中华骨质疏松和骨矿盐疾病杂志2025，Vol.18Issue(5)：543-553,11.DOI:10.3969/j.issn.1674-2591.2025.05.005
黔东南州苗族人群骨量异常患病率调查及影响因素分析
Prevalence of abnormal bone mass in Miao population in Qiandongnan Prefecture and analysis of related influence factors
摘要
Abstract
Objective To investigate the prevalence of abnormal bone mass(low bone mass and osteoporo-sis)among the Miao residents in Qiandongnan Prefecture,Guizhou province,and to identify the associated influence factors.Methods A total of 1 589 Miao individuals aged≥40 years,who were permanent residents of Qiandongnan Prefecture,Guizhou province,and underwent health examinations at the Second Affiliated Hospital of Guizhou Medical University health check-up center,were enrolled in this study.A questionnaire survey,physical ex-amination,laboratory tests and dual-energy X-ray absorptiometry for bone mineral density were conducted to analyze the prevalence of abnormal bone mass in this population and to use binary Logistic regression analysis to determine the influence factors.Results The prevalence of low bone mass and osteoporosis among the Miao population in Qi-andongnan Prefecture was 40.7%and 13.2%,respectively.The prevalence in males was 39.7%and 4.6%,re-spectively,which were lower than that in females(41.6%and 20.5%,respectively)(P＜0.001).Among males,the risk of abnormal bone mass was higher in the 50-59 years,60-69 years and over 70 years age groups of than in 40-49 years group.Tea consumption was a risk factor for abnormal bone mass in males,while milk and dairy prod-uct intake was a protective factor(P＜0.05).Among females,the risk of abnormal bone mass increased in those aged over 70 years compared to the 40-49 years group(OR=14.154,95%CI:3.857-51.943,P＜0.001),and the times of childbirth was positively correlated with the risk of abnormal bone mass.Milk and dairy product intake and overweight and obesity were protective factors for abnormal bone mass in females.Females engaged in agricul-ture,forestry,animal husbandry and fishing,at home unemployed and commercial services had a lower risk of ab-normal bone mass than the retired individuals(P＜0.05).Conclusion The prevalence of abnormal bone mass a-mong the Miao population in Qiandongnan Prefecture,Guizhou province is relatively high.It is recommended to strengthen bone health education,early screening and proactive preventive measures targeting at the influencing fac-tors of bone mineral density in different genders.关键词
苗族/骨密度/骨量减少/骨质疏松症/影响因素Key words
Miao/bone mineral density/low bone mass/osteoporosis/influence factors分类
医药卫生引用本文复制引用
敖洪萍,张前,陈世碧,马明珍,付永菊,廖方媛,杨双莉,赖向恒,张巧..黔东南州苗族人群骨量异常患病率调查及影响因素分析[J].中华骨质疏松和骨矿盐疾病杂志,2025,18(5):543-553,11.基金项目
贵州省卫生健康委科学技术基金项目(gzwkj2022-287,gzwkj2024-059),黔东南州科技计划项目(黔东南科合J字[2021]22号,J字[2022]05号,J字[2023]36号) （gzwkj2022-287,gzwkj2024-059）
