中国全科医学2012，Vol.15Issue(26)：2990-2992,3.DOI:10.3969/j.issn.1007-9572.2012.09.041
社区中老年人骨质疏松性骨折风险评估研究
Risk Assessment of Osteoporotic Fractures among the Elderly in Community
摘要
Abstract
Objective To carry out risk assessment of osteoporotic fractures among the elderly in community. Methods Totally 2 992 elderly subjects were randomly enrolled from Ouyang Community in Shanghai. Their body mass index ( BMI) and ultrasound bone density were measured, and the probabilities of major osteoporotic fracture ( MO ) and hip fracture ( HF ) in the next 10 years were assessed by fracture risk prediction tools FRAX recommended by WHO. Results The probability of MO greater than or equal to 20% showed no significant difference among three age groups ( 45 to 59 years, 60 to 79 years, and greater than or equal to 80 years ) ( x2total = 3.634, P > 0. 05 ). The probability of HF greater than or equal to 3% showed a monotonic upward trend with aging, greater than or equal to 80 years higher than 60 to 79 years, and 60 to 79 years higher than 45 to 59 years, showing a significant difference ( x260-79≥80 = 31. 683 , x245~59-60~79 = 25. 339, P<0.05). The probability of MO greater than or equal to 20% was higher in elderly women than in elderly man [ 6/2 228 ( 0. 27% ) and 0 ], but showing no significant difference ( x2 =2. 062 , P > 0. 05 ). The probability of HF greater than or equal to 3% was higher in elderly women than in elderly man [ 112/2 228 ( 5. 03% ) vs 5/764 ( 0. 65% ) ], showing significant in difference ( x2 = 28. 947, P < 0. 05 ). The probability of MO greater than or equal to 20% showed no significant difference among different BMI groups ( x2total = 3.571, P > 0. 05 ), although the probability of HF greater than or equal to 3% in low BMI group was significantly than other groups ( x2total = 49. 579, P <0. 05 ). The probability of MO greater than or equal to 20% showed no significant difference among three groups with different BMI ( x2total = 2. 949, P > 0. 05 ), whereas significant difference was detected in terms of the probability of HF greater than or equal to 3% ( x2total =73.580, x2normal bone mass index- low BMI = 19.231, x2total BMI - osteoporosis=77.746, x2low BMI-osteoporosis = 18. 861, P <0. 05 ). Conclusion Community -based comprehensive risk assessment is objective and feasible for evaluating the osteoporotic fractures among the elderly.关键词
骨质疏松/社区/骨折/中年人/老年人/风险评估Key words
Osteoporosis/ Community/ Fracture/ Middle aged/ Aged/ Risk assessment分类
医药卫生引用本文复制引用
方圆,丁国兴,张慧敏,顾爱斌..社区中老年人骨质疏松性骨折风险评估研究[J].中国全科医学,2012,15(26):2990-2992,3.基金项目
上海市虹口区2011年度社区基本公共卫生项目 （）
