饮食因素对绝经期妇女骨质疏松影响

目的 了解饮食因素对绝经期妇女骨质疏松的影响,为指导绝经期妇女通过合理饮食预防骨质疏松的发生提供参考依据。方法 采用两阶段抽样方法对在黑龙江省哈尔滨市电力小区随机抽取的281名绝经期妇女进行问卷调查和骨密度测量。结果 调查的281名绝经期妇女中,检出骨质疏松患者115例,骨质疏松检出率为40.9%;其中50岁～、56岁～和61～65岁分别检出骨质疏松患者40,47和28例,骨质疏松检出率分别为31.5%,43.1%和62.2%;多因素非条件Logistic回归分析结果表明,食用粗粮≥100 g/d和饮用可乐是绝经期妇女骨质疏松的危险因素;食用五花肉、食用瓜类蔬菜≥75 g/d和食用芥兰类蔬菜≥10 g/d是绝经期妇女骨质疏松的保护因素。结论 多吃瓜类和芥兰类蔬菜、不饮用可乐、适量摄入粗粮和五花肉可以预防绝经期妇女骨质疏松的发生。

Effects of dietary factors on menopausal osteoporosis

Objective To study the effects of dietary factors on menopausal osteoporoSis and to provide suggestions for menopausal women.Methods A total of 281 menopausal women aged 50-65 years were randomly selected from Harb in city.Questionnaire survey was used to collect data and dual energy X-ray absorptiometry(DEXA) was used to measure bone mineral den sity (BMD) of the spine,lEfthip,and body.The data was validated with Epidata 3.1 and analyzed using SAS9.1.Univariate logistic regression analysis were performed totest the associations between 79 kinds of food and menopausal osteoporosis.After adjusting for age and weight,stepwise multivariate logistic regression analysis was performed to test the impact of diet on menopausal osteopo rosis.Results Univariate logistic regression analysis showed that eating coarsefood grain(> 100g/d) (odds ratio [OR]=2.141) and vermice lli(> 50 g/d) (OR=1.649) were risk factors for menopa usal osteoporosis,whereas eating bacon belly (OR=0.543),chicken claw (OR=0.605),banana (> 25 g/d) (OR=0.588) and melon vegetable(> 75 g/d) (OR=0.585) were protective factors form enopausal osteoporosis.Multiple logistic regression analysis showed that eating coarse food grain(> 100 g/d) and drinking coke were risk factors form enopausal osteoporosis,whereas eating bacon belly,melon vegetable(> 75 g/d) and kale vegetable(> 10 g/d) were protective factors formeno pausal osteoporosis.Conclusion In order to prevent menopausal osteo porosis,we suggest menopausal women eating more melon vegetable and kale vegetable,appropriate amount of coarse food grain and bacon belly and not drinking coke.