社区骨质疏松症超声骨密度筛查及其影响因素分析

发布时间：2018-02-28 00:13

本文关键词： 骨质疏松高危人群骨密度超声骨密度检测法　出处：《中国骨质疏松杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的掌握江苏省居民骨密度(bone mineral density,BMD)现状,分析影响骨质疏松(osteoporosis,OP)高危人群的因素,为OP的社区诊断提供参考。方法在江苏省6个城市分别随机选择6个城区,每城区内随机选择3个社区,在社区内随机选择40~69岁居民至少250名,开展问卷调查和身体测量,并描述和分析结果。结果全部调查对象BMD(T值)平均水平为-0.93±1.01,女性(-0.89±1.04)高于男性(-1.03±0.94),40~44岁组和45~49岁组的T值均值较高,65~69岁组最低;共3346名(50.91%)调查对象被评为OP高危个体,其中3087名(46.97%)为骨量减少,259名(3.94%)为OP;高危人群比例男性(1208名,58.41%)高于女性(2138名,47.47%),60~69岁人群最高(67.07%),40~49岁组最低(34.50%);无论男女,高中中专、大专以上人群的相对高危风险均小于小学初中人群,女性中商业/服务业和农林牧渔从业者分别是机关公务员的0.588倍和1.435倍。食用奶类及制品(OR=0.832)和每天步数5000步以上的人群(OR=0.846)被列为高危人群的比例都相对低。结论性别、年龄、文化程度和职业均可影响BMD的分布和OP高危风险,日常食用奶类及制品和每天步数5000步以上是OP高危的保护因素,在开展社区居民OP筛查和诊断时应针对以上因素相关的目标人群。
[Abstract]:Objective to understand the residents of Jiangsu province (bone mineral density, bone mineral density BMD) status, analysis of the effect of osteoporosis (osteoporosis, OP) factors of high risk population, provide a reference for the diagnosis of OP. Methods the community in the 6 city in Jiangsu province were randomly selected in 6 cities, each City in the random choice of 3 communities in the community in the random selection of 40~69 year old residents at least 250, conducted a questionnaire survey and physical measurements, and to describe and analyze the results. Results all the survey BMD (T) the average level of -0.93 + 1.01 (-0.89 + 1.04), the female is higher than male (-1.03 + 0.94), 40~44 years and 45~49 years age group the average T the higher the 65~69 age group, the lowest; a total of 3346 (50.91%) of respondents rated OP at-risk individuals, of which 3087 (46.97%) for osteopenia, 259 (3.94%) OP; high risk population ratio of male (1208, 58.41%) was higher than the female (2138, 47.47%), the highest ages 60~69 (67.07%), 40~49 The age group was the lowest (34.50%); both men and women, high school, college or above relative high-risk population was less than primary school junior high school population, women in business / service industry and agriculture practitioners were 0.588 times and 1.435 times of the civil servants. Consumption of dairy products (OR=0.832) and daily steps 5000 steps above the crowd (OR=0.846) were classified as high-risk population ratio is relatively low. Conclusion the gender, age, education and occupation can affect the distribution and high risk of OP BMD, more than 5000 steps for daily consumption of dairy products and the daily number of steps is a protective factor for OP risk, should according to the above factors related to the target population in developing and screening OP the diagnosis of community residents.

【作者单位】：江苏省疾病预防控制中心;
【分类号】：R445.1;R580

【相似文献】