广东省女性绝经后原发性骨质疏松症调查分析
Investigation and analysis of primary osteoporosis in postmenopausal women in Guangdong province
  
DOI:
中文关键词:  骨质疏松  骨密度  体重指数
英文关键词:Osteoporosis  Bone mineral density  Body mass index
基金项目:广东省科技计划项目(2009B030801301);广东省自然科学基金项目(S201 1010005671)
作者单位
黄宏兴 付丰平 邓伟民 叶竹 王广伟 张文均 李泽钿 510240广州广州中医药大学附属骨伤科医院(黄宏兴)广州中医药大学研究生(付丰平王广伟、李泽钿)广州军区总医院(邓伟民) 
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中文摘要:
      目的 探讨广东省女性绝经后骨密度的变化规律及其影响因素相关分析。方法 本研究通过对广东省50~87岁的1772名中老年人完成骨质疏松症问卷调查和进行双能X-ray骨密度测量。筛选绝经后原发性骨质疏松症患者274例,以5岁为1个年龄段,将其分成7个组。分析腰椎和髋部BMD值的变化规律。体重指数、脂肪含量与骨密度的关系。结果 广东省不同城市女性原发性骨质疏松症患病率为11.1%~19.2%,总体患病率为15.5%。体重指数与髋部neck、Total骨密度相关系数(r=0.282,r=0.272,P<0.05),脂肪含量与腰椎正位Total骨密度相关系数(r=0.086,P<0.05)。结论 广东省女性骨质疏松症患者腰椎骨密度在55~65岁和70~79岁两个年龄殷丢失明显,髋部骨密度丢失在65岁以后下降速率加快。体重指数与髋部骨密度值有一定相关性,脂肪含量和腰椎骨密度值有较小相关性。
英文摘要:
      Objective To explore the change role of bone mineral density(BMD) and related factors in postmenopausal women in Guangdong province.Methods By investigating 1772 50~87 years Old Guangdong inhabitants using questionnaire and BMD measurement with dual energy X-ray absorptiometry,274 postmenopausal osteoporosis eases were found.They were divided into 7 groups according to a 5-year-old division.The changes of BMD in the lumbar vertebrae(LV) and proximal femur(PF) and the correlation among body mass index(BMI),mass of fat,and BMD were analyzed.Results The prevalence of osteoporosis was 11.1%~19.2% in various cities of Guangdong province, with 15.5%in the whole.The linear correlation coefficients between BMI and BMD of the femoral neck and total hip were 0.282 and 0.272(P<0.05).The linear correlation coefficient between mass of fat and BMD of the lumbar vertebrae was 0.086(P<0.05).Conclusion Bone mass loss of the lumbar vertebrae occurs obvious in women of 55~65 years old and 70~79 years old.Bone mass of the hip reduces quickly after the 65 years old.It is partially correlated between BMI and BMD of the hip.The correlation between mass of fat and BMD of the lumbar vertebrae is less.
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