舟山海岛老年人患骨质疏松症影响因素的研究  

Influential Factors of Osteoporosis in Aged People in Zhoushan Archipelago

作　　者：孙伟方[1] 裴继强[1] 刘波[1] 王路[1] 

机构地区：[1]舟山市人民医院骨科,浙江316004

出　　处：《中国预防医学杂志》2009年第4期263-266,共4页Chinese Preventive Medicine

基　　金：舟山市卫生局基金资助项目(课题编号04-A06)

摘　　要：目的研究舟山海岛老年人骨质疏松症的影响因素。方法对随机选择的舟山海岛地区2个社区内居住5年以上的186例海岛老年人进行骨密度检测,同时测量体质指数、血钙、血磷、尿钙、尿磷和血碱性磷酸酶(AKP)等指标,并进行问卷调查,了解研究对象的性别、年龄、每天运动时间、日照时间、慢性疾病、每天饮用牛奶、吸烟情况、饮水情况、居住环境、卧具条件、精神状况、睡眠时间等信息;对结果采用非条件Logistic多元回归进行分析。结果186例调查对象患骨质疏松症67人,其中男性患病率34.7%(26/75),女性患病率36.9%(41/111),二者差异无统计学意义(P>0.05);骨质疏松组的年龄大于对照组(P<0.01),血AKP高于对照组(P<0.05),而骨质疏松组体质指数低于对照组(P<0.05),每天运动时间大于1h的人数、每天日照时间大于2 h的人数、每日饮牛奶大于250 m l的人数均少于对照组(P<0.05,P<0.01);其他观察指标与对照组比差异无统计学意义(P>0.05)。经非条件Logisitic回归分析,高体质指数、每天运动、日照时间长、饮牛奶是海岛老年人骨质疏松症的保护因子(P<0.05)。而高年龄、血AKP增高是骨质疏松症的危险因子(P<0.05)。结论舟山海岛老年人的骨质疏松症与年龄、体质指数、运动、日照时间、饮牛奶和AKP有关。Objective To investigate the influential factors of osteoporosis in aged people in Zhoushan archipelago. Methods One hundred and eighty - six aged people who had been living on the archipelagn for more than 5 years were randomly selected from 2 communities. Bone material density as well as body mass index （BMI）, serum and urine calcium, serum and urine phosphorus and alkaline phosphatase （AKP） were measured. Questionnaire was also carried out to collect information about gender, age, hours for daily exercise and sun exposure, chronic diseases, daily consumption of milk, cigarette smoking status, water - drinking status, living environment, mental state and hours of sleep. Logistic multiple regression was used as the statistical method. Results Out of 186 surveyed cases, there were 67 osteoporosis cases, and the prevalence rate was 34. 7% （26/75） for male, and 36. 9% （41/111 ） for female. There was no significant difference in prevalence between genders （P 〉 0. 05 ）. Compared with control group, the osteoporosis group had elder average age （ P 〈 0. 01 ） , higher blood AKP level （ P 〈 0. 05）, lower BMI （P 〈 0. 05 ）, and less cases with daily exercise hours 1〉 1 h, daily sun exposure time t〉 2 h, and daily consumption of milk ≥250 ml （ P 〈 0. 05, P 〈 0. 01 ） . Logistic multiple regression revealed that high BMI, more hours for daily exercise and sun exposure, and milk consumption were protective factors （ P 〈 0. 05 ）, and advanced age, high blood AKP level were risk factors for osteoporosis in aged people （ P 〈 0. 05）. Conclusion Age, BMI, hours of daily exercise and sun exposure, milk consumption and AKP were related to osteoporosis in aged people in zhoushan archipelago.

关 键 词：骨质疏松 老年人 影响因素 

分 类 号：R580[医药卫生—内分泌]