| 贵州省男性主要少数民族骨量异常的影响因素探讨 |
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| 引用本文： | 卜美娥,洪峰,杜伦伟,王子云,汪俊华.贵州省男性主要少数民族骨量异常的影响因素探讨[J].现代预防医学,2022,0(23):4405-4411. |
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| 作者姓名： | 卜美娥 洪峰 杜伦伟 王子云 汪俊华 |
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| 作者单位： | 贵州医科大学公共卫生与健康学院，环境污染与疾病监控教育部重点实验室，贵州 贵阳 550025 |
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| 摘 要： | 目的 探索贵州省男性主要少数民族骨量异常的影响因素，为骨量异常的防控提供参考依据。 方法 基于中国多民族队列，采用多阶段分层整群抽样方法调查贵州省苗族、布依族、侗族男性共5 727名。采用随机森林算法、非条件logistic回归和限制性立方样条回归探讨骨量异常的影响因素。结果 骨量异常重要的前5名的因素依次是职业、午睡时长、年龄、BMI、静态行为。布依族（OR＝1.223，95%CI:1.065～1.405）、年龄≥50岁（OR＝1.254，95%CI:1.038～1.515）、吸烟（OR＝1.191，95%CI:1.060～1.338）、有关节炎（OR＝1.259，95%CI:1.001～1.583）和有骨折史（OR＝1.528，95%CI:1.227～1.902）可能是骨量异常的危险因素。而农林牧渔劳动者（OR＝0.787，95%CI:0.626～0.990）、午睡时长≥90分钟（OR＝0.725，95%CI:0.612～0.858）、中水平体力活动（OR＝0.818，95%CI:0.708～0.946）和高水平体力活动（OR＝0.824，95%CI:0.696～0.975）可能是贵州省主要男性少数民族骨量异常的保护因素。BMI与骨量异常的患病关联强度呈非线性关系，业余静态行为时长与骨量异常的患病关联强度呈线性关系。结论 影响贵州省男性主要少数民族骨量异常的因素包括多方面，包括非可控因素和可控因素，建议加强对可控因素的管理以预防骨量异常的发生。
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| 关 键 词： | 骨量异常 随机森林 影响因素 男性 少数民族 |
Exploration of the factors influencing bone mass abnormality in male major ethnic minority,Guizhou |
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| BU Mei-e,HONG Feng,DU Lun-wei,WANG Zi-yun,WANG Jun-hua.Exploration of the factors influencing bone mass abnormality in male major ethnic minority,Guizhou[J].Modern Preventive Medicine,2022,0(23):4405-4411. |
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| Authors: | BU Mei-e HONG Feng DU Lun-wei WANG Zi-yun WANG Jun-hua |
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| Affiliation: | School of Public Health, the Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University, Guiyang, Guizhou 550025, China |
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| Abstract: | Objective To investigate the influencing factors of abnormal bone mass of male minority in Guizhou province, and to provide reference for the prevention and control of abnormal bone mass. Methods Based on the Chinese Multi-Ethnic cohort, a total of 5 727 Miao, Buyi, and Dong males in Guizhou were surveyed using a multi-stage, stratified whole-group sampling method. Random forest algorithm, non-conditional logistic regression and restricted cubic spline regression were used to explore the influencing factors of bone mass abnormality. Results The top five most important factors for abnormal bone mass were occupation, nap duration, age, BMI, and leisure time sedentary behavior. Buyi (OR=1.223, 95%CI: 1.065-1.405), age ≥50 years (OR=1.254, 95%CI:1.038-1.515), smoking (OR=1.191, 95%CI:1.060-1.338), arthritis (OR=1.259, 95%CI:1.001-1.583) and history of fractures (OR=1.528, 95%CI:1.227-1.902) might be risk factors for abnormal bone mass. While for agriculture, forestry, husbandry and fishery workers (OR=0.787, 95%CI: 0.626-0.990), nap duration ≥90 minutes (OR=0.725, 95%CI:0.612-0.858), middle-level physical activity (OR=0.818, 95%CI:0.708-0.946) and high-level physical activity (OR=0.824, 95%CI:0.696-0.975) might be protective factors of bone mass abnormality in male minority in Guizhou Province. Conclusion The factors influencing abnormal bone mass of male minority in Guizhou province include many aspects, including uncontrollable factors and controllable factors. It is suggested to strengthen the management of controllable factors to prevent abnormal bone mass. |
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| Keywords: | Bone mass abnormality Random Forest Influencing factors Male Ethnic minority |
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