天津市一组高龄人群(≥70岁)骨质疏松症现状及影响因素调查分析  

The investigation and the analysis of osteoporosis status and influencing factors in a group of elderly people(≥70 years old)in Tianjin

作　　者：石磊 张维立 田津伟 Shi Lei;Zhang Weili;Tian Jinwei(Cadre Ward,No.983 Hospital of PLA,Tianjin 300020,China)

机构地区：[1]解放军第九八三医院干部病房,天津300020 [2]解放军第九八三医院卫勤处,天津300020 [3]天津市天津(骨科)医院数字减影室

出　　处：《中华保健医学杂志》2021年第2期167-169,共3页Chinese Journal of Health Care and Medicine

摘　　要：目的调查天津市一组高龄人群(≥70岁)骨质疏松症现状,分析影响骨质疏松症(OP)的影响因素。方法收集天津市某医院2008年7月~2018年12月268例≥70岁的高龄人群骨密度检测结果,根据是否发生OP分为OP组(176例)与非OP组(92例),调查两组基本情况,采用单因素和多因素logistic逐步回归分析OP的影响因素。结果268例高龄人群经骨密度检测,骨量正常33例(12.31%),骨量减少59例(22.01%),骨质疏松症176例(65.67%)。OP组平均年龄大于非OP组,OP组女性(64.77%)高于非OP组(45.65%),运动≥2次/周者(6.82%)低于非OP组(54.35%),食用乳制品≥250 ml/d者(10.23%)低于非OP组(23.91%),服用钙片者(46.59%)低于非OP组(78.26%),受教育程度大专及以上者(14.77%)低于非OP组(28.26%),差异均有统计学意义(P<0.05)。logistic回归分析显示,年龄、性别(女)、不食用乳制品、不运动锻炼是OP发生的危险因素(OR=2.358,0.081,0.729,0.006,95%CI 1.872~4.861,0.019~0.755,0.571~0.883,0.000~0.165)。结论高龄人群骨密度水平低,OP患病率高,应引起重视。其中年龄大、女性为不可干预危险因素,而不食用乳制品、不运动锻炼为可干预因素。Objective To investigate the current situation of osteoporosis in a group of elderly people(≥70 years old)in Tianjin,analyze the influencing factors of osteoporosis(OP),and provide basis for the prevention and treatment of OP.Methods 268 elderly people aged over 70 years old from a hospital in Tianjin were collected from July 2008 to December 2018.According to whether OP occurred,they were divided into the OP group(n=176)and the non-OP group(n=92).The basic situation,lifestyle,eating habits,exercise and so on were investigated.The influencing factors of OP were analyzed by single factor and multi-factor Logistic regression.Results 268 elderly people were tested for bone mineral density,33 people with normal bone mass,accounting for 12.31%,59 people with bone loss,accounting for 22.01%,and 176 elderly people with osteoporosis,accounting for 65.67%.The average age of the OP group was higher than that of the non-OP group,and 64.77%of OP group was female,which was higher than 45.65%of the non-OP group,The rate of exercise≥2 times/week was 6.82%,lower than 54.35%in the non-OP group,10.23%in dairy≥250 ml,lower than 23.91%in the non-OP group,46.59%in calcium tablet group,lower than 78.26%in the non-OP group,14.77%in college education and above,lower than 28.26%in the non-OP group,the difference was statistically significant(P<0.05).Logistic regression analysis showed that age,gender(female),no dairy products and no exercise were risk factors for OP(OR=2.358,0.081,0.729,0.006,95%CI:1.872~4.861,0.019~0.755,0.571~0.883,0.000~0.165).Conclusion The bone mineral density level of the elderly in this study is low and the prevalence of OP is high,which should be paid attention to.Among them,age and female were the risk factors that could not be intervened,while not eating dairy products and not exercising are the risk factors that could be intervened.

关 键 词：高龄人群 骨密度 骨质疏松症 因素 

分 类 号：R589[医药卫生—内分泌]