乌鲁木齐天山区748例维吾尔族居民跟骨骨密度测定及相关因素探讨

发布时间：2018-04-26 06:06

本文选题：骨质疏松 + 跟骨骨密度　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:了解乌鲁木齐天山区维吾尔族居民骨密度情况及其影响因素,为本社区骨质疏松的预防和干预提供基本信息和依据。方法:测量乌鲁木齐天山区773例18~82岁维吾尔族居民跟骨骨密度。比较不同性别各年龄段骨质疏松发病率,同时,检测内脏脂肪面积、体脂百分比、腰臀比、肌肉重量,计算肌肉率,并进行问卷调查,检测空腹血糖、餐后2小时血糖、甘油三脂(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、总胆固醇(TC);计算其体质量指数(BMI)、腰臀比;分析骨密度与各个测量指标的相关性。结果:随着年龄的增加,男、女骨质疏松发病率均增加,在50岁左右女性骨质疏松发病率增加较明显,相同年龄段女性OP发病率高于男性,但差异无统计学意义(P0.05)。回归分析显示,男性增龄、内脏脂肪面积的增加为骨质疏松可能的危险因素,BMI的增大为其可能的保护因素;女性绝经、增龄、腰臀比的增加为骨质疏松可能的危险因素,BMI增加、肌肉率的增大为其可能的保护因素。结论:乌鲁木齐天山区维吾尔族居民,男性保持一定的BMI的同时应低脂饮食、适当运动,减少内脏脂肪面积以预防骨质异常的发生、发展。女性应尽可能避免人工绝经、腹型肥胖,增强运动增加肌肉量,减低腹部脂肪量有助于预防骨质疏松的发生、发展,从而预防骨质疏松及骨质疏松性骨折的发生。
[Abstract]:Objective: to investigate the bone mineral density (BMD) of Uygur people in Tianshan area of Urumqi, and to provide basic information and basis for prevention and intervention of osteoporosis in our community. Methods: calcaneal bone mineral density (BMD) was measured in 773 cases of 1882 years old Uygur nationality in Tianshan District of Urumqi. The incidence of osteoporosis in different age groups was compared. At the same time, the area of visceral fat, percentage of body fat, waist-to-hip ratio, muscle weight, muscle rate were measured, and fasting blood glucose (FBG) and postprandial blood glucose (2 hours postprandial blood glucose) were measured by questionnaire. The body mass index (BMI) and waist hip ratio (WHR) were calculated, and the correlation between bone mineral density (BMD) and various measurement indexes was analyzed. Results: with the increase of age, the incidence of osteoporosis increased in both males and females. The incidence of osteoporosis in females at the age of 50 was higher than that in males, but the difference was not statistically significant (P 0.05). Regression analysis showed that the increase of visceral fat area was the possible risk factor of osteoporosis and the increase of BMI was the possible protective factor for osteoporosis, and the increase of menopausal age and waist-to-hip ratio was the possible risk factor of osteoporosis. The increase of muscle rate is the possible protective factor. Conclusion: Uygur residents in Tianshan District of Urumqi, male should maintain certain BMI at the same time low fat diet, proper exercise, reduce the area of visceral fat to prevent the occurrence and development of bone abnormality. As far as possible, women should avoid artificial menopause, abdominal obesity, enhance exercise, increase muscle mass, reduce abdominal fat, and prevent the occurrence and development of osteoporosis, thus preventing osteoporosis and osteoporotic fracture.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R580

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