汕头海岛社区中老年女性骨质疏松症患病现状及其相关因素调查  

Prevalence and influencing factors of osteoporosis of the middle aged and elderly females in community,Shantou island

作　　者：谭晓霞[1] 陈施晓 杨梓熔 郑周德 张庆英[2] 邓昌宇 王越[2] 杨少宜 李林芬[3] TAN Xiao - xia CHEN Shi - xiao YANG Zi - rong ZHENG Zhou - de ZHANG Qing - ying DENG Chang - yu WANG Yue YANG Shao - yu LI Lin - fen(2013 Clinical Medicine, Shantou University Medical College, Shantou, Guangdong 515041, China)

机构地区：[1]汕头大学医学院,广东汕头515041 [2]汕头大学医学院公共卫生与预防医学教研室,广东汕头515041 [3]汕头大学医学院第二附属医院药物临床试验基地,广东汕头515041

出　　处：《现代预防医学》2017年第15期2756-2759,2764,共5页Modern Preventive Medicine

基　　金：2016年广东省大学生创新创业训练计划项目(201610560116)

摘　　要：目的探究汕头海岛社区中老年女性骨质疏松症(osteoporosis,OP)状况及其相关因素,为制定该人群的健康促进计划提供科学依据。方法于2016年7月至8月通过整群抽样的方法分别在汕头市达濠区、南澳县深澳镇各随机抽取1个社区的40岁及以上常住女性居民共182名进行超声骨密度仪测定右侧跟骨骨密度,同时测量受试者身高、体重、血压、腰围、臀围,采用问卷调查收集其饮食习惯等流行病学资料。结果调查对象的OP总体患病率为47.3%。年龄、体质指数、腰臀比、初潮年龄、绝经年龄及生育胎数在不同骨量状态间有差别(P<0.05)。多因素分析表明,高龄为该人群女性OP的危险因素(OR=1.101,95%CI:1.051~1.152),高BMI和未绝经为保护因素(OR=0.880,95%CI:0.790~0.980;0.104,0.012~0.866)。结论汕头海岛社区中老年女性OP患病率较高,尤其是偏瘦、绝经后的老年女性患病风险高,应加强OP防治宣传教育,预防和延缓OP加重及骨折的发生。Objective To investigate the prevalence and influencing factors of osteoporosis （OP） of the middle aged and elderly females in the community of Shantou island and to provide a scientific basis for preventive intervention of OP. Methods A total of 182 female participants who were over 40 years old were recruited from a community in Dahao or Shenao of Shantou island by random cluster sampling from July to August in 2016. Bone mineral density of right calcaneus of residents was measured by uhrasonic bone density instrument, physical examinations such as height, weight, blood pressure, waistline and hipline were performed,epidemiologic data such as dietary＂ habit were collected by questionnaire survey. Results The overall prevalence rate of OP was 47.3%. There was a significant difference between the various state of bone mass among different age, BMI, WHR, menophania age, menopause age and number of births （ P 〈 0.05 ）. Muhifactor analysis showed that age was a risk factor （ OR = 1,101,95 % CI：I. 051 1, 152） and high BMI and premenopause were benefit factors of bone mineral density （ OR = O. 880,95% C1：0. 790 O. 980, OR = 0. 104,95% CI： 0. 012 0. 866）. Conclusion The prevalence of OP of the middle aged and elderly females in the community of Shantou island is high, especially in the elderly females with thinness and postmenopause. We should strengthen the health education to prevent and delay exacerbation of OP or the occurrence of fracture.

关 键 词：骨质疏松症 汕头 海岛 中老年女性 相关因素 流行病学 

分 类 号：R173[医药卫生—妇幼卫生保健]