陆家嘴社区老年人骨质疏松状况及影响因素分析  

An analysis on current situation and influencing factors of osteoporosis among elderly residents in Lujiazui Community

作　　者：杨燕[1] 杨琛[2] 奚冬梅[1] 徐宵 毛军[1] 

机构地区：[1]上海市浦东新区陆家嘴社区卫生服务中心防保科,上海200120 [2]上海市浦东新区疾病预防控制中心

出　　处：《预防医学》2017年第11期1104-1108,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：上海市浦东新区优秀社区适宜人才项目(PWRs2014-18)

摘　　要：目的了解上海市陆家嘴社区老年人骨质疏松症患病及影响因素,为老年人骨质疏松症防治提供参考。方法采用随机整群抽样法,从上海市陆家嘴社区抽取1 956名≥65岁老年人进行生活方式问卷调查及身高、体重、腰围、臀围和骨密度等测量,采用Logistic回归模型分析老年人骨质疏松症患病的影响因素。结果实际调查1 576人,检出骨质疏松症558例,患病率为35.41%;女性患病率为46.89%,高于男性的16.47%(P<0.01)。体质指数(BMI)≥18.5 kg/m^2(OR=0.05~0.22)、锻炼(OR=0.12~0.43)和非素食为主(OR=0.34~0.38)是老年男性骨质疏松症患病的保护因素;中心性肥胖(OR=5.19,95%CI:2.60~1.38)和饮酒(OR经常=4.19、OR每天=2.86)是危险因素。BMI≥18.5 kg/m^2(OR=0.33~0.37)、锻炼(OR=0.34~0.57)和非素食为主(OR=0.25~0.59)是老年女性骨质疏松症患病的保护因素;糖尿病史(OR=1.45,95%CI:1.09~1.92)和高血压史(OR=1.39,95%CI:1.07~1.82)是危险因素。结论上海市陆家嘴社区老年人骨质疏松症患病率为35.41%,且女性高于男性;老年人控制体重、加强锻炼和非素食为主可降低骨质疏松症发生的风险。Objective To explore the prevalence and the influencing factors of osteoporosis among elderly residents in Lujiazui Community and to provide the reference for the prevention of osteoporosis.Methods The cluster sampling was used to select 1 956 community residents aged 65 and above for investigation, which was performed with the questionnaire,physical examination and bone mineral density detection. Logistic regression analysis was applied to analyze the influencing factors of osteoporosis. Results The prevalence rate of osteoporosis of 1 576 respondents was 35.41%.The prevalence rate in females（46.89%） was higher than males（16.47%）（P〈0.01）,Logistic regression analysis showed that weight（OR=0.05-0.22）,central obesity（OR=5.19,95%CI：2.60-1.38）,exercise（OR=0.12-0.43）,diet（OR=0.34-0.38）,drink（ORusual=4.19、ORdaily=2.86） were the main influencing factors in males.Weight（OR=0.33-0.37）,exercise（OR=0.34-0.57）,diet（OR=0.25-0.59）,diabetes history（OR=1.45,95%CI：1.09-1.92）,hypertension history（OR=1.39,95%CI：1.07-1.82） were the main influencing factors in females. Conclusion The prevalence rate of osteoporosis of residents aged 65 and above in Lujiazui Community was 35.41%,with higher rate in females. Weight control,more exercise and non-vegitarian diets could lower the risk of osteoporosis.

关 键 词：社区 老年人 骨质疏松 影响因素 

分 类 号：R580[医药卫生—内分泌]