基于人体能量评估的亚健康与QUS骨密度的相关性分析——以新疆克拉玛依市成年居民为例  

Correlation analysis between sub-health and QUS bone mineral density based on human energy assessment:A case study of adult residents in Karamay,Xinjiang

作　　者：郭玉江[1] 赵赞[1] 肖鑫 姜现洋 黄春梅[2] 李帅 Guo Yujiang;Zhao Zan;Xiao Xin;Jiang Xianyang;Huang Chunmei;Li Shuai(Karamay Vocational&Technical College,Karamay 834000,China;Xinjiang Normal University,Urumqi 830054,China)

机构地区：[1]克拉玛依职业技术学院,新疆克拉玛依834000 [2]新疆师范大学,新疆乌鲁木齐830054

出　　处：《临床荟萃》2024年第5期426-432,共7页Clinical Focus

基　　金：国家社会科学基金项目新疆民族传统体育现代化水平测度体系构建及实证研究(21XTY015);2024年克拉玛依市创新环境建设计划(软科学)项目“健康中国”背景下克拉玛依更高水平全民健身公共服务体系构建研究(2024hjrkx0035)、“职教高地”建设背景下克拉玛依中职教育高质量发展研究(2024hjrkx0036)。

摘　　要：目的了解新疆克拉玛依市居民亚健康、骨密度状态,探索两者的相关性,为新疆城镇居民卫生保健及骨质疏松的预防提供参考。方法随机抽取新疆克拉玛依市成年居民4377人,利用仪器对调查对象亚健康及骨密度状态进行检测并进行统计学处理。结果克拉玛依市居民亚健康检出率为71.8%,女性检出率略高于男性。女性、汉族、20~39岁组、肥胖组、社会服务类及事业单位类居民的亚健康组与健康组的骨量比较差异有统计学意义(P<0.05)。女性、不同民族、20~39岁组、正常体重、社会服务类居民的亚健康组与健康组的骨密度比较差异有统计学意义(P<0.05),居民骨密度存在性别、体重及职业差异(P<0.01)。Logistic回归分析显示:女性、事业单位类、高BMI和亚健康是骨量异常发生的保护因素(OR=0.402,95%CI:0.308~0.524;OR=0.622,95%CI:0.480~0.806;OR=0.679,95%CI:0.466~0.990;OR=0.642,95%CI:0.501~0.822)。少数民族、其他人员类、高年龄是骨质异常发生的危险因素(OR=1.529,95%CI:1.118~2.091;OR=1.616,95%CI:1.027~2.542;OR=3.489,95%CI:2.151~5.660)。结论克拉玛依中老年居民应经常关注自身的健康状态及骨量的变化,防治骨质疏松症的过早发生,树立健康骨骼意识。同时政府应强化居民骨质疏松症防范意识,培养健康生活方式,科学指导体育锻炼,构建健康有效的全民健身服务体系,促进全民健康发展。Objective To understand the sub-health and bone mineral density(BMD)status of different adult groups in Karamay urban area,and explore the correlation between the two parts,thus,providing reference for the health care of urban residents in Xinjiang and the prevention of osteoporosis.Methods A total of 4,377 adult residents in Karamay,Xinjiang were randomly selected.The sub-health and BMD status of the subjects were detected by instruments and statistically analyzed.Results The detection rate of sub-health was 71.85%,and which in female was slightly higher than that of male.There were significant differences in bone mass between sub-health group(including female group,Han people group,20-39 years old group,obesity group,social service group and public institution residents)and healthy group(P<0.05).There were significant differences in BMD between the sub-health group(including female group,different nation group,20-39 years old group,normal weight group,social service group)and the healthy group(P<0.05).There were differences in BMD among residents according to gender,weight and occupation(P<0.01).Logistic regression analysis showed that female,public institutions,high BMI,sub-health were protective factors for abnormal bone mass(OR=0.402,95%CI:0.308-0.524;OR=0.622,95%CI:0.480-0.806;OR=0.679,95%CI:0.466-0.990;OR=0.642,95%CI:0.501-0.822).Ethnic minorities,other people and the elderly were risk factors for bone abnormalities(OR=1.529,95%CI:1.118-2.091;OR=1.616,95%CI:1.027-2.542;OR=3.489,95%CI:2.151-5.660).Conclusion The middle-aged and elderly residents of Karamay ethnic minorities in Xinjiang should pay attention to their health status and the dynamic changes in bone mass,prevent and treat osteoporosis prematurely,so as to realize the goal of early detection and establish a healthy bones awareness.Meantime,the government should strengthen residents'awareness of osteoporosis prevention,cultivate a healthy lifestyle,scientifically guide physical exercise,build a healthy and effective national fitness service system,

关 键 词：骨密度 骨质疏松 成年人 回归分析 

分 类 号：R277.7[医药卫生—中医学]