中国全科医学2022，Vol.25Issue(18)：2201-2206,6.DOI:10.12114/j.issn.1007-9572.2022.0106
社区绝经后骨质疏松症患者中医体质分布规律及阳虚质影响因素研究
Distribution of Traditional Chinese Medicine Constitution and Associated Factors of Yang-deficiency in Patients with Postmenopausal Osteoporosis in the Community
摘要
Abstract
Background Postmenopausal osteoporosis (PMOP) has an increasing incidence as aging advances. As the traditional Chinese medicine (TCM) constitution theory is of great significance in guiding PMOP prevention and treatment studying the associated factors of yang-deficiency constitution, a common inbalanced contribute in PMOP patients, will contribute to the development of personalized treatment of PMOP. Objective To perform an analysis of the distribution of TCM constitution and associated factors of yang-deficiency constitution in PMOP patients in the community. Methods From November 2017 to July 2018, an interviewer-administered questionnaire survey for screening PMOP was conducted with a random sample of residents (45-80 years old) from 10 communities of Beijing's Chaoyang and Fengtai Districts. The general data collected include age, age at menopause, retirement status, types of job (mental, physical,or both)，educational level, monthly household income, height, weight, body mass index (BMI)，grip strength-weight index, history of fractures, history of falls, family history of osteoporosis, nighttime sleep duration, habits of eating leftovers, diet type (meat-based, plant-based, or meat-planthased). TCM constitution was analyzed using the TCM Constitution Questionnaire. The associated factors of yang-deficiency constitution in PMOP cases were analyzed by multivariate Logistic regression. Results Four hundred and thirty-two cases were found with PMOP, four of them were excluded due to missing data of TCM constitution, and the other 428 cases were finally included. The residents with gentleness constitution numbered the most (n=175). Among residents with biased constitution, those with yang-deficiency constitution numbered the most (n=107). Through multivariate Logistic regression analysis, it was found that BMI<18.5kg/m2, grip strength-weight index<35，frequently eating leftovers, and meat-based diet were associated with increased risk of PMOP in yang-deficiency residents (P<0.05). Conclusion This cross-sectional survey indicates that yang-deficiency constitution may he highly prevalent in PMOP residents, and was associated with BMI<18.5 kg/m2, often eating leftovers, and meat-based diet.关键词
骨质疏松,绝经后/中医体质类型/阳虚质/平和质/影响因素分析/横断面研究/社区Key words
Osteoporosis postmenopausal/ Constitutional type (TCM)/Yang-deficient constitution/ Gentleness constitution/ Root cause analysis/ Cross-sectional studies/ Community分类
医药卫生引用本文复制引用
孙传睿,章轶立,齐保玉,方圣杰,韩涛,谢雁鸣,魏戌,朱立国..社区绝经后骨质疏松症患者中医体质分布规律及阳虚质影响因素研究[J].中国全科医学,2022,25(18):2201-2206,6.基金项目
国家中医药管理局中医药传承创新团队项目(ZYYCXTD-C-202003) （ZYYCXTD-C-202003）
国家中医药管理局中医临床研究基地项目(JDZX2015-076) （JDZX2015-076）
中国中医科学院优秀青年人才培养专项(ZZ13-YQ-039) （ZZ13-YQ-039）
