长春市中老年人骨质疏松症的患病现状及影响因素分析  

Prevalence and Influential Factors of Osteoporosis in the Middle-aged and Old People in Changchun City

作　　者：李春花[1] 柴瑞宇 王英双 李可心 姚燕[2] 张英[1] 杨事欣[1] 吕然然 Li Chunhua;Chai Ruiyu;Wang Yingshuang;Li Kexin;Yao Yan;Zhang Ying;Yang Shixin;Lv Ranran(Department of Endocrinology,the People's Hospital of Jilin Province,Changchun 130021,China;Department of Epidemiology and Health Statistics,School of Public Health,Jilin University,Changchun 130021,China)

机构地区：[1]吉林省人民医院内分泌代谢病科,长春130021 [2]吉林大学公共卫生学院流行病学与卫生统计学教研室,长春130021

出　　处：《国际老年医学杂志》2020年第3期172-175,共4页International Journal of Geriatrics

基　　金：吉林省卫生与健康事宜技术推广项目(2018S010)。

摘　　要：目的了解长春市明珠社区和延安社区中老年人骨质疏松症的患病现状,分析引起该疾病的危险因素,为今后骨质疏松症防治工作提供依据。方法选取长春市明珠社区和延安社区45岁以上常住居民325例为研究对象,采用问卷调查结合实验室检查方法获取个体的相关信息,按年龄分为45~59岁组、60~74岁组、≥75岁组。结果在调查的325例中老年人中,骨质疏松症的患病率为20.00%,其中男性患病率为14.94%,女性患病率为21.85%,骨质疏松症高风险人群为9.85%。年龄、连续服用类固醇激素≥3个月以及乳制品和钙片摄入不足,组间差异均有统计学意义(P<0.05)。多因素logistic回归分析显示:年龄、乳制品和钙片摄入不足以及连续服用类固醇激素≥3个月是骨质疏松症的危险因素。结论长春市明珠社区和延安社区中老年人骨质疏松症与多种因素有关,乳制品和钙片摄入不足以及连续服用类固醇激素≥3个月是可控因素。Objective To study the prevalence and risk factors of osteoporosis in Changchun city so as to provide basis for the prevention and treatment of osteoporosis in the future.Methods 325 persons above the age of 45 years living in Mingzhu and Yan'an communities of Changchun city were selected.Questionnaire survey and laboratory examination were used to obtain the information of individuals.The persons were divided into group with 45-59 years old,group with 60-74 years old,and group with≥75 years old.Results The prevalence of osteoporosis was 20.00%in the 325 persons,of which the prevalence of male is 14.94%,female is 21.85%,and the proportion of high-risk population of osteoporosis is 9.85%.There were significant differences in age,continuous steroid administration≥3 months,and inadequate intake of milk products and calcium tablets among the groups(P<0.05).Multivariate logistic regression analysis showed that the age,inadequate intake of milk products and calcium tablets,and continuous administration of steroids≥3 months were the risk factors for osteoporosis.Conclusion The osteoporosis of middle-aged and old people in Mingzhu and Yan'an communities of Changchun city might be related to many factors.The insufficient intake of milk products and calcium tablets,and the continuous administration of steroid hormone≥3 months are controllable factors.

关 键 词：骨质疏松症 危险因素 中老年人 

分 类 号：R580[医药卫生—内分泌]