社区老年人衰弱与骨质疏松的关系研究

目的探讨社区老年人衰弱与骨质疏松之间的关系。方法采用便利抽样、横断面调查的方法,分别采用蒂尔堡衰弱指标量表(TFI)以及亚洲人骨质疏松自我筛查工具(OSTA)指数对社区老年人进行衰弱及骨质疏松调查。收集所有对象的一般资料并进行体能测试,采用多因素分析老年人衰弱的影响因素。结果衰弱病人骨质疏松发生率显著高于非衰弱病人(21.4%比4.8%,P<0.01)。不同骨质疏松风险分层组病人衰弱发生率、衰弱得分以及体能水平差异均有统计学意义(P<0.01)。OSTA指数与衰弱总分、身体功能维度以及心理维度得分存在显著相关性(r=-0.297、-0.320及-0.114,P<0.05)。Logistic回归分析显示,合并症数、饮茶、锻炼以及合并骨质疏松是衰弱的影响因素。结论衰弱与骨质疏松存在相关性,骨质疏松是衰弱的独立危险因素之一。

Relationship between frailty and osteoporosis in the community elderly

Objective To explore the relationship between frailty and osteoporosis in the community elderly.Methods A cross-sectional survey was conducted.The Tilburg Frailty Indicator(TFI)was used to evaluate frailty,and Osteoporosis Self-assessment Tool For Asians(OSTA)was used to evaluate osteoporosis in the community elderly.The general data was recorded and physical test was conducted in the meanwhile.Logistic regression analysis was used to evaluate the influencing factors of frailty.Results The incidence rate of osteoporosis in the frailty patients was significantly higher than that in the non-frailty patients(21.4%vs 4.8%,P<0.01).There were significant differences in the incidence rate of frailty,score of TFI and physical fitness between the different osteoporosis risk groups(P<0.01).The correlation between the OSTA index and the total score of frailty,physical function score and psychological score was significant(r=-0.297,-0.320,-0.114,P<0.05).The independent influencing factors of frailty were the number of comorbidities,osteoporosis,the habit of drinking tea and exercise.Conclusions There is a correlation between frailty and osteoporosis,which is one of the risk factors of frailty.