已婚女性手指骨密度与月经、生育史及生活方式的关系

Relationship between finger bone mineral density and menstruation,fertility history,lifestyle in married women

目的分析已婚女性手指骨密度与月经、生育史及生活方式的关系。方法选取健康体检的已婚女性786例,采用MetriScan X射线骨密度仪,检测受检者左手的第二、第三和第四手指中节指骨骨密度水平,进行月经、生育史及生活方式问卷调查并分析骨质疏松影响因素。结果受检者总体骨质疏松患病率为15.8%。骨密度值和T值峰值水平均出现于30~39岁年龄组。Logistic回归分析显示,初潮年龄晚和生育次数多均是骨质健康的危险性因素(P<0.05),而文化程度高、口味偏辛辣酸味、常饮茶和生活节奏快是骨质健康的保护性因素(P<0.05)。结论女性独特的生育周期对其自身骨密度水平有一定的影响。应关注女性特定生理状态如月经、妊娠及生育期的骨密度变化,加强对骨质疏松的防治。

Objective To analyze the relationship between finger bone mineral density and menstruation,fertility history,lifestyle of married women.Methods The bone mineral density of the second,third and forth middle phalanx of left hand was measured by MetriScan TM in 786 married women underwent physical examination.The questionnaire about menstruation,fertility history and lifestyle was filled to analyze factors influencing osteoporosis.Results The total prevalence of osteoporosis was 15.8%.The peak values of bone mineral density and T value appeared in the women aged 30-39 years old,which had a tendency of decrease as age increasing.Logistic regression analysis showed that late onset of menstruation and more times of fertility were the risk factors for bone health(P<0.05).While the high education level,spicy taste taking,frequent tea drinking and fast life rhythm were the protective factors for bone health(P<0.05).Conclusion Women’s unique birth cycle has a certain effect on their own bone mineral density.An attention should be paid to the changes of bone mineral density in the specific physiological state of women such as menstruation,pregnancy and child birth,and to the prevention and treatment of osteoporosis.