东部沿海地区中老年居民骨密度现状调查及影响因素分析

Investigation on bone mineral density of middle-aged and elderly residents in eastern coastal areas and analysis of its influencing factors

目的本研究对东部沿海地区中老年居民骨密度现状调查及影响因素进行分析,为防治骨质疏松提供参考。方法本研究收集2015年1月~2017年1月城市周边社区人群共300例相关资料,采用面对面问卷调查形式调查中老年人的一般资料及生活方式和饮食习惯,测量研究对象骨密度(骨量正常组、骨量减少组、骨质疏松组)并分析其与糖代谢指标、脂代谢指标及肝功能指标的关系。结果骨量正常组、骨量减少组和骨质疏松组患者的BMI逐步降低而Ca、P及ALP水平逐步升高,且差异显著(P<0.05),而各组间腰围、腰臀比、收缩压和舒张压、FBG、Hb A1C、AST和ALT无显著差异性(P>0.05)。结论东部沿海地区中老年居民骨密度与BMI和Ca、P及ALP水平密切相关。

Objective To explore the status of bone mineral density（BMD） in the middle and old aged residents in theeastern coastal areas and its influencing factors. Methods 300 cases of community population in urban and surroundingareas from Jan 2015 to Jan 2017 were collected in this research. The general information, lifestyle and eating habits ofthe elderly were investigated by face-to-face questionnaire. Bone mineral density （bone mass normal group, osteopeniagroup and osteoporosis group） were measured and analyzed. Results The levels of BMI, Ca, P and ALP in the normalgroup were lower than the bone mass reduction group and the osteoporosis group with statistical differences（P〈0.05）.There were no significant differences in waist circumference, waist to hip ratio, systolic and diastolic pressure, FBG,HbA1C, AST and ALT among these groups（P〉0.05）. Conclusion Bone mineral density are closely related to BMI serumCa, P and ALPconcentration in the eastern coastal area.