中华骨质疏松和骨矿盐疾病杂志Issue(2)：113-120,8.DOI:10.3969/j.issn.1674-2591.2014.02.003
上海地区部分女性髋部骨几何结构与人体成分相关因素分析
Relationship between hip geometric structure and body composition of women in Shanghai
摘要
Abstract
Objective To investigate the correlation between hip geometric structure and body composition in-cluding bone mineral density (BMD), lean mass (LM) and fat mass (FM) in health women in Shanghai.Methods A total of 679 healthy women in Shanghai which were divided into three groups: young (2140y), middle-aged (41y-menopause ) , and postmenopausal .Women were evaluated by assessing BMD of lumber spine and total hip , total lean mass, total fat mass, and hip geometric parameters such as cross-sectional area (CSA), average cortical thickness (ACT), and bucking ratio (BR) at narrow neck (NN), intertrochanteric (IT), and shaft (FS).Correlation analysis was performed by Pearson ( normal distribution ) or Spearman ( abnormal distribution ) test, and attribution analysis was performed by stepwise test of multiple regressions .Results The peak BMD values of the spine and total hip were ob-served at age 31 to 40 years.The peak LM and FM were observed at age 31 to 40 years.The hip geometric parameters in-cluding CSA and ACT at NN , IT and FS both reached their peaks at 31 to 40 years, and valley BR at three regions above mentioned was observed at 31 to 40 years as well .The correlation between hip BMD and hip geometric structure were the strongest at all three regions .LM showed significantly positive correlations with CSA and negative correlation with BR .FM effect on hip geometric parameters at the three regions were inconsistent .The positive contribution produced by FM to hip geometric structure became stronger gradually with aging .The contribution produced by trunk LM was the largest positive contribution to CSA and ACT in all group .Conclusion Among all body composition parameters , hip BMD showed the best correlation with hip geometric structure .LM produced the second greatest contribution .The impact of FM and LM on hip geometry changed with aging and different distributions .关键词
髋部骨几何结构/人体成分/骨密度/肌肉量/脂肪量Key words
hip geometric structure/body composition/bone mineral density/lean mass/fat mass分类
医药卫生引用本文复制引用
杜艳萍,朱汉民,朱晓颖,张雪梅,薛思红,李慧林,洪维,唐雯菁,程群..上海地区部分女性髋部骨几何结构与人体成分相关因素分析[J].中华骨质疏松和骨矿盐疾病杂志,2014,(2):113-120,8.基金项目
上海市卫生系统重要疾病联合攻关项目（2013 YJB0801）；上海申康医院发展中心慢性病综合防治项目 （）
