社区健康体检人群生活行为方式与骨密度相关性研究.
The associations between healthy lifestyle behaviors and BMD in healthy community-dwelling adults underwent scheduled physical examination
  
DOI:10.3969/j.issn.1006.7108.2016.08.008
中文关键词:  健康体检  骨密度;骨质疏松症;生活方式
英文关键词:Physical examination  Bone mineral density  Osteoporosis  Lifestyle
基金项目:广西桂林市科技计划课题(20150126-2-3);全军保健专项课题(12BJZ14)
作者单位
钱敏 赵安丽 成玉霞 安运锋 向楨* 解放军第181医院健康管理中心广西 桂林541002 
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中文摘要:
      目的 研究不同性别和年龄的健康体检人群生活行为方式与群骨密度(bone mineral density ,BMD)变化规律的相关性。 方法 采用Sahara临床超声骨密度仪对桂林市秀峰区2015年1月-2015年10月4185名社区健康体检人群跟骨进行BMD 测定,结合生活行为方式调查问卷结果对相关数据进行统计分析。结果 检测结果显示BMD正常者占66%,BMD异常者占 34% ;其中骨质疏松症(osteoporosis,OP)占2. 29%,女性BMD正常率低于男性,OP发病率女性为2. 72%,男性为1. 91% ;男性和女性BMD减少均多见于40岁以上中老年人群。生活行为方式调查结果显示不良的生活方式人群中BMD异常人群占 68%,Logistics相关分析OR值为4.85 (95%置信区间为3.14~6.83),结果具有统计学意义(P<0.005)。结论 健康人群不良的生活习惯是引起BMD异常导致OP发生的关键危险因素。因此,通过科学合理的的生活方式合并坚持良好的生活行为习惯,是预防OP发生的最佳措施。
英文摘要:
      Objective To investigate the correlations between healthy lifestyle behaviors and BMD in healthy community-dwelling men and women of different ages groups underwent scheduled physical examination. Methods Using Sahara clinical ultrasound bone densitometer, BMD was measured in 4185 in healthy community-dwelling adults who attended scheduled physical examination in 2013. Lifestyle behaviors information was obtained using a questionnaire. Results In the survey population, 66% had normal BMD and 34% had abnormal BMD;with 2. 29% had osteoporosis (OP). The percentage of women with normal BMD was lower than that of men, of statistical significance (P < 0. 05) ;osteoporosis (OP) incidence in women was 2. 72%,and in men was 1. 91% , of statistical significance (P < 0. 05) ; BMD reduction in women and men was more common in those aged 40 years and over. Lifestyle behaviors associated with BMD, where among those with unhealthy lifestyle 68% had abnormal BMD (OR 4.85 95% Cl 3. 14 -6. 83 in logistic regression analysis, P < 0. 005). Conclusion The percentage with abnormal BMD in our study population was high,and poor lifestyle is a risk factor for osteoporosis. A healthy lifestyle is the best way to prevent OP. Therefore, we must promote and adhere to healthy habits.
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