ray absorptiometry. The height, weight and the body mass index (BMI) was collected. A survey of previous history, including previous disease, drug use and lifestyle habits was conducted. The occurrence of osteoporosis and its related risk factors between different bone masses and genders was analyzed. Results: The prevalence of osteoporosis is 26.8% for all 346 people, and 35.3% for female. BMD abnormal accounts for 69.5% in all population. For all population, advanced age, coffee consumption and carbonated drinks are risk factors of osteoporosis (OR 1.098, 95%CI 1.072-1.125; OR 3.576, 95%CI 1.302-9.826; OR 5.407, 95%CI 1.317-22.202). For male, advanced age, use of hormone and coffee consumption are risk factors of osteoporosis (OR 1.103，95%CI 1.065-1.142; OR 127.924, 95%CI 10.045->999.999; OR 11.863, 95%CI 2.969-47.400). For female, advanced age is risk factor of osteoporosis (OR 1.088, 95%CI 1.059-1.117). Conclusion: The middle-aged and elderly population in Haidian District of Beijing has a high prevalence of osteoporosis. Advanced age, low body weight and poor living habits are risk factors related to osteoporosis, and higher body weight is protective factor of osteoporosis, thus early screening and intervention are advised for these population. |
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