中国骨质疏松杂志

83057例20～49岁男性骨密度Z值多因素回归分析

Multivariate regression analysis of bone density Z-values in 83057 males aged 20-49 years old

DOI：10.3969/j.issn.1006-7108.2024.06.004

英文关键词:young and middle-aged men osteoporosis risk factors bone mineral density

基金项目:国家重点研发计划（2021YFC2501701）

作者	单位
高远1 尹纪伟1 马倩倩1 毛未贤1 张萌萌2*	1.吉林省一汽总医院，吉林长春 130011 2.《中国骨质疏松杂志》社，北京 100102

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中文摘要:

目的研究长春市50岁以下男性骨密度Z值多因素回归分析。方法对 2011-2022 年长春地区初次进行DXA骨密度检测的男性体检人群进行回顾性研究，采用问卷调查的方式收集基本资料，检测骨密度，采用多因素Logistic回归模型分析骨质疏松的影响因素。结果纳入研究的83057例男性，20～24岁、25～29 岁、30～34岁、35～39岁、40～44岁，45～49岁不同年龄组骨质疏松症患病率分别为 8.7%、8.0%、2.8%、3.9%、15.9%、11.5%。经多因素Logistic回归分析发现，年龄、吸烟、饮酒、饮碳酸饮料、饮含咖啡因的饮料，高钠摄入与腰椎骨密度呈负相关（P＜0.05）。结论年龄、吸烟、饮酒、饮碳酸饮料、饮含咖啡因的饮料，高钠摄入为骨质疏松发生的危险因素。

英文摘要:

Objective To investigate the prevalence and risk factors of osteoporosis in men under 50 years old in Changchun, China, and to provide evidence for prevention of osteoporosis. Methods A retrospective study was carried out among the male population who were first examined by DXA in Changchun from 2011 to 2022. The basic data were collected by means of questionnaire, and the bone mineral density (BMD) was measured.Multivariate Logistic regression model was used to analyze the influencing factors of OP. Results The prevalence rates of osteoporosis in 83057 men were 8.7%, 8.0%, 2.8%, 3.9%, 15.9% and 11.5%, respectively. Multiple Logistic regression analysis showed that age, smoking, drinking, drinking carbonated beverages, drinking caffeinated beverages, and high sodium intake were negatively correlated with lumbar BMD (P<0.05). Conclusion Age, smoking, alcohol consumption, carbonated beverages, caffeinated beverages and high sodium intake are risk factors for osteoporosis.

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