上海市两区618例老年人骨密度及相关因素  

Bone mineral density and its correlative factors investigated in 618 cases of elderly in two districts of Shanghai

作　　者：乐嘉宜 郁东明 孔春晖 陈敏[2] 李佳[2] 汪有斌 丁国兴 

机构地区：[1]上海市黄浦区瑞金二路社区卫生服务中心,上海200020 [2]上海市黄浦区老西门社区卫生服务中心,上海200010 [3]上海市虹口区欧阳社区卫生服务中心,上海200011

出　　处：《上海预防医学》2014年第10期530-532,共3页Shanghai Journal of Preventive Medicine

基　　金：上海市卫生局科研基金项目(2011272号)

摘　　要：[目的]研究影响上海市两区(地处中心城区)老年人骨密度的相关因素。[方法]采用经培训专职人员一对一方式对户籍为上海市两区的618名60岁及以上老年人进行问卷调查,应用骨密度仪对受试者足踝部进行骨密度(BMD)测定。对测得结果进行多元逐步回归分析。[结果]老年人年龄、性别、饮碳酸饮料、户外运动、服用钙片、既往骨折史与骨密度高低具有相关性(P<0.05)。老年女性经常饮用碳酸饮料,骨密度下降明显(P<0.05);老年男性经常饮酒,骨密度下降明显(P<0.05)。[结论]该两区老年人具有较明显的地域生活习性,在注重年龄、性别、既往有骨折史等骨质疏松危险因素预防的同时,应鼓励老年人多进行户外运动、定期服用钙片等。老年女性应避免或少饮用碳酸饮料,老年男性应不饮酒或少饮酒。[Objective] To investigate the correlative factors that influence the bone mineral density（ BMD） among 618 senior citizens over 60 years old in two districts located in the central area of Shanghai.[Methods] A questionnaire was conducted face to face between the professionals and the senior citizens over 60 years old in two districts of Shanghai. The ultrasound bone densitometer was used to measure bone mineral density（ BMD） at the ankle and foot of the subjects. The data were analyzed by multiple stepwise regression. [Results] BMD of the elderly was found to be significantly associated with age,sex,drinking carbonated beverages,outdoor exercise,taking calcium tablets and history of fracture among the subjects（ P〈0. 05）. In addition,decrease of BMD was significantly associated with drinking carbonated beverages among the elderly women（ P〈0. 05） and drinking alcohol among the elderly men（ P〈0. 05）.[Conclusion] The senior citizens in two districts of Shanghai have distinctive regional life styles,therefore,we should not only pay attention to the risk factors of osteoporosis for general elderly such as age,sex,history of fracture,but also encourage senior citizens to take more outdoor exercises and calcium supplements regularly,etc. Particularly,we should advise elderly women to drink less carbonated beverages and elderly men to drink less alcohol.

关 键 词：老年人 骨密度 骨质疏松症 相关因素 

分 类 号：R580[医药卫生—内分泌]