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| 社区骨质疏松症超声骨密度筛查及其影响因素分析 |
| Screening of osteoporosis with ultrasonic bone mineral density detection in community residents and its influential factors |
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| DOI：10.3969/j.issn.1006.7108.2017.11.023 |
| 中文关键词: 骨质疏松 髙危人群 骨密度 超声骨密度检测法 |
| 英文关键词:Osteoporosis High-risk population Bone mineral density Ultrasonic bone mineral density detection |
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| 中文摘要: |
| 目的 掌握江苏省居民骨密度（bone mineral density，BMD)现状，分析影响骨质疏松（osteoporosis，OP)髙危人群的因素，为OP的社区诊断提供参考。方法 在江苏省6个城市分别随机选择6个城区，每城区内随机选择3个社区，在社区内随机选择40~69岁居民至少250名，开展问卷调査和身体测量，并描述和分析结果。结果 全部调査对象BMD(T值）平均水平为 -0. 93 ±1.01，女性（-0. 89 ±1. 04)髙于男性（-1.03 ±0. 94)，40 ~44岁组和45 ~49岁组的T值均值较髙，65 ~ 69岁组最低;共3346名（50.91%)调査对象被评为OP髙危个体，其中3087名（46. 97%)为骨量减少，259名（3.94%)为OP;髙危人群比例男性（1208名，58. 41% )髙于女性（2138名，47. 47%)，60~69岁人群最髙（67. 07% )，40 ~49岁组最低（34. 50%);无论男女，髙中中专、大专以上人群的相对髙危风险均小于小学初中人群，女性中商业/服务业和农林牧渔从业者分别是机关公务员的0.588倍和1.435倍。食用奶类及制品（OR =0. 832)和每天步数5000步以上的人群（OR =0. 846)被列为髙危人群的比例都相对低。结论 性别、年龄、文化程度和职业均可影响BMD的分布和OP髙危风险，日常食用奶类及制品和每天步数 5000步以上是OP髙危的保护因素，在开展社区居民OP筛査和诊断时应针对以上因素相关的目标人群。 |
| 英文摘要: |
| Objective To determine the bone mineral density of residents in Jiangsu province，and to analyze the influential factors of high-risk groups in order to provide reference for osteoporosis (OP) diagnosis in the community. Methods Six districts were randomly selected in 6 cities. Three communities were randomly selected in each district. At least 250 40 - 69 - year-old community residents were randomly selected. Questionnaire survey and body measurements were carried out and the result were described and analyzed. Results The average T value of BMD was -0.93 ±1.01 in all respondents (T). It was higher in females ( -0. 89 ±1. 04) than in males ( -1. 03 ±1. 03). The highest T values were in 40 -44 age group and 45 -49 age group. The lowest was in 65 -69 age group. A total of 3346 cases (50. 91% ) were assessed as OP high-risk individuals. Among those，3087 cases (46. 97% ) were osteopenia and 259 cases (3. 94% ) were osteoporosis. The high-risk proportion in males (1208 cases，58. 41% ) was higher than that in females (2138 cases，47. 47% ). It was the highest in 60 - 69 age group (67. 07% ) and the lowest in 40 -49 age group (34. 50% ). In both genders，the risk was lower in people with education above high school and college than in those with primary school/junior middle school. In females，the risk was 0. 588 and 1. 435 times higher in business/services and agriculture/forestry/fishing practitioners than that in civil servants，respectively. Consumption of milk products (OR =0. 832) and walk more than 5000 footsteps daily ( OR = 0. 846) were listed as relatively low risk groups. Conclusion Gender，age， cultural level，and profession can influence the distribution of BMD and OP risk. Consumption of milk products and walk more than 5000 footsteps daily are protective factors of OP. Screening and diagnosis of OP in community residents should be enhanced in the targeted population with above factors. |
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