文章摘要
1 000例社区骨质疏松高危人群患病的危险因素分析
Analysis of risk factors of 1000 high risk population of osteoporosis in community
投稿时间:2021-02-18  
DOI:10.3969/j.issn.1000-0399.2021.08.029
中文关键词: 社区,骨质疏松症  高危人群  危险因素
英文关键词: Community, Osteoporosis  High risk population  Risk factors
基金项目:河南省中医药科学研究重大专项课题(项目编号:2018ZYZD03),郑州市科技惠民计划项目(项目编号:2019KJHM0012),河南省中医药科学研究专项(项目编号:2018ZY2023)
作者单位E-mail
王传珍 475000 河南郑州 河南省洛阳正骨医院(河南省骨科医院)科教科  
滕军燕 475000 河南郑州 河南省洛阳正骨医院(河南省骨科医院)健康管理中心  
赵振江 475000 河南郑州 河南省洛阳正骨医院(河南省骨科医院)放射科  
苏晓川 475000 河南郑州 河南省洛阳正骨医院(河南省骨科医院)健康管理中心  
吴丹 475000 河南郑州 河南省洛阳正骨医院(河南省骨科医院)骨质疏松科  
郭智萍 450000 河南郑州 河南省慢病健康管理重点实验室 gzpsohu@126.com 
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中文摘要:
      目的 探讨郑州市商都路社区中老年骨质疏松高危人群患病的危险因素。方法 选取2019年5月至2020年11月在河南省洛阳正骨医院郑州院区健康管理中心体检的郑州市商都路社区常住中老年居民1 000例为研究对象,采取问卷调查及现场测量方式分别获得研究人群年龄、性别、身高、体质量以及饮食、运动、疾病史等资料。使用双能骨密度仪进行骨密度测定,采用单因素、多因素logistic回归分析骨质疏松高危人群患病的危险因素。结果 1 000例居民中,有160例患骨质疏松,骨质疏松发生率为16.00%,其中男性为10.78%,女性为20.52%。多因素logistic回归分析显示,年龄(OR=1.401,95% CI:1.091~1.455)、性别(OR=1.396,95% CI:1.024~1.468)、身体质量指数(BMI)(OR=1.382,95% CI:1.011~1.485)、糖尿病(OR=1.408,95% CI:1.024~1.458)、高血压(OR=1.025,95% CI:1.011~1.474)、跌倒(OR=1.352,95% CI:1.025~1.385)、饮酒(OR=1.411,95% CI:1.063~1.438)、吸烟(OR=1.385,95% CI:1.285~1.402)均为骨质疏松高危人群的患病危险因素。结论 高龄、女性、低BMI、糖尿病、高血压、饮酒、吸烟、跌倒史等是骨质疏松高危人群患病的危险因素。
英文摘要:
      Objective To analyze the risk factors of osteoporosis among middle-aged and elderly people in Shangdu Road community of Zhengzhou city. Methods From May 2019 to November 2020, a total of 1000 middle-aged and elderly residents in Shangdu Road community of Zhengzhou city who were examined in the Health Management Center of Zhengzhou Branch of Luoyang Orthopedic Hospital of Henan Province were selected as the research objects. The data of age, gender, height, body mass, diet, exercise and disease history were obtained by questionnaire survey and field measurement. Bone mineral density was measured by dual energy bone densitometer, and the risk factors of osteoporosis were analyzed by univariate and multivariate logistic regression. Results Among 1000 residents, 160 cases were diagnosed with osteoporosis. The incidence of osteoporosis was 16.00%, of which 10.78% was male and 20.52% was female. Multivariate logistic regressionanalysis showed that age(OR=1.401,95%CI:1.091~1.455),gender(OR=1.396,95%CI:1.024~1.468),BMI(OR=1.382,95%CI:1.011~1.485),diabetes (OR=1.408,95%CI:1.024~1.458),hypertension(OR=1.025,95%CI:1.011~1.474),falling(OR=1.352,95%CI:1.025~1.385),drinking(OR=1.411,95%CI:1.063~1.438),smoking(OR=1.385,95%CI:1.285~1.402) werehighly correlated with the prevalence of osteoporosis in high-risk groups.Conclusions Oldage, female, low body mass index,diabetes, hypertension, drinking, smoking and fall history are the risk factors of osteoporosis in high-risk population.
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