贵州侗族30岁以上人群肥胖与骨质疏松关联性的性别分析  

Gender analysis on the relationship between obesity and osteoporosis in Dong people over 30 years old,Guizhou

作　　者：周美丰 洪峰 关菡 张燕 王子云 唐学杰 尹朝晖 袁薇[4] 杨敬源 ZHOU Mei-feng;HONG Feng;GUAN Han;ZHANG Yan;WANG Zi-yun;TANG Xue-jie;YIN Chao-hui;YUAN Wei;YANG Jing-yuan(Key Laboratory of Environmental Pollution Monitoring and Disease Control of the Ministry of Education,School of Public Health,Guizhou Medical University,Guiyang,Guizhou 550025,China)

机构地区：[1]贵州医科大学公共卫生学院环境污染与疾病监控教育部重点实验室,贵州贵阳550025 [2]贵州医科大学大学城医院,贵州贵阳550025 [3]贵州医科大学第二附属医院,贵州凯里556000 [4]贵州省疾病预防控制中心,贵州贵阳550004

出　　处：《现代预防医学》2020年第11期1997-2001,共5页Modern Preventive Medicine

基　　金：“贵州省苗族、侗族、布依族世居自然人群环境暴露与健康风险的前瞻性队列研究”(黔科合平台人才[2018]5403)。

摘　　要：目的比较贵州侗族30岁以上人群肥胖与骨质疏松之间关联的性别差异,为人群骨质疏松危险分层提供参考依据。方法采用现况调查设计,问卷调查对象的基本情况、疾病史、吸烟、饮酒等情况,并进行体格检查,骨密度检测,比较不同性别的肥胖类型、肥胖指标,骨质疏松的患病率及关联。结果此次共调查贵州侗族30岁以上人群5 362人,男性超重率为34.9%、肥胖率为9.9%;女性超重率为34.3%、肥胖率为10.7%。骨质疏松的患病率为2.9%,男性为6.1%,女性为1.3%。采用logistic回归分析,以非肥胖为参比,男性中心性肥胖、全身性肥胖、复合型肥胖的OR(95%CI)分别为2.368(1.595~3.515)、4.819(0.486~47.807)、3.014(1.800~5.048);女性中心性肥胖和复合型肥胖的OR(95%CI)分别为0.630(0.333~1.193)和1.446(0.605~3.460)。进一步将BMI、WHR、WHtR、WC按四分位数分组后,男性随BMI、WHR、WHtR、WC水平增高其骨质疏松患病率也增高(Ptrend分别为0.002、0.003、0.001、0.002),患病危险性也增高;女性无统计学意义(Ptrend分别为0.173、0.851、0.836、0.405)。结论贵州侗族人群骨质疏松与肥胖有关联存在性别差异,男性肥胖为骨质疏松的高危人群。Objective To analyze the gender differences on relationship between osteoporosis and obesity among people over 30 years old of Dong nationality in Guizhou,and to provide reference for risk stratification of osteoporosis among people.Methods Cross-section study design was used.The questionnaire,physical examination and bone mineral density test were used to collect information of participants,included basic character,disease history,smoke and drink status.Logistic regression was used to analyze the relationship between obesity types,obesity indicators and osteoporosis prevalence.Results A total of 5,362 Dong people over 30 years old in Guizhou were surveyed.Male’s overweight rate was 34.9%and male’s obesity rate was 9.9%.Female’s overweight was 34.3%and female’s obesity rate was 10.7%.The prevalence of osteoporosis was 2.9%.That of males was 6.1%and that of females was 1.3%.Logistic regression analysis showed that to compare with non-obesity,the OR(95%CI)of male central obesity,general obesity and compound obesity were 2.368(1.595-3.515),4.819(0.486-47.807)and 3.014(1.800-5.048),respectively.The OR(95%CI)of female central obesity and compound obesity were 0.630(0.333-1.193)and 1.446(0.605-3.460),respectively.After further quartile grouping BMI,WHR,WHtR and WC,the prevalence of osteoporosis increased with the increase of BMI,WHR,WHtR and WC(P for trend were 0.002,0.003,0.001 and 0.002,respectively),and the risk of osteoporosis also increased.But there was no statistical significance in females(P for trend were 0.173,0.851,0.836,0.405,respectively).Conclusion There is gender difference between osteoporosis and obesity in Guizhou Dong population.Obesity male is a high-risk group of osteoporosis.

关 键 词：骨质疏松 肥胖 性别 

分 类 号：R580[医药卫生—内分泌] R589.2[医药卫生—内科学]