上海市宝山区淞南地区60岁以上老年人骨质疏松危险因素研究

目的探索上海市宝山区淞南地区60岁以上老年人骨质疏松危险因素,为骨质疏松的防治提供依据。方法从2016年4月至2017年6月至上海市宝山区淞南镇社区卫生服务中心体检的60岁以上居民中随机抽取2591人,采取现场问卷调查及现场测量方式获得研究人群的性别、年龄、身高、体重、慢性病史、家族史、日常生活方式,使用超声骨密度仪进行骨密度测定。运用统计学软件分析得出危险因素和保护因素与骨密度的相关性。结果在调查的2591例老年人中,骨质疏松的发生率为37.78%,其中男性为21.81%,女性为51.02%。多因素非条件Logistic回归分析显示:性别、年龄、体质指数、奶制品摄入、吸烟、运动与骨质疏松关系密切,且差异具有统计学意义。结论上海市宝山区淞南地区中老年骨质疏松的发生与性别、年龄、饮食习惯、体育锻炼、吸烟等多因素相关,应采取综合干预措施来控制和预防该地区骨质疏松的发生发展。

Research of the risk factors of osteoporosis in more than 60 years old elderly people in Songnan Town, Baoshan District, Shanghai

Objective To explore the risk factors of osteoporosis in more than 60 years old elderly people in one community in Shanghai, and to provide the basis for future work in the prevention of osteoporosis. Methods A total of 2591 people are randomly selected form over 60 years old people who attended physical examination in Health Care Center of Songnan Town from April to June 2017. Questionnaire survey and in-place measurement were used to acquire age, sex, height, weight, diet, exercise, chronic disease history, and family history of the subjects. Bone mineral density was detected using an ultrasound absorptiometry. The correlation among risk factors, protective factors, and bone mineral density was analyzed with a statistical software. Results In 2591 cases of the elderly people, the incidence of osteoporosis was 37.78%, in which 21.81% were in males and 51.02% were in females, respectively. Logistic regression analysis indicated that age, sex, body mass index, smoking, sports, and milk intake were closely correlated with osteoporosis, with statistically significance. Conclusion Osteoporosis in the elderly community in Songnan area is correlated with a variety of factors, including age, sex, activity level, smoking, and diets, etc. Comprehensive intervention should be taken to control and prevent the occurrence and development of osteoporosis in this area.