北京市海淀区1639例汉族中老年男性骨密度调查分析  

Survey of bone mineral density in 1639 middle-aged men with Han nationality in Beijing Haidian district

作　　者：王亮[1] 马远征[1] 陈琼[1] 李大伟[1] 金毅[1] 涂显春[1] 马伟凤[1] 杨帆[1] 胡江伟[1] 杨国花[1] 

机构地区：[1]解放军第309医院全军骨科中心,北京100091

出　　处：《中国骨质疏松杂志》2012年第10期918-920,936,共4页Chinese Journal of Osteoporosis

摘　　要：目的调查北京市海淀区1639例汉族中老年男性骨密度,探讨本地区骨质疏松发病率及影响因素。方法选择2012年3月～6月在我院体检的1639例汉族中老年男性为研究对象,采用韩国osteosys公司生产的ExA-3000型骨密度仪,检测受试者非受力侧前臂尺桡骨中远端三分之一处骨密度,建立信息采集表,记录体检人群骨密度、身高、体重、体重指数(BMI)、吸烟、饮茶、喝牛奶、运动情况,将检测结果以每10岁为1年龄段分组,分析每组骨密度、t评分、患病率及相关影响因素。结果男性40～49岁年龄段骨质疏松发病率为12.19%;50～59岁年龄段男性骨质疏松发病率为21.54%;60～69岁年龄段骨质疏松发病率为40.72%;70～79岁年龄段骨质疏松发病率为55.56%;80岁以上年龄段骨质疏松发病率为69.73%。身高、体重、BMI和规律性运动与骨密度呈正相关(r=0.18,r=0.19,r=0.12,r=0.24,P<0.05);吸烟与骨密度呈负相关(r=-0.19,P<0.05);饮茶、喝牛奶与骨密度无明显相关性(P>0.05)。结论随着年龄的增加,每个年龄段中老年男性骨密度均呈下降趋势,骨质疏松发病率明显上升,差异具有统计学意义(χ2=343.88,P<0.05)。生活方式和骨密度有明显的相关性。因此,将骨密度检测作为中老年人体检的常规检查项目,早期发现,积极干预,倡导健康生活方式,对于防治骨质疏松具有重要意义。Objective To research the bone mineral density （BMD） of 1639 middle-aged men with Han nationality in Haidian distriet, Beijing, and to explore the incidence and influential factors of osteoporosis （OP） in this district. Methods A total of 1639 middle-aged men with Han nationality, who received health examination in our hospital from March to June 2012, were enrolled. BMD of the distal one-third of the radius and the ulna in non-dominant forearm was measured with DXA （ExA-3000, Osteosys Co. Korea）. An information collection table was established, and BMD, height, weight, body mass index （BMI） , the status of smoking, tea drinking, milk drinking, and exercise were recorded. All the subjects were divided into several groups according to a lO-year-age division. BMD, T-score, incidence and related influential factors of each group were analyzed. Results The incidence of OP in 40 - 49-year-old group, 50 -59-year-old group, 60 -69-year-old group, 70 -79-year-old group, and over-80-year-old group was 12. 19% , 21.54% , 40. 72% ,55.56% , and 69.73% , respectively. The height, weight, BMI, regular exercise were positively correlated with BMD （ r = 0.18, 0.19, 0. 12, 0. 24, respectively, P 〈 0. 05 ）. Smoking was negatively correlated with BMD （r = -0. 19, P 〈 0. 05）. Drinking of tea and milk had no obvious correlation with BMD （P 〉 0. 05）. Conclusion BMD in each group declines with the increase of age. The incidence of OP is significantly increased （X2 = 343.88, P 〈 0. 05 ）. Lifestyle is obviously correlated with BMD. Measurement of BMD should be one item of routine examination for middle-aged people. Early discovery, active intervention and advocacy of healthy lifestyle have an important meaning for the prevention and treatment of OP.

关 键 词：骨密度 骨质疏松 影响因素 相关性分析 

分 类 号：R18[医药卫生—流行病学]