CAJ | 학술논문

目的：评估亚洲骨质疏松自我评估工具（ OSTA）和体重指数（ BMI）预测社区绝经后妇女骨质疏松症的效果。方法利用双能X线吸收仪测定320例绝经期女性的骨密度，计算OSTA指数和体重指数，并评价他们对于骨质疏松症的预测效果。结果腰椎和股骨颈骨质疏松检出率分别为25．9％和35．9％，OSTA指数和BMI都和骨密度有明显的相关性。以OSTA≤－1作为临界点，预测腰椎、股骨颈骨质疏松症的灵敏度和特异度分别为75．3％和69．1％。如果按照BMI≥23．0相应的指标为67．0％和55．6％。结论 OSTA指数和BMI对于绝经后妇女骨质疏松症都有一定的预测价值，但是灵敏度都特别低。相比而言，OSTA指数更为简单方便，也有更好的评价效果。
목적：평고아주골질소송자아평고공구（ OSTA）화체중지수（ BMI）예측사구절경후부녀골질소송증적효과。방법이용쌍능X선흡수의측정320례절경기녀성적골밀도，계산OSTA지수화체중지수，병평개타문대우골질소송증적예측효과。결과요추화고골경골질소송검출솔분별위25．9％화35．9％，OSTA지수화BMI도화골밀도유명현적상관성。이OSTA≤－1작위림계점，예측요추、고골경골질소송증적령민도화특이도분별위75．3％화69．1％。여과안조BMI≥23．0상응적지표위67．0％화55．6％。결론 OSTA지수화BMI대우절경후부녀골질소송증도유일정적예측개치，단시령민도도특별저。상비이언，OSTA지수경위간단방편，야유경호적평개효과。
Objective To evaluate the application of osteoporosis self-assessment tool for Asians (OSTA) and body mass index ( BMI) in screening of osteoporosis for postmenopausal women in communities.Methods A total of 320 postmenopausal women were included.Bone mineral density ( BMD) was measured using dual energy X-ray absorptiometry ( DXA).OSTA index and BMI were calculated, and their predictive values of osteoporosis for postmenopausal women were assessed, respectively.Results The detection rates of osteoporosis in the lumbar spine and the proximal femur were 25.9%and 35.9%respectively.Both the OSTA index and BMI were significantly correlated with BMD.Using OSTA≤-1 as the cut-off value, the sensitivity and specificity of OSTA in the screening of osteoporosis in the lumbar spine and the femur were 75.3% and 69.1%, respectively.Using BMI≥23.0, they were 67.0% and 55.6%, respectively.Conclusion Both OSTA index and BMI have certain predictive value in screening osteoporosis in postmenopausal women.However, the sensitivity is low.OSTA index is more convenient and simpler in use.