中高龄老年人衰弱程度与老年性骨质疏松症的相关性探讨

Study on the relationship between the degree of weakness and senile osteoporosis in middle-age and elder people

目的探讨老年性骨质疏松症与中高龄老年人衰弱程度的相关性,为减少中高龄老年人衰弱程度提供依据。方法选取2016年7月至2017年1月唐山10个卫生服务中心直接管辖的32个社区内登记户籍符合入组的≥75周岁的老年人,采用The CFAI衰弱综合评估工具进行问卷调查,老年性骨质疏松症诊断标准依据老年人在三甲以上医院根据骨密度诊断的结果而定。结果 3448名高龄老人衰弱率100%,重度衰弱占32.6%;中高龄老年人发生老年性骨质疏松症者占11.46%;多因素分析年龄、婚姻、文化程度、老年性骨质疏松症是衰弱的影响因素(P<0.05)。结论应重视中高龄老年性骨质疏松症的预防和治疗,从而减轻老年人的衰弱程度。

Objective To explore the relationship between senile osteoporosis and the degree of weakness in middle-aged and elderly people,and to provide scientific basis for reducing weakness in the middle-aged and the elderly. Methods Registered elder people（≥75 years old） from 32 communities under the administration of 10 health service centers in Tangshan were selected from July 2016 to January 2017. The CFAI weak comprehensive evaluation tool was used as questionnaire and osteoporosis was diagnosed according to bone mineral density in the 3 A hospitals. Results The weakness rate of 3448 old persons was 100%,among which the serious weakness rate was 32. 6%. The incidence of osteoporosis among middle-aged and elder people was11. 46%. Multi-factor analysis showed that age,marital status,education,and osteoporosis were the risk factors of weakness（P〈0. 05）. Conclusion Attention should be paid to the prevention and treatment of senile osteoporosis so as to reduce the degree of weakness in the elder people.