延吉市围绝经期女性骨密度及其影响因素分析  

Analysis of Bone Mineral Density and its Influencing Factors of Perimenopausal Women in Yanji City

作　　者：李嘉雯 俞星[1] Li Jiawen;Yu Xing(Yanbian University Medical College,Yanji,Jilin,136200,China)

机构地区：[1]延边大学医学院,吉林延吉136200

出　　处：《黑龙江医学》2024年第18期2258-2261,共4页Heilongjiang Medical Journal

摘　　要：目的:了解延吉市围绝经期前后女性骨密度及骨量减少率随年龄的变化趋势,并分析其影响因素,为围绝经期及绝经后的女性骨质疏松的防治提供理论依据。方法:选取2021年10月—2022年12月用多阶段分层随机抽样的方法对延吉市1359名21岁及以上的成年女性进行超声波骨密度检查,并进行问卷调查,分析不同因素对围绝经期女性骨密度的影响。结果:成年女性的骨密度水平年龄的增长逐渐下降,骨量减少率从围绝经期前后显著增加。单因素分析结果显示,身体质量指数(BMI)、有无授乳经验、生育次数、是否定期运动、减肥次数、摄取维生素与围绝经期女性骨密度呈正相关,差异有统计学意义(P<0.05);多项分类logistic回归分析结果显示,年龄、生育次数、是否定期运动、是否喝牛奶、户外时间与围绝经期女性骨密度呈正相关,差异有统计学意义(OR=0.282、0.031、0.215、0.256、6.913,P<0.05)。结论:围绝经期女性骨密度受体质量指数、生育次数、定期运动等因素影响,有关部门应针对影响骨密度的因素采取相应的措施,从而改善围绝经期女性骨密度水平。Objective:To know the change trend of bone mineral density(BMD)and osteopenia rate with age before and after perimenopausal women in Yanji City,and analyze its influencing factors,so as to provide theoretical basis for the prevention and treatment of osteoporosis in perimenopausal and postmenopausal women.Methods:From October 2021 to December 2022,1359 adult women over 21 years old in Yanji City were examined by ultrasonic bone mineral density by multi-stage stratified random sampling,and a questionnaire survey was conducted to analyze the influence of different factors on bone mineral density of perimenopausal women.Results:The bone mineral density of adult women decreased gradually with the increase of age,and the rate of bone loss increased significantly from perimenopausal period to postmenopausal period.The results of univariate analysis showed that BMI index,lactation experience,birth times,regular exercise,weight loss times and vitamin intake frequency were positively correlated with bone mineral density of perimenopausal women(P<0.05).Multivariate logistic regression analysis showed that age,birth times,regular exercise,drinking milk and outdoor exercise time were positively correlated with bone mineral density of perimenopausal women(OR=0.282、0.031、0.215、0.256、6.913,P<0.05).Conclusion:Bone mineral density of perimenopausal women is affected by body mass index birth times regular exercise and other factors.Relevant departments should take corresponding measures to improve the level of bone mineral density of perimenopausal women.

关 键 词：骨密度 围绝经期 影响因素 

分 类 号：R223.7[医药卫生—中医基础理论]