广东医学2025，Vol.46Issue(4)：628-633,6.DOI:10.13820/j.cnki.gdyx.20242721
65岁及以上老年人骨质疏松现况调查和影响因素分析
Investigation on the prevalence and risk factors of osteoporosis in elderly people aged 65 and above
摘要
Abstract
Objective To investigate the prevalence and risk factors of osteoporosis in elderly individuals aged 65 and above in a region of Guangdong Province and to explore the changes in bone density over time.Methods Based on the 2020-2022 health check-ups conducted by the basic public health services in Chancheng District,Foshan City,in-dividuals aged 65 and above who underwent bone density measurements were included.Using an ultrasound bone analyzer to measure left-hand radius bone density,the population was categorized into three groups:normal bone mass,low bone mass,and osteoporosis.The osteoporosis prevalence was described by gender and age,and Sankey diagrams were used to illustrate the changes in bone density over time among individuals undergoing continuous health checks.Multivariate logis-tic regression analysis was used to identify risk factors for osteoporosis.Results A total of 8 118 elderly individuals aged 65 and above were included,with 13 599 instances of health check-ups.The prevalence of osteoporosis in the study pop-ulation was 11.53％,and the prevalence of low bone mass was 72.55％.The prevalence of osteoporosis in 2021(12.57％)was slightly higher than in 2020(8.74％)and 2022(8.40％).There was a significant association between age and bone density(r=-0.40,P＜0.001),with differences observed between males(r=-0.29,P＜0.001)and females(r=-0.43,P＜0.001).The prevalence of osteoporosis or abnormal bone density was higher in females across all age groups.There was a certain degree of conversion between osteoporosis,low bone mass,and normal bone mass states in different years.Multivariate analysis showed that being female and older age were associated with a higher risk of developing osteoporosis.Conclusion The prevalence of osteoporosis and low bone mass among the elderly population aged 65 and above in Chancheng District,Foshan,Guangdong Province,is relatively high.It is essential to further en-hance community health education,including calcium supplementation and fall prevention,to improve the health of the elderly.关键词
骨质疏松/骨密度/老年人/患病率/影响因素Key words
osteoporosis/bone density/elderly/prevalence/risk factors分类
医药卫生引用本文复制引用
李黄养,郑佳妮,谢展涛,陈靖文,熊益权,李文华,陈庆昭..65岁及以上老年人骨质疏松现况调查和影响因素分析[J].广东医学,2025,46(4):628-633,6.基金项目
佛山市禅城区"十四五"医学重点专科和特色专科项目 （）
