中国全科医学2017，Vol.20Issue(8)：912-917,6.DOI:10.3969/j.issn.1007-9572.2017.08.005
云南壮族中老年人群骨质疏松症患病率及影响因素的调查研究
Prevalence and Correlation Factors of Osteoporosis in Middle-aged and Elderly People of Zhuang Nationality in Yunnan Based on A Survey
摘要
Abstract
Objective To investigate the prevalence and correlation factors of osteoporosis in middle-aged and elderly people of Zhuang nationality in Wenshan Prefecture,Yunnan Province.Methods This survey was conducted in October 2013.Cluster sampling and stratified sampling were used to select the subjects of this study,the Zhuang population aged ≥40 years old from 3 Zhuang villages (a well-developed,a moderate-developed,and a poor-developed) in Bamei Town,Guangnan County,Wenshan Prefecture,Yunnan Province.A self-developed Questionnaire of Risk Factors for Osteoporosis in Middle-aged and Elderly People of Zhuang Nationality in Wenshan Prefecture was adopted in the survey,which encompasses demographic data,lifestyle and eating habits,status of exercise,treatment of previous medical illness,female pregnancy and chillbearing histories.Osteoporosis Self-assessment Tool for Asians (OSTA) was applied to assess the risk for osteoporosis,and the OSTA index was recorded.Dual-energy X-ray absorptiometry (DXA) was employed to measure the lumbar bone mineral density (BMD),and the minimum T value was noted down.Results A total of 124 subjects (50 males and 74 females) were enrolled in the study.The prevalence of osteoporosis in all the subjects,in male subjects and female suhjects was 8.1％ (10/124),6.0％ (3/50),9.4％ (7/74),respectively.There were significant differences in the prevalence of osteoporosis between males of different age groups (P ＜ 0.05).The prevalence of osteoporosis did not differ significantly between females of different age groups (P ＞ 0.05).There were no difference in the prevalence of osteoporosis between males and females of each age cluster (P ＞ 0.05).There were significant differences in T value among each cluster of male and female (P ＜ 0.05),and T value of 60-69 and 70-79 years oll was lower than in 40-49 and 50-59 years old of male and female,and T value of 70 -79 years old was lower than 60-69 years old of male (P ＜ 0.05).T values of female were lower than in males in age groups of 40-49,50-59 and 60-69 (P ＜ 0.05).The OSTA index was (-2.3-± 4.0) in subjects with osteoporosis,and that was (0.7 ±3.4) in those with normal bone mass or osteopenia.Multiple linear regression analysis found that,in male subjects,increased hip circumference and higher OSTA index were the protective factors for BMD (P ＜ 0.05),while drinking tea and riding were the risk factors for BMD (P ＜ 0.05):in female subjects,higher body mass index,delayed menopause were the protective factors for BMD,whereas advanced age,hormone tre atment,and multiple pregnancies were the risk factors for BMD (P ＜0.05).Conclusion The prevalence of osteoporosis in middle-aged and elderly people of Zhuang nationalitv in Yunnan Province is relatively low.In terms of risk factors for decrease in BMD,drinking tea and riding are risk factors for males,while advanced age,hormone treatment,and multiple pregnancies are those for females.关键词
骨质疏松/壮族/患病率/危险因素/横断面研究Key words
Osteoporosis/Zhuang nationality/Prevalence/Risk Factors/Cross-sectional studies分类
医药卫生引用本文复制引用
罗文东,赵刚,舒钧,劳汉昌,林丰,郭立民,何绍烜,袁勇..云南壮族中老年人群骨质疏松症患病率及影响因素的调查研究[J].中国全科医学,2017,20(8):912-917,6.基金项目
云南省社会发展科技计划应用项目(2010CA008) （2010CA008）
