上海地区绝经后妇女骨质疏松危险因素分析
상해지구절경후부녀골질소송위험인소분석
Risk factor analysis for postmenopausal osteoporosis in Shanghai
  • 万方数据
    中华老年医学杂志 중화노년의학잡지
    Chinese Journal of Geriatrics
    2009年 9期 769-773 ,共5页

    游利%盛正妍%陈瑾瑜%戴俊明%王士中%吴恒%季晨%周建%潘凌%陈琳%宋庆明%马珏蓉%蒋晓鸣

    유리%성정연%진근유%대준명%왕사중%오항%계신%주건%반릉%진림%송경명%마각용%장효명

    骨质疏松%绝经后%危险因素 骨質疏鬆%絕經後%危險因素
    골질소송%절경후%위험인소
    Osteoporosis%postmenopausal%Risk factors
    目的 探讨上海地区绝经后妇女骨质疏松的危险因素.方法 2008年6月至2008年9月从上海城市社区中年龄在45～80岁的绝经后妇女中随机抽取曾经双能X线骨密度测量仪测定并经临床医生确诊为骨质疏松者250人作为患者组,随机抽取非骨质疏松者250人作为对照组进行病例-对照研究.结果 单因素Logistic回归分析结果显示,年龄、文化程度、职业、绝经年限、体质指数(BMI)、是否经常摄入高钙食物及晒太阳、既往有非外伤性骨折、经常跌倒、糖尿病、慢性胃病、胃肠切除和腹泻与骨质疏松有关.多元Logistic回归模型进行分析显示,年龄、绝经年限、营养状态与骨质疏松关系最密切.结论 上海地区绝经后妇女发生骨质疏松与多种因素有关,早绝经、BMI低及老年妇女尤其要注意骨质疏松的防治.
    목적 탐토상해지구절경후부녀골질소송적위험인소.방법 2008년6월지2008년9월종상해성시사구중년령재45～80세적절경후부녀중수궤추취증경쌍능X선골밀도측량의측정병경림상의생학진위골질소송자250인작위환자조,수궤추취비골질소송자250인작위대조조진행병례-대조연구.결과 단인소Logistic회귀분석결과현시,년령、문화정도、직업、절경년한、체질지수(BMI)、시부경상섭입고개식물급쇄태양、기왕유비외상성골절、경상질도、당뇨병、만성위병、위장절제화복사여골질소송유관.다원Logistic회귀모형진행분석현시,년령、절경년한、영양상태여골질소송관계최밀절.결론 상해지구절경후부녀발생골질소송여다충인소유관,조절경、BMI저급노년부녀우기요주의골질소송적방치.
    Objective To investigate the risk factors for postmenopausal osteoporosis in Shanghai.Methods Five hundred postmenopausal community-dwelling women aged 45-80 years were recruited. The case-control study was performed from June 2008 to September 2008.A total number of 250 women with postmenopausal osteoporosis identified with their bone mineral density (BMD) were selected as case group, and 250 non-osteoporosis women were selected as control group. BMD was measured by dual energy X-ray absorption (DEXA). Results Univariate logistic regression analysis showed that age, eduction level, occupation, years since menopause, BMI, use of calcium,historyofnon-violencefracture,fall,diabetesmellitus,chronicgastricdiseases, gastrointestinal resection and diarrhea were related to osteoporosis.Multiple logistic regression showed that age, years since menopause and nutritional status were the risk factors for osteoporosis. ConclusionsThe occurrence of osteoporosis is related with many factors in postmenopausal women in Shanghai, and women with early menopause, low BMI and older age should pay more attention to the prevention and treatment of osteoporosis.
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