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| 高级职称医务人员膳食习惯与骨密度的相关性研究 |
| Study on the relationship between dietary patterns and bone mineral density in Chinese chief (associate) physicians |
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| DOI：10.3969/j.issn.1006-7108.2019.04.011 |
| 中文关键词: 医务人员 骨密度 膳食习惯 不吃早餐 |
| 英文关键词:medical staff bone mineral density dietary habit breakfast skipping |
| 基金项目:郑州大学第一附属医院青年基金项目 |
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| 摘要点击次数: 1090 |
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| 中文摘要: |
| 目的 为改善医护人员骨密度状况及膳食习惯，对其进行膳食习惯问卷及骨骼健康状况调查分析。方法 以参加2014年度郑州大学第一附属医院职工体检的高级职称医务人员为调查对象，发放并回收膳食习惯调查问卷，采集其体检骨密度数据，记录性别、年龄、身高、体重，采用 SPSS 17.0 软件进行分析。
结果 发放问卷232份，回收有效问卷172份（其中男性51人、女性121人），平均年龄（52.5 ± 8.25）岁。每天吃、基本不吃、经常吃早餐的女性三组间股骨颈骨密度（bone mineral density,BMD）（0.717±0.114, 0.726±0.133, 0.579±0.062, P=0.045）、T值（-1.29±0.92, -1.28±1.05, -2.47±0.57, P=0.032）、Z值（-0.16±0.82, -0.04±0.91, -1.53±0.06. P=0.005）、全髋Z值（-0.32±0.81, -0.17±1.04, -1.57±0.25, P=0.012），差异具有统计学意义。每天吃、基本不吃、经常吃早餐的男性三组间股骨颈BMD（0.729±0.114, 0.729±0.105, 0.611±0.094, P=0.040）、Z值（-0.047±0.812, -0.113±0.751, -1.086±1.186, P=0.019*），差异具有统计学意义，不吃早餐者上述数值较低。午餐和晚餐膳食习惯不同的各组间骨密度无统计学意义。不同性别、不同膳食习惯各组间腰椎骨密度均无统计学意义。不同性别的人群在早餐选择方面有显著差异，男性人群中不吃早餐者更多（χ2 =8.006，P=0.014），男性在家吃早餐者较少（χ2 =14.701，P=0.001）。结论 在高职医务人员中，早餐习惯和股骨颈及全髋骨密度显著相关，提示不吃早餐可能是医务人员患骨质疏松症的危险因素。男性医务人员的不良膳食习惯更为严重，有待改善。 |
| 英文摘要: |
| Objective To improve the bone mineral density (BMD) and dietary habits of medical staff, questionnaire survey was conducted on their dietary habits and bone health status. Methods Chief (associate) physicians who participated in the physical examinations in the First Affiliated Hospital of Zhengzhou University in 2014 were surveyed. Questionnaires of dietary habits were distributed and collected, and the data on their bone mineral density, gender, age, height and weight were collected and analyzed using SPSS 17.0 Software package. Results 232 questionnaires were distributed and 172 valid questionnaires (male 51, female 121) were recovered; the participants’ average age was (52.5 ± 8.25) years. For female staff, breakfast skipper and regular or irregular breakfast consumer had different femoral neck BMD (0.717 ± 0.114, 0.726 ± 0.133, 0.579 ± 0.062, P= 0.045), T-score (-1.29 ± 0.92, -1.28 ± 1.05 , -2.47 ± 0.57, P= 0.032) and Z-score (-0.16 ± 0.82, -0.04 ± 0.91, -1.53 ± 0.06, P =0.005) and total hip Z-score (-0.32 ± 0.81, -0.17 ± 1.04, - 1.57 ± 0.25, P= 0.012), the differences were statistically significant. Similarly, male breakfast skipper and regular or irregular breakfast consumer showed different femoral neck BMD (0.729 ± 0.114, 0.729 ± 0.105, 0.611 ± 0.094, P= 0.040) and Z-score (-0.047 ± 0.812, -0.113 ± 0.751, -1.086 ± 1.186, P=0.019*). Those who skipped breakfast had lower values for the above measurements. There was no significant difference in BMD among groups with different lunch and dinner dietary habits. There was no significant difference in lumbar spine BMD among groups with different dietary habits in both women and men. There was a significant difference in the choice of breakfast consumption between males and females; there were more male breakfast skipper (χ2 = 8.006, P=0.014), and less men eating breakfast at home (χ2 = 14.701, P=0.001). Conclusion In chief (associate) physicians, significant correlation between breakfast habits and femoral neck and total hip BMD was observed, suggesting that skipping breakfast may be a risk factor for osteoporosis. Breakfast skipping is a common phenomenon among chief (associate) physicians, especially in the males. Improvement on their dietary habits is suggested. |
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