绝经后妇女骨质疏松患病率现状及影响因素分析

Prevalence and influence factors of osteoporosis among postmenopausal women

目的:了解西安市绝经后妇女的骨质疏松患病率及骨质疏松的影响因素,为老年妇女的骨质疏松预防提供依据。方法:应用问卷调查绝经妇女的年龄、月经初潮年龄和绝经年龄等情况,实际测量被调查妇女的身高、体重、体脂率、臀围、腰围以及髋骨密度和腰椎骨密度,根据WHO提供的骨质疏松诊断标准计算骨质疏松的患病率,并对骨质疏松情况进行Logistic回归分析,以了解骨质疏松的影响因素。结果:共调查绝经后妇女215名,髋骨骨质疏松患病率和腰椎骨质疏松患病率分别为45.1%和41.4%。年龄与骨质疏松患病率呈正相关,体重指数、绝经年龄与骨质疏松呈负相关。结论:女性绝经后骨密度下降,骨质疏松患病危险增加,应提前做好预防,改善生活方式,防止骨质疏松的发生。

Objective： To master the prevalence and influence factors of osteoporosis among postmenopausal women,and to provide evidence for osteoporosis prevention. Methods： Questionnaires were used to obtain the age,age of menarche and age of menopause of the women,and the height,weight,body fat rate,hip circumference,waist circumference and bone mineral density of hip and waist were measured by a variety of instrument. The prevalence of osteoporosis was computed according to the standard providing by WHO and the corrective factors were obtained through Logistic regression. Results： The prevalence of osteoporosis in hip and waist were 45. 1%and 41. 4% respectively of the 215 women in the study. The prevalence of osteoporosis increased with the age but decreased with the BMI and age of menopause. Conclusion： The prevalence of osteoporosis in women increases with their menopause and they should improve their living habits in advance to prevent osteoporosis.