开封市某社区老年人骨量异常现状及影响因素研究

Status and influencing factors of bone mass abnormality in community-dwelling elderly people in Kaifeng City

目的探讨开封市社区老年人骨量异常现状及其影响因素,为该地区相关疾病的防治工作提出科学建议。方法以2019年1—5月开封市某社区≥60岁健康体检者为研究对象进行问卷调查、体格检查和骨密度测量,采用描述流行病学方法进行分析,并采用多因素Logistic回归分析骨量异常的影响因素。结果本研究共对700名开封市≥60岁健康体检者进行研究,年龄60~90岁,其中男285人(40.7%),女415人(59.3%)。共检出男性骨量异常106例,骨量异常率为37.2%,女性骨量异常309例,骨量异常率为74.5%。多因素Logistic回归分析结果显示,服用钙片(OR=0.135)、中等强度运动(OR=0.185)、睡眠时长足够及一般(OR=0.205、0.121)的男性骨量异常风险更低。患有高血压(OR=1.754)的女性骨量异常风险更高,服用钙片(OR=0.187)、睡眠时长足够及一般(OR=0.458、0.417)的女性骨量异常风险更低。结论开封市某社区≥60岁健康体检者骨量异常率较高,尤其是老年女性,不同性别的社区老年人骨量异常的影响因素不完全相同,在防治骨质疏松相关疾病时应多加注意。

Objective To investigate the status and influencing factors of bone mass abnormality in communitydwelling elderly people in Kaifeng City,and put forward scientific suggestions for the prevention and treatment of bone mass abnormality related diseases in this area. Methods Questionnaire survey,physical examination and bone mineral density measurement were conducted on healthy people aged over 60 years old in a community in Kaifeng City from January to May,2019. Descriptive epidemiological method was used for analysis,and multivariate Logistic regression analysis was used to analyze the influencing factors of bone mass abnormality. Results A total of 700 healthy people aged 60 to 90 years old in Kaifeng City were analyzed,including 285 males(40.7%)and 415 females(59.3%). One hundred and six cases of bone mass abnormality were detected in men(37.2%,106/285),and 309 cases in women(74.5%,309/415),respectively. Multivariate Logistic regression analysis showed that men who took calcium tablets(OR=0.135),moderate-intensity exercise(OR=0.185),adequate sleep duration and average(OR=0.205,0.121)had lower risk of bone mass abnormality;Women with hypertension(OR=1.754)had higher risk of bone mass abnormality,and women who took calcium tablets(OR=0.187),adequate sleep duration and average(OR=0.458,0.417)had lower risk of bone mass abnormality. Conclusion The incidence of bone mass abnormality is relatively high in people aged over 60 years old in community of Kaifeng City,especially elderly women. The influencing factors of bone mass abnormality in community elderly of different genders are not completely the same,and more attention should be paid when preventing and treating osteoporosis-related diseases.