武汉地区汉族老年男性骨质疏松危险因素的相关研究
Risk factors of osteoporosis in elderly males of Han nationality in Wuhan
  
DOI:10.3969/j.issn.1006.7108.2018.01.018
中文关键词:  武汉市汉族地区  老年男性  骨质疏松  危险因素
英文关键词:Han nationality in Wuhan area  Elderly male people  Osteoporosis  Risk factors
基金项目:
作者单位
赵晟珣 陈辉 刘菊* 武汉市第一医院老年病科湖北 武汉 430000 
摘要点击次数: 742
全文下载次数: 512
中文摘要:
      目的 本研究通过病例-对照研究分析武汉地区汉族老年男性骨质疏松的危险因素。 方法 共选取武汉市第一医院老年科2015年2月至2016年10月住院的武汉地区汉族老年男性人群原发性骨质疏松症患者110例和同期住院无骨质疏松症对照者85例,通过两组患者各因素的比较,应用多元Logistic回归分析筛选武汉市汉族老年骨质疏松的危险因素。结果 通过对195例样本的分析,多因素Logistic分析显示:年龄≥60岁(OR1.088 ,95%CI 1.033~1.147),高体重指数BMI(OR1.319 ,95%CI 1.170~1.486),动脉收缩压升高(OR1.055 ,95%CI 1.022~1.089)、空腹血糖增高(OR1.208 ,95%CI 1.001~1.458)、klotho基因G395A AA基因型(OR2.969 ,95%CI 1.092~8.068)为武汉地区汉族老年男性患者发生骨质疏松的独立危险因素。 结论 研究揭示年龄、高体重指数、高收缩压、高空腹血糖、klotho基因可能在武汉地区汉族老年男性骨质疏松发病机制中起重要作用, 其中klotho基因G395A位点AA基因型可能是武汉市汉族老年骨质疏松患者的致病基因。上述因素对决定武汉地区老年男性骨质疏松患者抗骨质疏松治疗策略具有重要意义。
英文摘要:
      Objective The aim of this study is to investigate the risk factors of osteoporosis in elderly male people of Han nationality in Wuhan area. Methods A total of 195 elderly male people of Han nationality in Wuhan area were identified from Wuhan No.1 Hospital from February 2015 to October 2016. There were 110 people with primary osteoporosis and 85 patients without osteoporosis in the same period. Multivariate logistic regression analysis was used to analyze the risk factors of osteoporosis. Results Multivariate analysis showed that age (OR1.088, 95% CI 1.033-1.147), high BMI (OR1.319, 95% CI 1.170-1.486), high SBP (OR1.319, 95% CI 1.170-1.486), high FBG (OR1.208, 95% CI 1.001-1.458), and the frequency of AA allelic genotype of Klotho G-395A (OR2.969, 95% CI 1.092-8.068) were independent risk factors of osteoporosis. Conclusion This study reveals that age, BMI, systolic blood pressure, high fasting blood glucose, and Klotho gene play an important role in the pathogenesis of osteoporosis in elderly males of Han nationality in Wuhan. AA genotype of Klotho gene G395A site may be the pathogenic gene of the elderly males of Han nationality in Wuhan. All these factors are important for the treatment of osteoporosis in elderly males with osteoporosis in Wuhan.
查看全文  查看/发表评论  下载PDF阅读器
关闭
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=351BF0A6440D6134CAD076EE6AC2B1650D82F521693B2B9A459E850749CFBFBD8FFBA35E85A1ED89495F383960E7364F867D79D47CC0BA44D236E641E38276EA6E6DAC395C820CD571876D94E7443877&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=527A01A248DACB72&jid=CA678592D11E309E8E3FB3B2BFE9BE1A&yid=EA357AD73C8E13BC&aid=2354056DD48CBB452E04B4D0B54C653F&vid=&iid=CA4FD0336C81A37A&sid=9C65ADEB5990B252&eid=0D0D661F0B316AD5&fileno=201801018&flag=1&is_more=0"> var my_pcid="A9DB1C13C87CE289EA38239A9433C9DC"; var my_cid="527A01A248DACB72"; var my_jid="CA678592D11E309E8E3FB3B2BFE9BE1A"; var my_yid="EA357AD73C8E13BC"; var my_aid="2354056DD48CBB452E04B4D0B54C653F";