健康体检中心老年人群骨密度减少的现状及其影响因素分析

摘要/Abstract

摘要： 目的调查桓台县人民医院健康体检中心老年体检人群（年龄>65岁）骨密度减少的发生情况,并探讨相关影响因素。方法回顾性分析2020年1月~2021年7月于桓台县人民医院体检中心进行体检的老年人群,选取其中进行过骨密度测定的657人,根据是否发生骨密度减少分为骨密度正常组和骨密度减少组,分别为292人和365人,采用自设问卷进行一般资料的调查,采用骨密度仪测定受试者足部的骨质状态、自动计算T值。利用Logistic回归分析吸烟、体质量指数（BMI）、血压、户外活动等因素对骨密度的影响情况。结果两组患者年龄、性别、低密度脂蛋白胆固醇（LDL）、糖尿病患病率的比较,差异无统计学意义（P>0.05）,骨密度减少组人群BMI显著低于骨密度正常组,骨密度正常组高血压患病率低于骨密度减少组,差异有统计学意义（P<0.05）。Logistic回归提示BMI、高血压、吸烟、经常参加户外运动是骨密度减少的影响因素,OR值分别为-0.819、3.772、1.874、-1.592,其中,BMI、经常参加户外运动是骨密度减少的保护因素,高血压、吸烟是骨密度减少的危险因素。结论桓台地区健康体检中心老年体检人群骨密度减少的发生率约为44.44%,高血压、吸烟是发生骨密度减少的危险因素,BMI、经常参加户外运动是骨密度的独立保护因素。

关键词: 老年, 体检人群, 骨密度现况, 相关因素分析

Abstract: Objective To investigate the incidence of bone mineral density reduction in elderly people （age>65 years old） in the health examination center of Huantai County People’s Hospital, and to explore the related influencing factors. Methods A retrospective analysis was performed on the elderly population who had undergone physical examination at the Physical Examination Center of Huantai County People’s Hospital from January, 2020 to July, 2021. Among them, 657 people who had undergone bone mineral density measurement were selected and divided into two groups according to whether bone mineral density decreased. In the two groups （292 people in the normal BMD group and 365 people in the reduced BMD group）, general information was investigated using self-designed questionnaires. Logistic regression was used to analyze the influence of smoking, body mass index, blood pressure, outdoor sports and other factors on bone mineral density. Results There was no statistical significant difference in age, gender, LDL and diabetes prevalence between the two groups(P>0.05). The body mass index （BMI） of the reduced BMD group was significantly lower than that of the normal BMD group, and the normal BMD group was higher The prevalence of blood pressure was lower than that in the decreased bone mineral density group （P<0.05）. Logistic regression showed that BMI, prevalence of hypertension, smoking, and frequent participation in outdoor sports were the influencing factors of bone mineral density reduction, with OR values of -0.819, 3.772, 1.874, and -1.592, respectively. Conclusion The incidence of bone mineral density reduction in the elderly physical examination population in Huantai area health examination center is about 44.44%. Hypertension and smoking are risk factors for the trend of bone mineral density reduction. BMI and frequent participation in outdoor sports are independent protective factors of bone mineral density.

Key words: Elderly, population taken part in health check-up, bone mineral density, influencing factor

中图分类号:

马丽, 王芳, 田海宁. 健康体检中心老年人群骨密度减少的现状及其影响因素分析[J]. 中华养生保健, 2022, 40(13): 1-4.

MA Li, WANG Fang, TIAN Hai-ning. The Influencing Factors of Bone Mineral Density Reduction in the Elderly Population in Health Check-up Center[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(13): 1-4.

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