饮酒对中年男性2型糖尿病患者骨密度的影响
Effect of alcohol drinking on bone mineral density in middle-aged males with diabetes
  
DOI:10.3969/j.issn.1006-7108.2015.02.018
中文关键词:  饮酒  骨密度  2型糖尿病  中年男性  日饮酒量  饮酒年限
英文关键词:Alcohol drinking  Bone mineral density  Type 2 diabetes  Middle-aged males  Daily amount of drinking  alcohol drinking period
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作者单位
张洁1 刘惠苗1 陈志花1 周慧敏1 张萌萌2 董天1 赵媛媛1* 1.河北医科大学第一医院石家庄 050031 2.吉林大学第四附属医院长春130011 
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中文摘要:
      目的 探讨饮酒对中年男性2型糖尿病患者骨密度的影响。方法 选取中年男性2型糖尿病患者90例,分为不饮酒组及饮酒组,各45例。饮酒组根据日饮酒量分为3个等级:少量饮酒(<50 g/d);中等量饮酒(50~100 g/d);大量饮酒(>100 g/d)。按饮酒年限分为3级(<10年、10~20年、>20年)。测定各组股骨颈、大转子及腰椎骨密度,分析日饮酒量及饮酒年限与不同部位骨密度的相关性。结果 与不饮酒组相比,摄入酒精50~100 g/d、>100 g/d组和饮酒10~20年、>20年受试者的股骨颈、大转子、腰椎骨密度显著降低(P<0.01)。每日饮酒量>50g,饮酒年限>10年,与股骨颈、大转子、腰椎骨密度呈负相关。结论 中年男性2型糖尿病患者每日饮酒量>50g,饮酒年限>10年,骨密度明显降低,骨质疏松发生率升高。
英文摘要:
      Objective To investigate the effect of alcohol drinking on bone mineral density (BMD) in middle-aged males with type 2 diabetes. Methods Ninety middle-aged males with type 2 diabetes were selected and divided into 2 groups, alcohol drinkers (n=45) and non-alcohol drinkers (n=45). In alcohol drinking group, they were divided to 3 levels, little amount (<50g/d), middle amount (50-100g/d), and large amount (>100g/d), according to their alcohol consumption. And according to the alcohol drinking time, they were divided to <10 years, 10-20 years, and >20years levels. BMD of the femoral neck, the greater trochanter, and the lumbar spine was measured using dual energy X-ray absorptiometry. The relationship between the different alcohol consumption, the different alcohol drinking time, and BMD of the different sites was analyzed. Results Compared to non-alcohol drinking group, BMD of the femoral neck, the greater trochanter, and the lumbar spine was significantly lower than that in alcohol drinking group with alcohol consumption 50-100 g/d and >100 g/d, and with alcohol drinking period 10-20 years and >20 years (P<0.01). Alcohol consumption >50 g/d and alcohol drinking period >10 years were negatively correlated with BMD of the femoral neck, the greater trochanter, and the lumbar spine (P<0.01). Conclusion BMD in the middle-aged males with type 2 diabetes, whose alcohol consumption >50 g/d and alcohol drinking period >10 years, decreases significantly. The incidence of osteoporosis increases.
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