云南壮族中老年人群骨质疏松症患病率及影响因素的调查研究  

Prevalence and Correlation Factors of Osteoporosis in Middle-aged and Elderly People of Zhuang Nationality in Yunnan Based on A Survey

作　　者：罗文东[1] 赵刚[1] 舒钧[1] 劳汉昌[1] 林丰[1] 郭立民[1] 何绍烜[1] 袁勇[1] 

机构地区：[1]昆明医科大学第二附属医院创伤外科 云南省骨质疏松研究中心,云南省昆明市650101

出　　处：《中国全科医学》2017年第8期912-917,共6页Chinese General Practice

基　　金：云南省社会发展科技计划应用项目(2010CA008)

摘　　要：目的探讨云南文山地区壮族中老年人群骨质疏松症现状,分析影响骨质疏松症的危险因素。方法2013年10月,采用分层整群抽样方法,选取云南省文山州广南县坝美镇经济条件好、中、差的3个壮族聚集村年龄≥40岁壮族人群为研究对象。根据自行设计的《文山州壮族中老年人骨质疏松症危险因素调查表》进行问卷调查,内容包括一般情况、生活饮食习惯、运动情况、既往疾病治疗史,以及女性孕产史等。采用亚洲人骨质疏松症自我筛查工具(OSTA)评价骨质疏松症的发生风险,记录OSTA指数。采用双能X线骨密度仪测定受试者腰椎骨密度,记录最小T值。结果本研究共纳入124例受试者,骨质疏松症患病率为8.1%(10/124),其中男性骨质疏松症患病率为6.0%(3/50),女性骨质疏松症患病率为9.4%(7/74)。不同年龄男性受试者骨质疏松症患病率比较,差异有统计学意义(P<0.05);不同年龄女性受试者骨质疏松症患病率比较,差异无统计学意义(P>0.05)。各年龄段男性与女性受试者骨质疏松症患病率比较,差异均无统计学意义(P>0.05)。不同年龄男性、女性受试者T值比较,差异均有统计学意义(P<0.05);其中,60~69、70~79岁男性、女性受试者T值均低于40~49、50~59岁,70~79岁男性T值低于60~69岁(P<0.05)。40~49、50~59、60~69岁女性T值低于男性(P<0.05)。骨质疏松症人群OSTA指数为(-2.3±4.0),骨量正常或骨量减少人群OSTA指数为(0.7±3.4)。多元线性回归分析显示,臀围增加、高OSTA指数是男性受试者骨密度的保护因素,喝茶、主要交通方式为坐车是男性受试者骨密度的危险因素(P<0.05);高体质指数、绝经年龄延迟是女性受试者骨密度的保护因素,高龄、激素服用史、多孕次是女性受试者骨密度的危险因素(P<0.05)。结论云南壮族中老年人群骨质疏松症患病率尚处于较低水平,喝茶、主要交通方式为坐车是男性人群骨密度降低的�Objective To investigate the prevalence and correlation factors of osteoporosis in middle-aged and elderly people of Zhuang nationality in Wenshan Prefecture, Yunnan Province. Methods This survey was conducted in October2013. Cluster sampling and stratified sampling were used to select the subjects of this study,the Zhuang population aged ≥40years old from 3 Zhuang villages（ a well-developed, a moderate-developed, and a poor-developed） in Bamei Town,Guangnan County,Wenshan Prefecture,Yunnan Province. A self-developed Questionnaire of Risk Factors for Osteoporosis in Middle-aged and Elderly People of Zhuang Nationality in Wenshan Prefecture was adopted in the survey,which encompasses demographic data,lifestyle and eating habits,status of exercise,treatment of previous medical illness,female pregnancy and childbearing histories. Osteoporosis Self-assessment Tool for Asians（ OSTA） was applied to assess the risk for osteoporosis,and the OSTA index was recorded. Dual-energy X-ray absorptiometry（ DXA） was employed to measure the lumbar bone mineral density（ BMD）,and the minimum T value was noted down. Results A total of 124 subjects（ 50 males and 74 females） were enrolled in the study. The prevalence of osteoporosis in all the subjects,in male subjects and female subjects was 8.1%（ 10/124）,6.0%（ 3/50）,9.4%（ 7/74）, respectively. There were significant differences in the prevalence of osteoporosis between males of different age groups（ P〈0.05）. The prevalence of osteoporosis did not differ significantly between females of different age groups（ P〉0.05）. There were no difference in the prevalence of osteoporosis between males and females of each age cluster（ P〈0.05）. There were significant differences in T value among each cluster of male and female（ P〈0.05）,and T value of 60-69 and 70-79 years old was lower than in 40-49 and 50-59 years old of male and female,and T value of 70-79 years old was lower than 60-69 years old of male（ P〈0.05）. T values of female we

关 键 词：骨质疏松 壮族 患病率 危险因素 横断面研究 

分 类 号：R681[医药卫生—骨科学]