中国中医骨伤科杂志2026，Vol.34Issue(2)：78-82,5.DOI:10.20085/j.cnki.issn1005-0205.260213
失眠对绝经后女性骨密度的影响
The Influence of Insomnia on Bone Mineral Density in Postmenopausal Women
摘要
Abstract
Objective:This study aims to reveal the impact of insomnia on bone mineral density(BMD)in postmenopausal women.Methods:A retrospective case-control study was conducted among postmenopausal women who participated in questionnaire surveys and BMD tests from January 1,2017 to April 30,2024.Patients meeting the inclusion criteria were included.Statistical analysis was performed using SPSS 26.0.Results:There were no statistically significant differences in age,the age of menarche,the number of pregnancies,the number of children breastfed,the age at menopause,and the height between the insomnia group and the non-insomnia group.However,there were statistically significant differ-ences in weight and body mass index(BMI)(P<0.05).The T value of the lumbar spine in the insomnia group was significantly lower than that in the non-insomnia group(P<0.05),and the BMD of the lumbar spine was also lower.Bone mass loss occurred at a faster pace in the insomnia group than in the non-insomnia group(P<0.05),and the percentage of normal bone mass was lower in the insomnia group(P<0.05).The results of univariate and multivariate Logistic regression analysis showed that insomnia,age and the number of pregnancies were risk factors for bone loss(P<0.05),while BMI was a protective factor(P<0.05).Con-clusion:Insomnia may be a risk factor for BMD in postmenopausal women,and postmenopausal women with insomnia are at risk of low BMD in the lumbar spine.关键词
入睡和睡眠障碍/骨质疏松/绝经后/骨密度/腰椎/体重指数Key words
sleep initiation and maintenance disorders/osteoporosis/postmenopausal/bone mineral density/lumbar verte-brae/body mass index(BMI)分类
医药卫生引用本文复制引用
郑林燕,葛继荣,谢丽华,李玉乐..失眠对绝经后女性骨密度的影响[J].中国中医骨伤科杂志,2026,34(2):78-82,5.基金项目
国家自然科学基金项目(81674007,82274563,82374483)国家中医药管理局高水平中医药重点学科建设项目(中医骨伤科学)(zyyzdxk-2023106)福建中医药大学中医骨伤科学学科开放课题资助(XGS2023001)福建省科技厅省属公益类科研院所基本科研专项(2022R1003002) （81674007,82274563,82374483）
