成都地区2015-2016年健康体检人群骨密度与肥胖的相关性研究

The Correlation Study Between Bone Mineral Density and Obesity of People Having Health Examination from 2015 to 2016 in Chengdu

目的了解成都地区居民骨质疏松及肥胖的患病情况、两者的相关性及对相关疾病的影响。方法调查在我院进行健康体检的受检者的骨密度降低、肥胖及相关指标流行病学信息。结果成都地区成年人骨质疏松和肥胖患病率分别为3.49%%和53.13%;随着BMI升高,骨质疏松发生率随之增高,按腰臀比(WHR)分组后,男性骨质疏松发生率均高于女性,随着WHR升高,骨量减少及骨质疏松的发生率呈递增趋势。根据有无骨密度降低及肥胖进行分组:BMI、WHR、FPG、UA、收缩压、舒张压水平及HBP、CHD、DM、脂肪肝患病率均为重叠组最高,正常组最低。结论骨密度降低与肥胖紧密相关,两者发病过程中的相互加重、促进作用应当引起足够的重视并应进行综合防治。

Objective To learn about the prevalence of osteoporosis and obesity in Chengdu residents and the correlation between them and their impacts on relative diseases. Methods Epidemiological information of bone mineral density,obesity and relative index of people having health examination in West China Hospital of Sichuan University was investigated. Results The prevalence rates of osteoporosis and obesity of adults in Chengdu were respectively 3. 49% and 53. 13%. And with BMI increasing, the incidence of osteoporosis increased. After people were divided according to waist-to-hip ratio（ WHR） ,the incidence of osteopo-rosis of male were all higher than that of female. And as WHR increased,the incidences of osteopenia and osteoporosis trended to increase. With grouping that depended on whether there was the reduction of bone mineral density or obesity,overlapping groups had the highest BMI,WHR,FPG,UA,systolic blood pressure,diastolic blood pressure and prevalence of HBP,CHD,DM and fatty liver,and normal group had the lowest. Conclusion The reduction of bone mineral density and obesity are closely related. It should be given enough attention that both of them mutually aggravate and promote in the pathogenesis and comprehensive measures for prevention and control should be taken.