社区老年人群生活质量与骨折风险性的关系

The association between quality of life and fracture risk assessment in elder residents in the community

目的通过评估分析社区老年人群的生活质量状况与骨质疏松及骨折风险的关系。方法选择2017年5月至2018年5月在内蒙古医科大学第二附属医院体检的社区居民446名,采用生活质量测定量表(SF-36)进行生活质量评估,通过双能X线骨密度仪检测骨密度并利用FRAX骨折风险评估工具进行未来10年主要部位骨质疏松性骨折与髋部骨折的风险评估。结果社区居民生活质量总体得分情况,在日常活动、居住情况、教育情况和综合健康程度等方面男性得分高于女性(P<0.05);男性与女性未来10年主要部位骨质疏松性骨折与髋部骨折风险分别为2.9、6.1和1.1、2.3。结论社区居民生活质量总体评价间不存在显著差异,居住情况具有一定的参考价值。女性未来10年的骨折风险要高于男性,因此在骨质疏松预防工作中,应充分了解居民的生活方式,积极地预防骨折。

Objective To evaluate and analyze the association between quality of lifer and osteoporotic fracture risk in elderly people in the community.Methods This study included 446 residents living in the community of Hohhot.Subjects were enrolled from May 2017 to May 2018 from health assessment subjects at the Second Affiliated Hospital of Inner Mongolia Medical University.Quality of life were assessed using Short Form-8(SF-8).Bone mineral density was measured using dual energy X-ray absorptiometry.The10-year probability of major osteoporotic fracture and hip fracture was calculated with FRAX.Results The total score of quality of life was higher in males than in females in daily activities,living conditions,education,and general health(P<0.05).The 10-year osteoporotic fracture risks in major parts and the hip were 2.9 and 6.1 in men,and 1.1 and 2.3 in women,respectively.Conclusion There is no significant difference in the overall evaluation of the quality of life in community residents.The living conditions have a certain effect.The risk of fracture in the community women is higher than that in men in the next 10 years.Therefore,for prevention of osteoporosis,we should fully understand the lifestyle of the residents and pay more attention in the prevention of fractures.