邢台山区65岁以上老年人骨质疏松症患病情况及其影响因素分析

目的探讨邢台山区65岁以上老年人骨质疏松症(OP)患病情况及其影响因素。方法调查选取2016年3月至2018年12月邢台山区65岁以上老年人1207例,采用自制《老年人OP问卷》调查OP患病情况及其影响因素。结果本次调查的1207例老年人中,有OP者129例、患病率为10.69%;单因素分析结果显示,有无OP老年人的年龄、体质量指数、运动量、吸烟、奶品摄入、OP家族史比较,差异有统计学意义(P<0.05);Logistic回归分析结果显示,75~80岁、体质量指数>28 kg/m^(2)、吸烟、OP家族史是老年人OP患病的独立危险因素,经常运动、奶品摄入是老年人OP患病的独立保护因素(P<0.05)。结论邢台山区65岁以上老年人OP的患病率高,其与多种因素有关,提示应重点关注75~80岁、体质量指数>28 kg/m^(2)、吸烟、OP家族史等老年人群,并应指导老年人进行合理的运动、奶品摄入。

The occurrence and influencing factors of osteoporosis in the elderly over 65 years old people in Xingtai mountain area

ObjectiveTo discuss the occurrence and influencing factors of osteoporosis (OP) in the elderly over 65 years old people in Xingtai mountain area. Methods1, 207 elderly people over 65 years of age in Xingtai Mountains from March 2016 to December 2018 were investigated. The incidence of OP and its influencing factors were investigated by self-made Old People OP Questionnaire. ResultsIn the 1, 207 elderly people survey, 129 had OP and the incidence was 10.69%. Univariate analysis showed that, there were significant differences in age, body mass index, exercise, smoking, dairy intake and OP family history between the elderly people with and without OP (P<0.05). Logistic regression analysis showed that, the 75-80 years old, body mass index >28 kg/m², smoking and OP family history were independent risk factors for OP in the elderly, and the regular exercise and dairy intake were independent protective factors for OP in the elderly (P<0.05). ConclusionsThe incidence of OP in the elderly over 65 years old in Xingtai Mountains is high, which is related to many factors, it is suggested that attention should be paid to the elderly population of 75-80 years old, body mass index>28 kg/m², smoking and OP family history, and that reasonable exercise and dairy intake should be directed to the elderly.