淮安市社区中老年骨质疏松症现状及危险因素分析  

Epidemiological status and risk factors of osteoporosis in Huaihai Road community of Huai’an city

作　　者：郭霄 唐珊 柏清 谢秀茹 袁琦 张日东[2] 毛莉 GUO Xiao;TANG Shan;BAI Qing;XIE Xiu-ru;YUAN Qi;ZHANG Ri-dong;MAO Li(Affiliated Huai’an Clinical College of Xuzhou Medical University,Huai’an,Jiangsu 223300,China)

机构地区：[1]徐州医科大学淮安临床学院,江苏淮安223300 [2]南京医科大学附属淮安第一医院 [3]淮安市级机关医院

出　　处：《现代预防医学》2022年第14期2591-2596,共6页Modern Preventive Medicine

基　　金：江苏省研究生实践创新计划(SJCX20_0924);江苏省老年医学科技发展基金(JGS2019ZXYY05)。

摘　　要：目的 探讨淮安市社区中老年骨质疏松症的患病情况及其危险因素。方法 选取2020年5月-2021年1月江苏省淮安市淮海路社区的常住中老年居民(≥50岁)2 406例为研究对象进行骨质疏松症流行病学调查,通过现场测量及问卷调查获得研究人群年龄、性别、身高以及慢性疾病史、用药史、个人生活习惯史等,并检测部分人群的血常规、血生化。使用超声骨密度仪检测非优势测桡骨骨密度,采用logistic回归分析骨质疏松高危人群患病的危险因素。结果2 406例居民中,有487例患骨质疏松,骨质疏松发生率为20.24%,其中男性患病率为3.68%,女性患病率为30.57%。Logistic回归分析显示,年龄(≥65岁)(OR=2.617,95%CI:1.946~3.520)、性别(女性)(OR=10.218,95%CI:6.717~15.544)、身体质量指数(BMI≤20 kg/m^(2))(OR=3.149,95%CI:2.117~4.684)、体脂(≥35%)(OR=1.425,95%CI:1.105~1.838)、高血压(OR=1.735,95%CI:1.386~2.172)均为骨质疏松患病的危险因素。结论 年龄(≥65岁)、性别、BMI(≤20 kg/m^(2))、体脂(≥35%)、高血压是骨质疏松患病的危险因素。应针对危险因素,早期制定综合干预措施,提高居民的健康知识水平,进而降低骨质疏松症的患病率,提高居民的生活质量。Objective To investigate the prevalence and risk factors of osteoporosis in middle-aged and elderly people at Huaihai Road community in Huai’an city.Methods A total of 2406 middle-aged residents(≥50 years old)in Huaihai Road community,Huai’an city,Jiangsu Province were recruited for epidemiological investigation.Age,sex,height,chronic disease history,medication history,personal habit history and other data were obtained through field measurement and questionnaire survey.Blood routine and blood biochemistry examinations were conducted in part of the investigated population.Bone mineral density(BMD)of nondominant radial bone was measured by ultrasonic densitometry,and risk factors of osteoporosis in high-risk population were analyzed by logistic regression.Results There were 487 cases of osteoporosis in 2406 residents,and the incidence of osteoporosis was 20.24%,among which the prevalence rate was 3.68%in males and 30.57%in females,respectively.Logistic regression analysis showed that aging(≥65 years old)(OR=2.617,95%CI:1.946-3.520),gender(female)(OR=10.218,95%CI:6.717-15.544),body mass index(BMI≤20 kg/m^(2))(OR=3.149,95%CI:2.117-4.684),body fat(≥35%)(OR=1.425,95%CI:1.105~1.838),hypertension(OR=1.735,95%CI:1.386-2.172)were all risk factors of osteoporosis.Conclusion Age(≥65 years old),gender,BMI(≤20 kg/m^(2)),body fat(≥35%),and hypertension are risk factors for osteoporosis.Therefore,comprehensive interventions should be developed early targeted at these risk factors to improve residents’health knowledge,thereby reducing the prevalence of osteoporosis and improving their quality of life.

关 键 词：骨质疏松 高危人群 危险因素 

分 类 号：R580[医药卫生—内分泌]