中年男性骨质疏松的发病状况及危险因素

Analysis of Osteoporosis Incidence and Dangerous Factors in Middle Age Men

目的:探讨中年男性(40～60岁)骨质疏松症(OP)发病状况及危险因素。方法:使用双能X线骨密度仪(DEXA)对103例健康中年男性的L1-4及左股骨上端进行骨密度(BMD)测定。按T值(T-score)≥-1、-1～-2.5及≤-2.5分,为骨量正常、骨量减少及OP。同时对被测者的病史和生活方式、社会行为及环境因素等进行问卷调查和统计分析。结果:103例患者中,发现OP 8例(7.8%);骨量减少36例(35.0%)。问卷调查显示,影响OP及骨量减少的主要因素为运动缺乏、吸烟、饮酒及浓茶、缺少奶制品或体育运动。结论:中年男性的OP应引起社会关注,其发病与不健康的生活饮食方式密切相关。

Objective： To explore the osteoporosis incidence and risk factors in middle age men.Methods： BMD was measured by dual-energy-X-ray absorption mentry（DEXA） in 103 men aged 40-60 who mainly engaged in mental labor.All subjects were divided into groups according to their T-score values（≥-1,-1——2.5,≤-2.5）.Analysis was performed for osteoporosis incidence,the life style,the social behavioral factors and environment factors.Results： In all cases,the patients with T-score values at-1——2.5 accounted for 34.3% and those with T-score values ≤-2.5 for 7.21%.The incidence of reduced BMD was found high to 41.51% in middle age men,and almost of them were lack of exercises and sunshine,had lower calcium absorption,smoked and drank,or lived irregularly.Conclusion： The high osteoporosis incidence in Chinese middle age men has already been a very important social problem.Unhealthy life style has close relationship with it.