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| 广西南宁市区绝经后女性骨质疏松症流行情况及相关因素研究 |
| Investigation of the epidemic status of postmenopausal osteoporosis in nanning city and the analysis of the influential factors |
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| DOI：10.3969/j.issn.1006.7108.2017.07.022 |
| 中文关键词: 绝经后女性 流行病学 骨质疏松 骨量减少 骨密度 |
| 英文关键词:Postmenopausal women Epidemiology Osteoporosis Osteopenia Bone mineral density |
| 基金项目:广西壮族自治区卫生和计划生育委员会自筹经费科研课题计划项目（Z2015340) |
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| 中文摘要: |
| 目的 了解广西南宁市绝经后女性骨质疏松症的患病情况及相关影响因素，为进一步预防干预提供理论依据。方法 选取我院健康体检的216名绝经后女性作为研究对象，测定髋部及第1 ~4腰椎的骨密度，同时进行问卷调查。结果 骨质疏松、骨量减少及骨量正常分别占38.89% ,43. 06% ,18.05% ,随着年龄增加，骨质疏松患病率明显升高(χ2= 17. 56,P = 0. 000)； 骨质疏松组年龄、体重指数（body mass index,BMI)、绝经年限、足月妊娠次数、户外活动次数、每次运动时间、活动程度、奶制品摄入及钙剂摄入情况与另外两组比较，差异均有统计学意义（P<0. 05),Logistics多因素回归分析表明，年龄、绝经年限与骨质疏松症呈正相关（OR =3.419, P =0.000; OR =2. 569，P == 0. 016);而BMI、运动次数、饮牛奶及钙剂摄入与其呈负相关性 (OR=0. 517，P= 0.000;OR= 0.684, P=0.024;OR =0.589，P= 0.021;OR =0.266, P =0. 000)。结论 广西南宁市区绝经后女性骨质疏松及骨量减少患病率高。BMI增高、运动次数多、饮牛奶及钙剂摄人是其保护因素，应加强宣教，从而预防和延缓骨质疏松的发生。 |
| 英文摘要: |
| Objective To investigate the prevalence and relevant risk factors of postmenopausal osteoporosis in Nanning City，and to provide theoretical basis for the prevention and treatment of osteoporosis. Methods 216 postmenopausal women were selected as the study subjects. Bone mineral density in the hip and 1-4 lumbar spine was determined. A questionnaire was conducted in all cases. Results The prevalence of osteoporosis, osteopenia, and normal bone mass in postmenopausal women in Nanning City was 38. 89% , 43. 06% , and 18.05%，respectively. Along with the increase of age, the prevalence of osteoporosis increased (χ2 = 17. 56, P =0. 000) . There was statistical significance of age, body mass index (BMI) , menopausal years, the times of pregnancy, the number of outdoor activities, exercise time，levels of physical activity, intake of dairy products，and calcium intake between osteoporosis and non-osteoporosis people (P < 0. 05 ). Age and menopausal years were positively correlated to the cause of postmenopausal osteoporosis (OR =3. 419, P=0. 000； OR =2. 569，P = 0. 016)，while BMI, number of outdoor activities, intake of dairy products, and calcium intake were negatively correlated to the cause of postmenopausal osteoporosis (OR =0. 517，P= 0. 000 ； OR = 0. 684, P=0. 024 ； OR = 0. 589, P=0. 021; OR = 0. 266，P=0. 000). Conclusion The prevalence of osteopenia and osteoporosis is high in postmenopausal women in Nanning city. The protective factors include high BMI, more exercise, intake of dairy products, and calcium intake. We should strengthen prevention education to prevent and delay the occurrence of postmenopausal osteoporosis. |
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