北京市海淀区 1639 例汉族中老年男性骨密度调查分析
Survey of bone mineral density in 1639 middle-aged men with Han nationality in Beijing Haidiandistrict
  
DOI:10.3969/j.issn.1006-7108.2012.10.012
中文关键词:  骨密度  骨质疏松  影响因素  相关性分析
英文关键词:Bone mineral density  Osteoporosis  Influential factors  Correlation analysis
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作者单位
王亮 马远征 陈琼 李大伟 金毅 涂显春 马伟凤 杨帆 胡江伟 杨国花 100091 北京,解放军第 309 医院全军骨科中心 
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中文摘要:
      目的 调查北京市海淀区1639 例汉族中老年男性骨密度,探讨本地区骨质疏松发病率及影响因素? 方法 选择2012 年3 月~6 月在我院体检的1639 例汉族中老年男性为研究对象,采用韩国Osteosys公司生产的ExA-3000型骨密度仪,检测受试者非受力侧前臂尺桡骨中远端三分之一处骨密度,建立信息采集表,记录体检人群骨密度?身高?体重?体重指数(BMI)?吸烟?饮茶?喝牛奶?运动情况,将检测结果以每 10 岁为1 年龄段分组,分析每组骨密度?t评分?患病率及相关影响因素? 结果 男性40~49 岁年龄段骨质疏松发病率为 12.19%;50~59 岁年龄段男性骨质疏松发病率为 21.54%;60~69 岁年龄段骨质疏松发病率为 40.72%;70 ~79 岁年龄段骨质疏松发病率为55.56%;80 岁以上年龄段骨质疏松发病率为 69.73%? 身高?体重?BMI和规律性运动与骨密度呈正相关(r=0.18,r=0.19,r=0.12,r=0.24,P<0.05);吸烟与骨密度呈负相关(r=-0.19,P<0.05);饮茶?喝牛奶与骨密度无明显相关性(P>0.05)? 结论 随着年龄的增加,每个年龄段中老年男性骨密度均呈下降趋势,骨质疏松发病率明显上升,差异具有统计学意义(χ2=343.88,P<0.05)? 生活方式和骨密度有明显的相关性? 因此,将骨密度检测作为中老年人体检的常规检查项目,早期发现,积极干预,倡导健康生活方式,对于防治骨质疏松具有重要意义?
英文摘要:
      Objective To research the bone mineral density (BMD) of 1639 middle-aged men with Han nationality in Haidian district, Beijing, and to explore the incidence and influential factors of osteoporosis(OP) in this district. Methods A total of 1639 middle-aged men with Han nationality, who received health examination in our hospital from March to June 2012, were enrolled. BMD of the distal one-third of the radius and the ulna in non-dominant forearm was measured with DXA (ExA-3000, Osteosys Co. Korea).An information collection table was established, and BMD, height, weight, body mass index(BMI), the status of smoking, tea drinking, milk drinking, and exercise were recorded. All the subjects were divided into several groups according to a 10-year-age division. BMD, T-score, incidence and related influential factors of each group were analyzed .Results The incidence of OP in 40-49-year-old group, 50-59-year-old group, 60 -69-year-old group, 70-79-year-old group, and over-80-year-old group was12.19%, 21.54%, 40.72%,55.56%, and 69.73%, respectively. The height, weight, BMI, regular exercise were positively correlated with BMD (r=0.18, 0.19, 0.12, 0.24, respectively,P<0.05).Smoking was negatively correlated with BMD (r=-0.19,P<0.05).Drinking of tea and milk had no obvious correlation with BMD (P>0. 05).Conclusion BMD in each group declines with the increase of age. The incidence of OP is significantly increased (χ2=343.88,P<0.05).Lifestyle is obviously correlated with BMD. Measurement of BMD should be one item of routine examination for middle –aged people. Early discovery, active intervention and advocacy of healthy lifestyle have an important meaning for the prevention and treatment of OP.
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