社区健康体检人群生活行为方式与骨密度相关性研究  

The associations between healthy lifestyle behaviors and BMD in healthy community-dwelling adults underwent scheduled physical examination

作　　者：钱敏[1] 赵安丽[1] 成玉霞[1] 安运锋 向桢[1] 

机构地区：[1]解放军第181医院健康管理中心,广西桂林541002

出　　处：《中国骨质疏松杂志》2016年第8期977-979,共3页Chinese Journal of Osteoporosis

基　　金：广西桂林市科技计划课题(20150126-2-3);全军保健专项课题(12BJZ14)

摘　　要：目的研究不同性别和年龄的健康体检人群生活行为方式与群骨密度（bone mineral density,BMD）变化规律的相关性。方法采用Sahara临床超声骨密度仪对桂林市秀峰区2015年1月-2015年10月4185名社区健康体检人群跟骨进行BMD测定,结合生活行为方式调查问卷结果对相关数据进行统计分析。结果检测结果显示BMD正常者占66%,BMD异常者占34%;其中骨质疏松症（osteoporosis,OP）占2.29%,女性BMD正常率低于男性,OP发病率女性为2.72%,男性为1.91%;男性和女性BMD减少均多见于40岁以上中老年人群。生活行为方式调查结果显示不良的生活方式人群中BMD异常人群占68%,Logitics相关分析OR值为4.85（95%置信区间为3.14-6.83）,结果具有统计学意义（P〈0.005）。结论健康人群不良的生活习惯是引起BMD异常导致OP发生的关键危险因素。因此,通过科学合理的的生活方式合并坚持良好的生活行为习惯,是预防OP发生的最佳措施。Objective To investigate the correlations between healthy lifestyle behaviors and BMD in healthy community-dwelling men and women of different ages groups underwent scheduled physical examination. Methods Using Sahara clinical ultrasound bone densitometer,BMD was measured in 4185 in healthy community-dwelling adults who attended scheduled physical examination in 2013. Lifestyle behaviors information was obtained using a questionnaire. Results In the survey population,66% had normal BMD and 34% had abnormal BMD; with 2. 29% had osteoporosis（ OP）. The percentage of women with normal BMD was lower than that of men,of statistical significance（ P〈0. 05）; osteoporosis（ OP） incidence in women was 2. 72%,and in men was1. 91%,of statistical significance（ P〈0. 05）; BMD reduction in women and men was more common in those aged 40 years and over. Lifestyle behaviors associated with BMD,where among those with unhealthy lifestyle 68% had abnormal BMD（ OR 4. 8595% CI 3. 14- 6. 83 in logistic regression analysis,P〈0. 005）. Conclusion The percentage with abnormal BMD in our study population was high,and poor lifestyle is a risk factor for osteoporosis. A healthy lifestyle is the best way to prevent OP. Therefore,we must promote and adhere to healthy habits.

关 键 词：健康体检 骨密度 骨质疏松症 生活方式 

分 类 号：R681.1[医药卫生—骨科学]