CAJ | 학술논문

目的：探讨内蒙古西部地区蒙古族骨质疏松症（ OP）的发病及其危险因素，以便针对性地进行干预。方法连续抽取内蒙古医科大学附属医院体检中心300名蒙古族健康人群进行OP患病率调查，发现OP 43例，为病例组，未发生OP的257名中随机抽取86名为对照组。对2组的年龄、身高、体重指数和性别等17项予以比较分析。所得资料在单因素分析的基础上，又做多因素logistic回归。结果 OP的患病率为14．33％。 OP发生的相关因素分析，排除进入模型的其他作用因素后，年龄每增加1岁和体重指数每增加1个单位，促使OP发生的危险性分别是原来的1．10倍和1．21倍（ OR分别是1．10和1．21，其95％可信区间内均不包含1， P均＜0．05）；城市居住和进食蔬菜少促使发生OP的危险性分别是农牧区居住和进食蔬菜多的3．85倍和3．82倍（OR分别是3．85和3．82，其95％可信区间内均不包含1， P均＜0．05），促进发病。而男性和饮酒多促使发生OP的危险性分别是女性和饮酒少或无的0．41倍和0．11倍（ OR分别是0．41和0．11，其95％可信区间内均不包含1， P均＜0．05），女性更易发生OP，饮酒多可阻止发病。结论增龄、体重指数增高、城市居住、进食蔬菜少和女性是发生OP的危险因素，而饮酒多为其保护因素。
목적：탐토내몽고서부지구몽고족골질소송증（ OP）적발병급기위험인소，이편침대성지진행간예。방법련속추취내몽고의과대학부속의원체검중심300명몽고족건강인군진행OP환병솔조사，발현OP 43례，위병례조，미발생OP적257명중수궤추취86명위대조조。대2조적년령、신고、체중지수화성별등17항여이비교분석。소득자료재단인소분석적기출상，우주다인소logistic회귀。결과 OP적환병솔위14．33％。 OP발생적상관인소분석，배제진입모형적기타작용인소후，년령매증가1세화체중지수매증가1개단위，촉사OP발생적위험성분별시원래적1．10배화1．21배（ OR분별시1．10화1．21，기95％가신구간내균불포함1， P균＜0．05）；성시거주화진식소채소촉사발생OP적위험성분별시농목구거주화진식소채다적3．85배화3．82배（OR분별시3．85화3．82，기95％가신구간내균불포함1， P균＜0．05），촉진발병。이남성화음주다촉사발생OP적위험성분별시녀성화음주소혹무적0．41배화0．11배（ OR분별시0．41화0．11，기95％가신구간내균불포함1， P균＜0．05），녀성경역발생OP，음주다가조지발병。결론증령、체중지수증고、성시거주、진식소채소화녀성시발생OP적위험인소，이음주다위기보호인소。
Objective To explore the incidence and the risk factors of osteoporosis ( OP) in Mongolians of west Inner Mongolia region, so as to get targeted intervention.Methods Three hundred Mongolian healthy people were continuously extracted from the health examination center of the Affiliated Hospital of Inner Mongolia Medical University.Forty-three cases were diagnosed of OP. They were in the case group.Eighty-six cases were randomly selected from 257 non-OP people as control group.Seventeen indexes including age, height, and body mass index were compared between the two groups.Single factor analysis and multi-factor logistic regression were conducted.Results The prevalence of OP was 14.33%.The analysis of OP-related factors showed that after excluding other roles into the model, every 1-year increase of age and every 1-unit increase of body mass index increased the OP risk by 1.10 and 1.21 times, respectively (OR 1.10 and 1.10, 95%confidence interval not containing 1, P<0.05).Urban living and less intake of vegetables increased the OP risk by 3.85 and 3.82 times more than farm living and more intake of vegetables ( OR 3.85 and 3.85, the 95%confidence interval not containing 1, P<0.05).Male gender with more drinking increased the OP risk comparing to females and less drinking (OR 0.41 and 0.11, the 95% confidence interval not containing 1, P<0.05).Females were more vulnerable to OP.Drinking in women prevented the occurrence of the disease.Conclusion Age, body mass index increase, urban residential, less vegetable intake, and female gender are OP risk factors.More drinking is the protective factor.