体检人群中骨密度与心血管疾病危险因素的关系初探

The relationship between BMD and the relative cardiovascular risk factors in physical examination

目的探讨骨质疏松与心血管疾病之间的关系。方法对774例体检者进行骨量检测并按检测结果分为三组,记录体质量指数(BMI)、空腹血糖(FPG)、收缩压(SBP)、舒张压(DBP)以及血脂[总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)]等指标。结果在体检人群中骨量减少有较高的发生率(32.69%),骨质疏松的发生率约为2.07%。男性与女性在三个骨量分组中的分布差异有统计学意义(χ2值为27.070,P<0.01)。骨量减少与年龄、HDL-C的增加及体质量指数有关,差异有统计学意义(χ2值分别为14.467,6.060,4.586;P<0.05)。结论 BMD是人群中需要监测的指标,骨量的变化与心血管疾病危险因素之间有一定的关系。

Objective To explore the relationship of bone mineral density（BMD） and the relative cardiovascular diseases risk factors.Methods 774 people in the health physical examination center were entered into this study and divided into 3 groups.Body mass index（BMI）,fasting plasma glucose（FPG）,serum total cholesterol（TC）,serum triglyceride（TG）,low density lipoprotein（LDL-C）,high density lipoprotein（HDL-C）,systolic blood pressure（SBP） and diastolic blood pressure（DBP） were measured.Results The morbidity of decreased BMD was high（32.69%）,the morbidity of osteoporosis was 2.07%.There was difference in BMD between the two genders（χ^2 value was 27.070,P〈0.05）.There were significantly difference in age,HDL-C and BMI among the three BMD groups（χ^2 value was 14.467,6.060,4.586,repectively,P〈0.05）.Conclusions The BMD should be monitored for medical examination.There is a close relationship between BMD and the relative cardiovascular risk factors.