女性原发性骨质疏松症可控影响因素研究

A Study on the Controllable Influential Factors of Women's Primary Steoporosis

目的:探索女性人群原发性骨质疏松症(POP)可控影响因素,为开展社区综合防治提供依据.方法:在随机整群抽样的长沙市八个社区的中老年女性人群中,以双能X线吸收仪测定并结合临床诊断POP同批确诊的患者和对照,按年龄相差<4岁、是否绝经两个条件进行1:2匹配,对既往暴露史进行调查,用SPSS13.0统计软件作Logistic回归分析,筛选POP的可控制影响因素.结果:共获得1:2匹配的对子110对.单因素分析显示,POP知识知晓等七个因素有统计学意义;多因素分析表明:POP知识知晓、摄食大豆及豆制品≥3次/周、喝牛奶≥3次/周、运动锻炼≥3次/周,日照时间≥1小时/天是保护因素,而喝咖啡≥1次/天、高盐饮食是危险因素.结论:普及POP相关保健知识;多食大豆及豆制品、多喝牛奶、多进行户外运动锻炼;少喝咖啡,控制高盐饮食是社区人群POP综合防治的重要措施.

Objective： to discuss the controllable influential factors of primary osteoporosis （POP） among women and to provide evidence for developing city community＇ s comprehensive prevention against and treatment of primary osteoporosis. Methods： Select eight communities by cluster sampling at random in Changsha City. The middle - aged and aged women were examined the mineral density with the dual energy X - ray absorption. Compare the diagnostic POP patients and the diagnostic non - POP. Make a 1 ： 2 match according to these two elements： the age （a maximum of 4 years of difference） and whether or not they have ended catamenia. Make an investigation on their exposition history. The data were analyzed through conditional logistic regression analysis with the statistics analysis software SPSS 13.0. Results： we have got 110 pairs of 1 ： 2 matching studying objects. Monofactorial analysis shows that 7 factors have the statistic meaning, such as the knowledge of POP. Multifactorial analysis shows that knowledge of POP, taking of bean and bean products ≥ 3 times/week, drinking milk ≥ 3 times/week, body - exercising ≥3 times/week and sunshine exposition ≥ 1 hour/day are protective factors, while drinking coffee≥1 time/day, high- salt diet are dangerous factors. Conclusion： Popularizing the related health knowledge about POP, taking more bean and bean products, frequent drinking of milk, doing more out - door body - exercise, taking less coffee and controlling high - salt diet are important measures for community groups to prevent POP.