老年男性代谢综合征与骨质疏松症的关系

Relationship between Osteoporosis and Metabolic Syndrome in Aged Men

目的:探讨老年男性代谢综合征(MS)与骨质疏松症(OP)的关系。方法:采用双能X线法检测196例老年男性骨密度,通过全自动生化分析仪检测血糖(FBG)、三酰甘油(TG)、高密度脂蛋白(HDL-C)的指标,测量血压(SBP、DBP)、腰围(WC)、体质量及身高,计算体质量指数(BMI)。结果:MS组的WC、TG、FBG、SBP和DBP均高于对照组(P<0.05),HDL-C低于对照组(P<0.05)。老年男性MS患者WC与骨密度呈负相关(r=-0.183,P<0.05),BMI与骨密度呈正相关(r=0.214,P<0.05)。结论:老年男性MS与OP密切相关,应重视WC对MS的预警作用。

Objective：To investigate the relationship between osteoporosis （OP）metabolic syndrome （MS） in old men. Methods：Bone mineral density values in 196 old men were measured by dual-energy X-Ray absorptiometry, fasting blood glucose （FBG）, triglyceride （TG）, and high-density lipoprotein cholesterol （HDL-C） were measured by automatic biochemistry analy zer, blood pressure （SBP,DBP）, waist circumference （WC）, weight and height were measured, the body mass index （BM1） was calculated. Results：WC, concentrations of TG and FBG, values of SBP and DBP in MS group were higher than those in control group （P〈0.05）, and concentrations of HDL-C were lower than those in control group （P〈0. 05）, the prevalance of OP in MS group with central obesity was higher than those in control group （P〈0.05）, there were negative liner correlations between WC and bone mineral density in age men with MS （r =-0. 183, P〈0. 05） ,and positive liner correlations between BMI and bone mineral density in that （r= 0. 214,P〈0.05）. Conclusion： MS in old men with MS is closely related to OP.