天津地区50岁以上男性骨质疏松相关危险因素分析

Ana lysis of risk factors related to osteoporosis in men over 50 years old in Tianjin

目的 调查天津地区50岁以上男性骨质疏松相关危险因素,为预防和控制骨质疏松提供依据.方法 采用横断面研究的方法 ,对2015年8月-2020年12月就诊于我院骨密度室的50岁以上男性进行双能X线骨密度检查,记录受试者年龄、身高、体重、BMI、是否经常锻炼、近6月内跌倒史、父母髋部骨折史、吸烟史、饮酒史、奶制品摄入、口服钙剂等临床危险因素.根据世界卫生组织诊断标准,将研究对象分为骨质疏松组和非骨质疏松组,分析各临床危险因素与骨质疏松症发生的相关性.结果 共有646例50岁以上男性受试者纳入本研究,其中OP组179例,非OP组467例,50岁以上男性总体骨质疏松患病率27.71%.年龄(与51-60岁组相比相比,OR61-70=2.09,95%CI:1.21-3.61;OR71-80=3.14,95%CI:1.79-5.49;OR>80=5.24,95%CI:2.74-10.02)、骨折史(OR=5.40,95%CI:3.38-8.64)为50岁以上男性OP危险因素;超重(OR=0.19,95%CI:0.07-0.49)、经常锻炼(OR=0.52,95%CI:0.30-0.89)、钙剂摄入(OR=0.37,95%CI:0.12-0.75)为50岁以上男性OP保护因素,上述危险因素组间差异具有统计学意义(P<0.05).结论 针对50岁以上男性,应鼓励其多参加体育锻炼,适当增加钙剂摄入、预防骨折、适当增加体质指数来减少骨质疏松症患病风险.

Objective To investigate the risk factors related to osteoporosis in men over 50 years old in Tianjin area to provide evidence for the prevention and control of osteoporosis.Methods Using a cross-sectional study mel hod,dual-energy X-ray bone mineral density examinations were performed on men over 50 who were in the bone density room of our hospital from August 2015 to Deember 2020,and the suhjects'ageheigh.,weight,BMI,and BMI were recorded.Whether to exercise regularly.the history of falls within the past 6 months,the history of hip fracture of the parents,the history of smoking,the history of drinking,the intake of dairy products.oral c aleium and other clinical risk factors.According to the diagnostic criteria of the W orld Health Organization,the study subjects were div ided into osteoporosis group and non-osteoporosis group,and the correlation between various elinieal risk factors and the occurrence of osteoporosis was analyzed..Results A total of 646 male subjects over the age of 50 were included in this study,including 179 cases in the OP group and 467 cases in the non-OP group.The overall prevalence of osteoporosis in men over the age of 50 was 27.71%.Age(compared with 51-60 years old group.0Ro-o=2.09.95%CI:1.21-3.61;OR-xn=3.14,95%C1:1.79-5.49;0R>80=5.24.95%CI:2.74-10.02),fraeture history(OR=5.40,95%Cl:3.38-8.64)are risk factors for OP in men over 50;overweight(OR=0.19,95%Cl:0.07-0.49),.regular exercise(OR=0.52.95%C1:0.30-0.89),.calcium intake(OR=0.37,95%Cl:0.12-0.75)are protective factors for OP in men over 50 years oldand the differences belween the above risk factors are statistically signifcant(P<0.05).Conclus ion For men over the age of 50.they should be encouraged to partieipale in more physical exercises,appropriately inerease caleium intake,prevent fractures,and appropriately increase horly mass index to reduce the inridenre of osteoporosis.